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Demopolis Pediatrics, LLC

Details

Name: Demopolis Pediatrics, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 22 Jan 2009 (16 years ago) (Companies founded in January 2009)
Entity Number: 000-429-604
Register Number: 000429604
ZIP code: 36732 (Companies in Marengo, 36732)
County: Marengo
Place of Formation: Marengo County
Principal Address: DEMOPOLIS, AL
Registered Office Street Address: 105 HWY 80 E STE 205DEMOPOLIS, AL 36732

Activities GENERAL MEDICAL/HEALTHCARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699914770 2009-02-12 2009-02-12 105 US HIGHWAY 80 E, SUITE 205, DEMOPOLIS, AL, 367323605, US 105 US HIGHWAY 80 E, SUITE 205, DEMOPOLIS, AL, 367323605, US

Contacts
Phone +1 334-289-5770
Fax 3342895758

Authorized person
Name DR. MILTON S BRASFIELD III
Role MILTON S. BRASFIELD, III, M. D.
Phone 3342895770

Taxonomy
Taxonomy Code 2080A0000X - Pediatric Adolescent Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DEMOPOLIS PEDIATRICS, LLC 401(K) PLAN 2019 264092104 2020-01-08 DEMOPOLIS PEDIATRICS, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342895770
Plan sponsor’s address P.O. BOX 670, DEMOPOLIS, AL, 367320670

Signature of
Role Plan administrator
Date 2020-01-08
Name of individual signing BRENDA MCGIVERN
Role Employer/plan sponsor
Date 2020-01-08
Name of individual signing BRENDA MCGIVERN
DEMOPOLIS PEDIATRICS, LLC 401(K) PLAN 2018 264092104 2019-02-01 DEMOPOLIS PEDIATRICS, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342895770
Plan sponsor’s address P.O. BOX 670, DEMOPOLIS, AL, 367320670

Signature of
Role Plan administrator
Date 2019-02-01
Name of individual signing BRENDA MCGIVERN
DEMOPOLIS PEDIATRICS, LLC 401(K) PLAN 2017 264092104 2018-05-08 DEMOPOLIS PEDIATRICS, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342895770
Plan sponsor’s address 105 E US HWY 80 E, STE 205, DEMOPOLIS, AL, 367320670

Signature of
Role Plan administrator
Date 2018-05-08
Name of individual signing BRENDA MCGIVERN
DEMOPOLIS PEDIATRICS, LLC 401(K) PLAN 2016 264092104 2017-02-01 DEMOPOLIS PEDIATRICS, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342895770
Plan sponsor’s address 105 E US HWY 80 E, STE 205, DEMOPOLIS, AL, 367320670

Signature of
Role Plan administrator
Date 2017-02-01
Name of individual signing BRENDA MCGIVERN
DEMOPOLIS PEDIATRICS, LLC 401(K) PLAN 2015 264092104 2016-01-22 DEMOPOLIS PEDIATRICS, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342895770
Plan sponsor’s address 105 E US HWY 80 E, STE 205, DEMOPOLIS, AL, 367320670

Signature of
Role Plan administrator
Date 2016-01-22
Name of individual signing BRENDA MCGIVERN
DEMOPOLIS PEDIATRICS LLC 401K PLAN 2014 264092104 2015-01-27 DEMOPOLIS PEDIATRICS, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342895770
Plan sponsor’s address 105 E US HWY 80 E, STE 205, DEMOPOLIS, AL, 367320670

Signature of
Role Plan administrator
Date 2015-01-17
Name of individual signing BRENDA MCGIVERN
DEMOPOLIS PEDIATRICS, LLC 401(K) PLAN 2013 264092104 2014-02-04 DEMOPOLIS PEDIATRICS, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342895770
Plan sponsor’s address 105 E US HWY 80 E, STE 205, DEMOPOLIS, AL, 367320670

Signature of
Role Plan administrator
Date 2014-02-03
Name of individual signing BRENDA MCGIVERN
DEMOPOLIS PEDIATRICS, LLC 401(K) PLAN 2012 264092104 2014-10-14 DEMOPOLIS PEDIATRICS, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342895770
Plan sponsor’s address 105 E US HWY 80 E, STE 205, DEMOPOLIS, AL, 367320670

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing BRENDA MCGIVERN
DEMOPOLIS PEDIATRICS, LLC 401(K) PLAN 2011 264092104 2012-06-19 DEMOPOLIS PEDIATRICS, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342895770
Plan sponsor’s address 105 E US HWY 80 E, STE 205, DEMOPOLIS, AL, 367320670

Plan administrator’s name and address
Administrator’s EIN 264092104
Plan administrator’s name DEMOPOLIS PEDIATRICS, LLC
Plan administrator’s address 105 E US HWY 80 E, STE 205, DEMOPOLIS, AL, 367320670
Administrator’s telephone number 3342895770

Signature of
Role Plan administrator
Date 2012-05-18
Name of individual signing BRENDA MCGIVERN
DEMOPOLIS PEDIATRICS LLC 401K PLAN 2010 264092104 2011-06-29 DEMOPOLIS PEDIATRICS LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621111
Sponsor’s telephone number 3342895770
Plan sponsor’s address 105 E US HWY 80 E, STE 205, DEMOPOLIS, AL, 367320670

Plan administrator’s name and address
Administrator’s EIN 264092104
Plan administrator’s name DEMOPOLIS PEDIATRICS LLC
Plan administrator’s address 105 E US HWY 80 E, STE 205, DEMOPOLIS, AL, 367320670
Administrator’s telephone number 3342895770

Signature of
Role Plan administrator
Date 2011-06-29
Name of individual signing BRENDA MCGIVERN

Member

Name Role
BRASFIELD, M STANHOPE III Member
MCGIVERN, BRENDA Member

Agent

Name Role
MCGIVERN, BRENDA Agent

Related by officers

No related officers

Related by address

DEMOPOLIS, AL

O'Neal's Drugs, Inc. Bama Auto Parts of Demopolis, Incorporated Braswell, Inc. Credit Bureau of Demopolis, Inc. Demopolis C. A. TV Company Demopolis Farm Center Demopolis Lumber Company Demopolis Plumbing, Heating & Electric Co. Inc. Demopolis Vending Company Elk Food Centers, Inc.

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State

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