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Clinic W, LLC

Details

Name: Clinic W, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 31 Jul 2017 (7 years ago)
Entity Number: 000-397-915
Register Number: 000397915
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2200 WOODCREST PLACE, SUITE 310BIRMINGHAM, AL 35209
Registered Office Street Address ZIP Code: 35209

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578087755 2017-07-31 2022-01-10 102 MEDICAL CENTER DR, CLANTON, AL, 350452332, US 102 MEDICAL CENTER DR, CLANTON, AL, 350452332, US

Contacts
Phone +1 205-287-3900
Fax 8883004079
Phone +1 205-383-5336

Authorized person
Name DR. DAVID S. WILSON
Role SOLE MEMBER
Phone 2053835336

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number 26067
State AL
Is Primary Yes
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLINIC W 401(K) PLAN 2023 822318193 2024-06-20 CLINIC W, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2052873900
Plan sponsor’s address 102 MEDICAL CENTER DR, CLANTON, AL, 35045

Signature of
Role Plan administrator
Date 2024-06-06
Name of individual signing HEATHER TURNER
CLINIC W 401(K) PLAN 2022 822318193 2023-05-22 CLINIC W, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2052873900
Plan sponsor’s address 102 MEDICAL CENTER DR, CLANTON, AL, 35045

Signature of
Role Plan administrator
Date 2023-05-22
Name of individual signing HEATHER TURNER
CLINIC W 401(K) PLAN 2021 822318193 2022-05-17 CLINIC W, 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 8883004079
Plan sponsor’s address 102 MEDICAL CENTER DR, CLANTON, AL, 35045

Signature of
Role Plan administrator
Date 2022-05-17
Name of individual signing HEATHER TURNER
CLINIC W 401(K) PLAN 2020 822318193 2021-07-20 CLINIC W, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 8883004079
Plan sponsor’s address 102 MEDICAL CENTER DR, CLANTON, AL, 35045

Signature of
Role Plan administrator
Date 2021-07-20
Name of individual signing HEATHER TURNER
CLINIC W 401(K) PLAN 2019 822318193 2020-05-12 CLINIC W, 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 8883004079
Plan sponsor’s address 206 MEDICAL CENTER DRIVE, CLANTON, AL, 35045

Signature of
Role Plan administrator
Date 2020-05-12
Name of individual signing HEATHER TURNER
Role Employer/plan sponsor
Date 2020-05-12
Name of individual signing HEATHER TURNER

Agent

Name Role Address
WILSON, DAVID Agent 239 MCLENDON ROADFT. MITCHELL, AL 36856

Organizer

Name Role Address
SCOTT, WALTER F III Organizer 2200 WOODCREST PLACE, SUITE 310BIRMINGHAM, AL 35209

Related by officers

WILSON, DAVID

HLK LLC D. WILSON TRUCKING LLC Wilson & Sons, Inc. Wilson Travel, Incorporated Shelby Senior Housing, Inc. The Alabama Emmaus Community Blount County Sports Hall of Fame, Inc. Continental Horizons, Inc. W. T.'S. Inc. SunRise Corporation

SCOTT, WALTER F III

Garden Place Association, Inc. Scott & Scott, Inc. V & W, Inc. Quintard Mall, LLC Bains Family, LLC DWK Properties, LLC JCW PARTNERSHIP, LLC ROLL TIDE ROLL, LLC r360, LLC Genesis Mamonas, LLC

Related by address

2200 WOODCREST PLACE, SUITE 310BIRMINGHAM, AL 35209

HEARTWOOD 55, LLC Property W, LLC Genesis Scott, LLC Devore Vintage, LLC Atlas Property Management, LLC Fort Morgan Marina, LLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State

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