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MCMD LLC

Details

Name: MCMD LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Jun 2017 (7 years ago)
Entity Number: 000-395-540
Register Number: 000395540
County: Limestone
Place of Formation: Limestone County
Registered Office Street Address: 101 FITNESS WAY SUITE 1200ATHENS, AL 35611
Registered Office Street Address ZIP Code: 35611

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
ELFSYED5E5F9 2025-03-06 22292 US HIGHWAY 72, ATHENS, AL, 35613, 2604, USA 22292 US HIGHWAY 72, ATHENS, AL, 35613, 2604, USA

Business Information
Division Name MCMD LLC
Congressional District 05
State/Country of Incorporation AL, USA
Activation Date 2024-03-08
Initial Registration Date 2023-03-22
Entity Start Date 2017-07-06
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621111

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MATT CALDWELL
Address 22292 US HIGHWAY 72, ATHENS, AL, 35613, USA
Government Business
Title PRIMARY POC
Name MATT CALDWELL
Address 22292 US HIGHWAY 72, ATHENS, AL, 35613, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477068468 2017-12-12 2022-03-16 22292 US HIGHWAY 72, ATHENS, AL, 356132604, US 22292 US HIGHWAY 72, ATHENS, AL, 356132604, US

Contacts
Phone +1 256-614-2444

Authorized person
Name DR. MATTHEW BRAGG CALDWELL
Role PHYSICIAN
Phone 2566142444

Taxonomy
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number 32665
State AL
Is Primary Yes

Other Provider Identifiers
Issuer STATE LICENSE
Number 32665
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MCMD LLC 401(K) P/S PLAN 2023 822070523 2024-05-14 MCMD LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2517692028
Plan sponsor’s address 22292 US HIGHWAY 72, ATHENS, AL, 35613

Signature of
Role Plan administrator
Date 2024-05-14
Name of individual signing MATTHEW CALDWELL
Role Employer/plan sponsor
Date 2024-05-14
Name of individual signing MATTHEW CALDWELL
MCMD LLC 401(K) P/S PLAN 2022 822070523 2023-04-20 MCMD LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2517692028
Plan sponsor’s address 22292 US HIGHWAY 72, ATHENS, AL, 35613

Plan administrator’s name and address
Administrator’s EIN 822070523
Plan administrator’s name MCMD LLC
Plan administrator’s address 22292 US HIGHWAY 72, ATHENS, AL, 35613
Administrator’s telephone number 2517692028

Signature of
Role Plan administrator
Date 2023-04-20
Name of individual signing MATTHEW CALDWELL
MCMD LLC 401(K) P/S PLAN 2022 822070523 2023-02-16 MCMD LLC 7
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2517692028
Plan sponsor’s address 22292 US HIGHWAY 72, ATHENS, AL, 35613

Plan administrator’s name and address
Administrator’s EIN 822070523
Plan administrator’s name MCMD LLC
Plan administrator’s address 22292 US HIGHWAY 72, ATHENS, AL, 35613
Administrator’s telephone number 2517692028

Signature of
Role Plan administrator
Date 2023-02-16
Name of individual signing MATTHEW CALDWELL
MCMD LLC 401(K) P/S PLAN 2021 822070523 2022-06-10 MCMD LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2517692028
Plan sponsor’s address 22292 US HIGHWAY 72, ATHENS, AL, 35613

Plan administrator’s name and address
Administrator’s EIN 822070523
Plan administrator’s name MCMD LLC
Plan administrator’s address 22292 US HIGHWAY 72, ATHENS, AL, 35613
Administrator’s telephone number 2517692028

Signature of
Role Plan administrator
Date 2022-06-10
Name of individual signing MATTHEW CALDWELL
MCMD LLC 401(K) P/S PLAN 2020 822070523 2021-03-15 MCMD LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2517692028
Plan sponsor’s address 101 FITNESS WAY STE 1200, ATHENS, AL, 35611

Plan administrator’s name and address
Administrator’s EIN 822070523
Plan administrator’s name MCMD LLC
Plan administrator’s address 101 FITNESS WAY STE 1200, ATHENS, AL, 35611
Administrator’s telephone number 2517692028

Signature of
Role Plan administrator
Date 2021-03-15
Name of individual signing MATTHEW CALDWELL
MCMD LLC 401(K) P/S PLAN 2019 822070523 2020-05-13 MCMD LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2517692028
Plan sponsor’s address 101 FITNESS WAY STE 1200, ATHENS, AL, 35611

Plan administrator’s name and address
Administrator’s EIN 822070523
Plan administrator’s name MCMD LLC
Plan administrator’s address 101 FITNESS WAY STE 1200, ATHENS, AL, 35611
Administrator’s telephone number 2517692028

Signature of
Role Plan administrator
Date 2020-05-13
Name of individual signing MATTHEW CALDWELL

Agent

Name Role Address
CALDWELL, MATTHEW B Agent 110 CEDAR VALLEY COURTHARVEST, AL 35749

Organizer

Name Role Address
LEGALZOOM.COM INC Organizer 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203

Related by officers

CALDWELL, MATTHEW B

MCMD PROPERTIES, LLC REFORMATION HEALTHCARE

LEGALZOOM.COM INC

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Related by address

No related companies by address

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State

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