Julie R. Sams, DMD, LLC

Details

Name:	Julie R. Sams, DMD, LLC
Jurisdiction:	Alabama
Legal type:	Domestic Limited Liability Company
Status:	Exists
Date of registration:	21 Dec 2009 (15 years ago)
Entity Number:	000-441-381
Register Number:	000441381
County:	Dallas
Place of Formation:	Dallas County
Principal Address:	SELMA, AL
Registered Office Street Address:	724 ALABAMA AVESELMA, AL 36701
Registered Office Street Address ZIP Code:	36701

Activities GENERAL DENTISTRY

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1730846874

2021-11-23

2021-11-23

PO BOX 994, SELMA, AL, 367020994, US

724 ALABAMA AVE, SELMA, AL, 367014622, US

Contacts

Phone	+1 334-872-6277
Fax	3348726701

Authorized person

Name	JULIE SAMS
Role	OWNER
Phone	3343752590

Taxonomy

Taxonomy Code	261QD0000X - Dental Clinic/Center
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

JULIE R. SAMS, DMD, LLC 401(K) PLAN

2023

271529055

2024-07-25

JULIE R. SAMS, DMD, LLC

12

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	3348726277
Plan sponsor’s address	724 ALABAMA AVENUE, SELMA, AL, 36701

JULIE R. SAMS, DMD, LLC 401(K) PLAN

2022

271529055

2023-08-31

JULIE R. SAMS, DMD, LLC

10

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	3348726277
Plan sponsor’s address	724 ALABAMA AVENUE, SELMA, AL, 36701

JULIE R. SAMS, DMD, LLC 401(K) PLAN

2021

271529055

2022-06-20

JULIE R. SAMS, DMD, LLC

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	3348726277
Plan sponsor’s address	724 ALABAMA AVENUE, SELMA, AL, 36701

JULIE R. SAMS, DMD, LLC 401(K) PLAN

2020

271529055

2021-08-03

JULIE R. SAMS, DMD, LLC

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	3348726277
Plan sponsor’s address	724 ALABAMA AVENUE, SELMA, AL, 36701

JULIE R. SAMS, DMD, LLC 401(K) PLAN

2019

271529055

2020-05-29

JULIE R. SAMS, DMD, LLC

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	3348726277
Plan sponsor’s address	724 ALABAMA AVENUE, SELMA, AL, 36701

JULIE R. SAMS, DMD, LLC 401(K) PLAN

2018

271529055

2019-04-09

JULIE R. SAMS, DMD, LLC

8

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	3348726277
Plan sponsor’s address	724 ALABAMA AVENUE, SELMA, AL, 36701

JULIE R. SAMS, DMD, LLC 401(K) PLAN

2017

271529055

2018-08-08

JULIE R. SAMS, DMD, LLC

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	3348726277
Plan sponsor’s address	724 ALABAMA AVENUE, SELMA, AL, 36701

JULIE R. SAMS, DMD, LLC 401K PLAN

2016

271529055

2017-09-27

JULIE R. SAMS, DMD, LLC

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	3348726277
Plan sponsor’s address	724 ALABAMA AVENUE, SELMA, AL, 36701

Signature of

Role	Plan administrator
Date	2017-09-26
Name of individual signing	JULIE R. SAMS, DMD

JULIE R. SAMS, DMD, LLC 401K PLAN

2015

271529055

2016-07-30

JULIE R. SAMS, DMD, LLC

7

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2015-01-01
Business code	621210
Sponsor’s telephone number	3348726277
Plan sponsor’s address	724 ALABAMA AVENUE, SELMA, AL, 36701

Member

Name	Role
SAMS, JULIE R	Member

Agent

Name	Role
SAMS, JULIE R	Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State