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Matthew Ticola DMD LLC

Details

Name: Matthew Ticola DMD LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 08 Mar 2017 (8 years ago) (Companies founded in March 2017)
Entity Number: 000-385-540
Register Number: 000385540
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 2 NORTH JACKSON ST SUITE 605MONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699202960 2017-05-17 2017-05-17 11521 US HIGHWAY 431 STE V, GUNTERSVILLE, AL, 359765671, US 11521 US HIGHWAY 431 STE V, GUNTERSVILLE, AL, 359765671, US

Contacts

Phone +1 256-505-8954

Authorized person

Name MATTHEW TICOLA
Role MANAGER
Phone 2565058954

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
License Number D0005747-C
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MATTHEW TICOLA DMD LLC 401(K) PLAN 2023 821151028 2024-10-10 MATTHEW TICOLA DMD LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2565058954
Plan sponsor’s mailing address 11521 US HIGHWAY 431, SUITE V, GUNTERSVILLE, AL, 359765669
Plan sponsor’s address 11521 US HIGHWAY 431, SUITE V, GUNTERSVILLE, AL, 359765669

Number of participants as of the end of the plan year

Active participants 9
Number of participants with account balances as of the end of the plan year 9

Signature of

Role Plan administrator
Date 2024-10-10
Name of individual signing MATTHEW TICOLA
Valid signature Filed with authorized/valid electronic signature
MATTHEW TICOLA DMD LLC 401(K) PLAN 2022 821151028 2023-04-20 MATTHEW TICOLA DMD LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2565058954
Plan sponsor’s mailing address 11521 US HIGHWAY 431, SUITE V, GUNTERSVILLE, AL, 359765669
Plan sponsor’s address 11521 US HIGHWAY 431, SUITE V, GUNTERSVILLE, AL, 359765669

Number of participants as of the end of the plan year

Active participants 6
Number of participants with account balances as of the end of the plan year 6

Signature of

Role Plan administrator
Date 2023-04-20
Name of individual signing MATTHEW TICOLA
Valid signature Filed with authorized/valid electronic signature
MATTHEW TICOLA DMD LLC 401(K) PLAN 2021 821151028 2022-10-14 MATTHEW TICOLA DMD LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 2565058954
Plan sponsor’s mailing address 11521 US HIGHWAY 431, SUITE V, GUNTERSVILLE, AL, 359765669
Plan sponsor’s address 11521 US HIGHWAY 431, SUITE V, GUNTERSVILLE, AL, 359765669

Number of participants as of the end of the plan year

Active participants 4
Number of participants with account balances as of the end of the plan year 4

Signature of

Role Plan administrator
Date 2022-10-14
Name of individual signing MATTHEW TICOLA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CAPITOL CORPORATE SERVICES INC Agent

Organizer

Name Role Address
MAYHEW, BRADLEY C Organizer 1819 FIFTH AVE N STE 1000BIRMINGHAM, AL 35203

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State