| Name: | Cardiovascular Institute of Selma, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 18 Aug 2008 (16 years ago) |
| Date of dissolution: | 28 Aug 2017 |
| Entity Number: | 000-423-849 |
| Register Number: | 000423849 |
| County: | Dallas |
| Place of Formation: | Dallas County |
| Registered Office Street Address: | 1015 MEDICAL CENTER PKWYSELMA, AL 36701 |
| Registered Office Street Address ZIP Code: | 36701 |
Activities
CARDIOLOGY MEDICAL SERVICES
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARDIOVASCULAR INSTITUTE OF SELMA, LLC DEFINED BENEFIT PLAN | 2013 | 263232531 | 2014-07-17 | CARDIOVASCULAR INSTITUTE OF SELMA, LLC | 2 | |||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-07-17 |
| Name of individual signing | CAMERON KELLY |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3345262200 |
| Plan sponsor’s address | 101 PARK PLACE, SELMA, AL, 36701 |
Signature of
| Role | Plan administrator |
| Date | 2013-10-15 |
| Name of individual signing | CAMERON KELLY |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3345262200 |
| Plan sponsor’s address | 101 PARK PLACE, SELMA, AL, 36701 |
Plan administrator’s name and address
| Administrator’s EIN | 263232531 |
| Plan administrator’s name | CARDIOVASCULAR INSTITUTE OF SELMA, LLC |
| Plan administrator’s address | 101 PARK PLACE, SELMA, AL, 36701 |
| Administrator’s telephone number | 3345262200 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-15 |
| Name of individual signing | CAMERON KELLY |
| Name | Role | Address |
|---|---|---|
| BUTT, AMJAD | Agent | 101 PARK PLACESELMA, AL 36701 |
| Name | Role | Address |
|---|---|---|
| BUTT, AMJAD | Member | 101 PARK PLACESELMA, AL 36701 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
