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Valley Head Clinic LLC

Details

Name: Valley Head Clinic LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 18 May 2010 (15 years ago) (Companies founded in May 2010)
Entity Number: 000-447-271
Register Number: 000447271
ZIP code: 35765 (Companies in Jackson, 35765)
County: Jackson
Place of Formation: Jackson County
Registered Office Street Address: 6110 CO RD 88PISGAH, AL 35765

Activities HEALTH CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679827497 2012-10-31 2013-04-17 PO BOX 246, PISGAH, AL, 357650246, US 6110 COUNTY ROAD 88, PISGAH, AL, 35765, US

Contacts
Phone +1 256-451-1250
Fax 2564511270

Authorized person
Name MR. MUHAMMAD EJAZ ATA
Role OWNER
Phone 2564511250

Taxonomy
Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes
Taxonomy Code 261QR1300X - Rural Health Clinic/Center
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VALLEY HEAD CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2022 272596795 2023-07-20 VALLEY HEAD CLINIC, LLC 39
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2564511250
Plan sponsor’s address 205 GRAND AVENUE, NW, SUITE B, FORT PAYNE, AL, 35797

Signature of
Role Plan administrator
Date 2023-07-20
Name of individual signing MUHAMMAD ATA
Role Employer/plan sponsor
Date 2023-07-20
Name of individual signing MUHAMMAD ATA
VALLEY HEAD CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2021 272596795 2022-07-26 VALLEY HEAD CLINIC, LLC 34
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2564511250
Plan sponsor’s address 205 GRAND AVENUE, NW, SUITE B, FORT PAYNE, AL, 35797

Signature of
Role Plan administrator
Date 2022-07-26
Name of individual signing MUHAMMAD ATA
Role Employer/plan sponsor
Date 2022-07-26
Name of individual signing MUHAMMAD ATA
VALLEY HEAD CLINIC, LLC CASH BALANCE PENSION PLAN AND TRUST 2020 272596795 2021-07-28 VALLEY HEAD CLINIC, LLC 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2564511250
Plan sponsor’s address 205 GRAND AVENUE, NW, SUITE B, FORT PAYNE, AL, 35797

Signature of
Role Plan administrator
Date 2021-07-28
Name of individual signing MUHAMMAD ATA
Role Employer/plan sponsor
Date 2021-07-28
Name of individual signing MUHAMMAD ATA
VALLEY HEAD CLINIC, LLC CASH BALANCE PENSION PLAN AND TRUST 2020 272596795 2021-07-28 VALLEY HEAD CLINIC, LLC 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2564511250
Plan sponsor’s address 205 GRAND AVENUE, NW, SUITE B, FORT PAYNE, AL, 35797

Signature of
Role Plan administrator
Date 2021-07-28
Name of individual signing MUHAMMAD ATA
Role Employer/plan sponsor
Date 2021-07-28
Name of individual signing MUHAMMAD ATA
VALLEY HEAD CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2020 272596795 2021-09-22 VALLEY HEAD CLINIC, LLC 32
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2564511250
Plan sponsor’s address 205 GRAND AVENUE, NW, SUITE B, FORT PAYNE, AL, 35797

Signature of
Role Plan administrator
Date 2021-09-22
Name of individual signing MUHAMMAD ATA
Role Employer/plan sponsor
Date 2021-09-22
Name of individual signing MUHAMMAD ATA
VALLEY HEAD CLINIC, LLC CASH BALANCE PENSION PLAN AND TRUST 2019 272596795 2020-06-09 VALLEY HEAD CLINIC, LLC 13
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2564511250
Plan sponsor’s address 205 GRAND AVENUE, NW, SUITE B, FORT PAYNE, AL, 35797

Signature of
Role Plan administrator
Date 2020-06-09
Name of individual signing MUHAMMAD ATA
Role Employer/plan sponsor
Date 2020-06-09
Name of individual signing MUHAMMAD ATA
VALLEY HEAD CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2019 272596795 2021-09-22 VALLEY HEAD CLINIC, LLC 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2564511250
Plan sponsor’s address 205 GRAND AVENUE, NW, SUITE B, FORT PAYNE, AL, 35797

Signature of
Role Plan administrator
Date 2021-09-22
Name of individual signing MUHAMMAD ATA
Role Employer/plan sponsor
Date 2021-09-22
Name of individual signing MUHAMMAD ATA
VALLEY HEAD CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2019 272596795 2020-10-15 VALLEY HEAD CLINIC, LLC 24
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2564511250
Plan sponsor’s address 205 GRAND AVENUE, NW, SUITE B, FORT PAYNE, AL, 35797

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing MUHAMMAD ATA
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing MUHAMMAD ATA
VALLEY HEAD CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2018 272596795 2019-10-15 VALLEY HEAD CLINIC, LLC 21
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2564511250
Plan sponsor’s address 205 GRAND AVENUE, NW, SUITE B, FORT PAYNE, AL, 35797

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing MUHAMMAD ATA
Role Employer/plan sponsor
Date 2019-10-15
Name of individual signing MUHAMMAD ATA
VALLEY HEAD CLINIC, LLC CASH BALANCE PENSION PLAN AND TRUST 2018 272596795 2019-10-07 VALLEY HEAD CLINIC, LLC 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 2564511250
Plan sponsor’s address 205 GRAND AVENUE, NW, SUITE B, FORT PAYNE, AL, 35797

Signature of
Role Plan administrator
Date 2019-10-04
Name of individual signing MUHAMMAD ATA
Role Employer/plan sponsor
Date 2019-10-04
Name of individual signing MUHAMMAD ATA

Agent

Name Role Address
ATA, MUHAMMAD Agent 6110 COUNTY ROAD 88PISGAH, AL 35765

Member

Name Role Address
ATA, MUHAMMAD Member 6110 COUNTY ROAD 88PISGAH, AL 35765

Related by officers

ATA, MUHAMMAD

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Related by address

No related companies by address

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State

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