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America Institute of Reproductive Medicine-Alabama, LLC

Details

Name: America Institute of Reproductive Medicine-Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 20 Jul 2017 (7 years ago)
Entity Number: 000-396-878
Register Number: 000396878
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 3630 MONTEVALLO ROAD SOUTHBIRMINGHAM, AL 35213
Registered Office Street Address ZIP Code: 35213

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043734619 2017-07-26 2018-03-17 1 INDEPENDENCE PLZ STE 810, BIRMINGHAM, AL, 352092647, US 1 INDEPENDENCE PLZ STE 810, BIRMINGHAM, AL, 352092647, US

Contacts

Phone +1 205-441-1302

Authorized person

Name MR. JOSEPH B BOLEN IV
Role ADMINISTRATOR
Phone 2055154217

Taxonomy

Taxonomy Code 207VE0102X - Reproductive Endocrinology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AMERICA INSTITUTE OF REPRODUCTIVE MEDICINE - ALABAMA 401K PROFIT SHARING PLAN 2020 822228432 2021-05-10 AMERICA INSTITUTE OF REPRODUCTIVE MEDICINE - ALABAMA 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2053070484
Plan sponsor’s address 1 INDEPENDENCE PLAZA SUITE 810, BIRMINGHAM, AL, 35209

Signature of

Role Plan administrator
Date 2021-05-10
Name of individual signing JOSEPH BOLEN
AMERICA INSTITUTE OF REPRODUCTIVE MEDICINE - ALABAMA 401K PROFIT SHARING PLAN 2019 822228432 2020-10-15 AMERICA INSTITUTE OF REPRODUCTIVE MEDICINE - ALABAMA 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2053070484
Plan sponsor’s address 1 INDEPENDENCE PLAZA SUITE 810, BIRMINGHAM, AL, 35209

Organizer

Name Role Address
STEED, F WADE Organizer 1740 OXMOOR ROAD STE 100HOMEWOOD, AL 35209

Agent

Name Role Address
LONG, CECIL A Agent 3630 MONTEVALLO ROADBIRMINGHAM, AL 35213

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State