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Eugene M. Heavlin, D.M.D., LLC

Details

Name: Eugene M. Heavlin, D.M.D., LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 06 Nov 2008 (16 years ago)
Date of dissolution: 08 Dec 2015
Entity Number: 000-426-968
Register Number: 000426968
County: Autauga
Place of Formation: Autauga County
Principal Address: PRATTVILLE, AL
Registered Office Street Address: 1783 E MAIN STPRATTVILLE, AL 36066
Registered Office Street Address ZIP Code: 36066

Activities DENTAL PRACTICE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EUGENE M. HEAVLIN, D.M.D. 401(K) PROFIT SHARING PLAN 2013 263842586 2014-10-23 EUGENE M. HEAVLIN, D.M.D., LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 3343619959
Plan sponsor’s address 1783 E. MAIN STREET, PRATTVILLE, AL, 360665562

Signature of
Role Plan administrator
Date 2014-10-23
Name of individual signing EUGENE HEAVLIN
Role Employer/plan sponsor
Date 2014-10-23
Name of individual signing EUGENE HEAVLIN
EUGENE M. HEAVLIN, D.M.D. 401(K) PROFIT SHARING PLAN 2013 263842586 2014-02-24 EUGENE M. HEAVLIN, D.M.D., LLC 5
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 3343619959
Plan sponsor’s address 1783 E. MAIN STREET, PRATTVILLE, AL, 360665562

Signature of
Role Plan administrator
Date 2014-02-24
Name of individual signing EUGENE HEAVLIN
Role Employer/plan sponsor
Date 2014-02-24
Name of individual signing EUGENE HEAVLIN
EUGENE M. HEAVLIN, D.M.D. 401(K) PROFIT SHARING PLAN 2013 263842586 2014-02-25 EUGENE M. HEAVLIN, D.M.D., LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 3343619959
Plan sponsor’s address 1783 E. MAIN STREET, PRATTVILLE, AL, 360665562

Signature of
Role Plan administrator
Date 2014-02-24
Name of individual signing EUGENE HEAVLIN
Role Employer/plan sponsor
Date 2014-02-24
Name of individual signing EUGENE HEAVLIN
EUGENE M. HEAVLIN, D.M.D. 401(K) PROFIT SHARING PLAN 2012 263842586 2013-06-10 EUGENE M. HEAVLIN, D.M.D., LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 3343619959
Plan sponsor’s address 1783 E. MAIN STREET, PRATTVILLE, AL, 360665562

Signature of
Role Plan administrator
Date 2013-06-07
Name of individual signing EUGENE HEAVLIN
Role Employer/plan sponsor
Date 2013-06-07
Name of individual signing EUGENE HEAVLIN
EUGENE M. HEAVLIN, D.M.D. 401(K) PROFIT SHARING PLAN 2011 263842586 2012-07-17 EUGENE M. HEAVLIN, D.M.D., LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 3343619959
Plan sponsor’s address 1783 E. MAIN STREET, PRATTVILLE, AL, 360665562

Plan administrator’s name and address
Administrator’s EIN 263842586
Plan administrator’s name EUGENE M. HEAVLIN, D.M.D., LLC
Plan administrator’s address 1783 E. MAIN STREET, PRATTVILLE, AL, 360665562
Administrator’s telephone number 3343619959

Signature of
Role Plan administrator
Date 2012-07-17
Name of individual signing EUGENE HEAVLIN
Role Employer/plan sponsor
Date 2012-07-17
Name of individual signing EUGENE HEAVLIN
EUGENE M. HEAVLIN, D.M.D. 401(K) PROFIT SHARING PLAN 2010 263842586 2011-08-14 EUGENE M. HEAVLIN, D.M.D., LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 3343619959
Plan sponsor’s address 1783 E. MAIN STREET, PRATTVILLE, AL, 360665562

Plan administrator’s name and address
Administrator’s EIN 263842586
Plan administrator’s name EUGENE M. HEAVLIN, D.M.D., LLC
Plan administrator’s address 1783 E. MAIN STREET, PRATTVILLE, AL, 360665562
Administrator’s telephone number 3343619959

Signature of
Role Plan administrator
Date 2011-08-09
Name of individual signing EUGENE HEAVLIN
Role Employer/plan sponsor
Date 2011-08-09
Name of individual signing EUGENE HEAVLIN
EUGENE M. HEAVLIN, D.M.D. 401(K) PROFIT SHARING PLAN 2009 263842586 2010-07-14 EUGENE M. HEAVLIN, D.M.D., LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 3343619959
Plan sponsor’s address 1783 E. MAIN STREET, PRATTVILLE, AL, 360665562

Plan administrator’s name and address
Administrator’s EIN 263842586
Plan administrator’s name EUGENE M. HEAVLIN, D.M.D., LLC
Plan administrator’s address 1783 E. MAIN STREET, PRATTVILLE, AL, 360665562
Administrator’s telephone number 3343619959

Signature of
Role Plan administrator
Date 2010-07-14
Name of individual signing EUGENE MICHAEL HEAVLIN, D.M.D.
Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing EUGENE MICHAEL HEAVLIN, D.M.D.

Agent

Name Role
HEAVLIN, EUGENE M Agent

Member

Name Role
HEAVLIN, EUGENE M Member

Related by officers

No related officers

Related by address

PRATTVILLE, AL

Allen Auto Parts, Inc. Appliance Service, Inc. Autauga Groceries, Inc. B. & G. Incorporated Bank of Prattville Warren Burt, Inc. Card Lock Company The Citizens Bank, Prattville, Alabama Durbin Auto Parts Co. Inc. Godwin Hardware Co., Inc.

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State

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