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Pro Impact Physical Therapy & Sports Performance, LLC

Details

Name: Pro Impact Physical Therapy & Sports Performance, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 11 May 2009 (16 years ago) (Companies founded in May 2009)
Entity Number: 000-433-867
Register Number: 000433867
ZIP code: 36117 (Companies in Montgomery, 36117)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 7017 WYNLAKES BLVDMONTGOMERY, AL 36117

Activities OUTPATIENT REHAB SERVICES W/SPECIAL FOCUS ON SPORTS PERFORMANCE

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
N47XKA3DPNW8 2021-12-05 2000 BERRY CHASE PLACE, MONTGOMERY, AL, 36117, 6896, USA 2000 BERRY CHASE PLACE, MONTGOMERY, AL, 36117, 2403, USA

Business Information
Division Name PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC
Division Number PRO IMPACT
Congressional District 02
State/Country of Incorporation AL, USA
Activation Date 2020-06-29
Initial Registration Date 2020-03-19
Entity Start Date 2009-10-12
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621340
Product and Service Codes Q999

Points of Contacts
Electronic Business
Title PRIMARY POC
Name CHARLES M ELLIS
Role OWNER
Address P.O. BOX 242903, MONTGOMERY, AL, 36124, 2903, USA
Government Business
Title PRIMARY POC
Name CHARLES M ELLIS
Role OWNER
Address P.O. BOX 242903, MONTGOMERY, AL, 36124, 2903, USA
Past Performance Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC 401(K) PROFIT SHARING PLAN 2023 270156341 2024-06-10 PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 3343566453
Plan sponsor’s address P.O. BOX 242903, MONTGOMERY, AL, 36124

Signature of
Role Plan administrator
Date 2024-06-10
Name of individual signing CHARLES ELLIS
PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC 401(K) PROFIT SHARING PLAN 2022 270156341 2023-07-06 PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 3343566453
Plan sponsor’s address P.O. BOX 242903, MONTGOMERY, AL, 36124

Signature of
Role Plan administrator
Date 2023-07-06
Name of individual signing CHARLES ELLIS
PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC 401(K) PROFIT SHARING PLAN 2021 270156341 2022-06-15 PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 3343566453
Plan sponsor’s address P.O. BOX 242903, MONTGOMERY, AL, 33124

Signature of
Role Plan administrator
Date 2022-06-15
Name of individual signing CHARLES ELLIS
PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC 401(K) PROFIT SHARING PLAN 2020 270156341 2021-08-02 PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 3343566453
Plan sponsor’s address P.O. BOX 242903, MONTGOMERY, AL, 33124

Signature of
Role Plan administrator
Date 2021-08-02
Name of individual signing CHARLES ELLIS
PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC 401(K) PROFIT SHARING PLAN 2019 270156341 2020-07-01 PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 3343566453
Plan sponsor’s address P.O. BOX 242903, MONTGOMERY, AL, 33124

Signature of
Role Plan administrator
Date 2020-07-01
Name of individual signing CHARLES ELLIS
PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, 401(K) PROFIT SHARING PLAN 2018 270156341 2019-10-07 PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 3343566453
Plan sponsor’s address PO BOX 242903, MONTGOMERY, AL, 361242903

Signature of
Role Plan administrator
Date 2019-10-07
Name of individual signing CHARLES ELLIS
Role Employer/plan sponsor
Date 2019-10-07
Name of individual signing CHARLES ELLIS
PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, 401(K) PROFIT SHARING PLAN 2017 270156341 2018-06-27 PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 3343566453
Plan sponsor’s address PO BOX 242903, MONTGOMERY, AL, 361242903

Signature of
Role Plan administrator
Date 2018-06-27
Name of individual signing CHARLES ELLIS
Role Employer/plan sponsor
Date 2018-06-27
Name of individual signing CHARLES ELLIS
PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, 401(K) PROFIT SHARING PLAN 2016 270156341 2017-10-11 PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 3343566453
Plan sponsor’s address PO BOX 242903, MONTGOMERY, AL, 361242903

Signature of
Role Plan administrator
Date 2017-10-10
Name of individual signing CHARLES ELLIS
Role Employer/plan sponsor
Date 2017-10-10
Name of individual signing CHARLES ELLIS
PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, 401(K) PROFIT SHARING PLAN 2015 270156341 2016-06-07 PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 3343566453
Plan sponsor’s address PO BOX 242903, MONTGOMERY, AL, 361242903

Signature of
Role Plan administrator
Date 2016-06-07
Name of individual signing CHARLES ELLIS
Role Employer/plan sponsor
Date 2016-06-07
Name of individual signing CHARLES ELLIS
PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, 401(K) PROFIT SHARING PLAN 2014 270156341 2015-07-21 PRO IMPACT PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 812990
Sponsor’s telephone number 3343566453
Plan sponsor’s address PO BOX 242903, MONTGOMERY, AL, 36124

Signature of
Role Plan administrator
Date 2015-07-20
Name of individual signing CHARLES ELLIS
Role Employer/plan sponsor
Date 2015-07-20
Name of individual signing CHARLES ELLIS

Agent

Name Role Address
ELLIS, MICHAEL Agent 1172 HIBISCUS DRIVEHOOVER, AL 35226

Member

Name Role Address
ELLIS, MICHAEL Member 1172 HIBISCUS DRIVEHOOVER, AL 35226

Related by officers

ELLIS, MICHAEL

Ousley Construction Company, Inc. Gardendale Home Renovations, Inc. Ellis Enterprise, Inc Ellis Food Mart, Inc. Gardendale Home Renovations, LLC Moonlight Chasse Ballroom Dance Society M & M Investment Group LLC Ellis Fuel & Food Inc. Bay Minette Properties, L.L.C.

Related by address

MONTGOMERY, AL

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7017 WYNLAKES BLVDMONTGOMERY, AL 36117

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Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State

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