| Name: | Grandview II Surgery Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Dec 2017 (7 years ago) |
| Entity Number: | 000-450-635 |
| Register Number: | 000450635 |
| County: | Shelby |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 3595 GRANDVIEW PARKWAYBIRMINGHAM, AL 35242 |
| Registered Office Street Address ZIP Code: | 35242 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265900500 | 2018-11-05 | 2018-11-05 | 3595 GRANDVIEW PKWY STE 150, BIRMINGHAM, AL, 352431935, US | 3595 GRANDVIEW PKWY STE 150, BIRMINGHAM, AL, 352431935, US | |||||||||||||||
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| Phone | +1 205-397-2100 |
| Fax | 2053972101 |
Authorized person
| Name | CHRISTOPHER J SCHAFFER |
| Role | PHYSICIAN |
| Phone | 2053972100 |
Taxonomy
| Taxonomy Code | 208200000X - Plastic Surgery Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GRANDVIEW II SURGERY 401(K) PLAN | 2020 | 824085923 | 2021-06-14 | GRANDVIEW II SURGERY CENTER, LLC | 16 | |||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2021-06-14 |
| Name of individual signing | AMANDA GILMORE |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2053972100 |
| Plan sponsor’s address | 3595 GRANDVIEW PARKWAY, SUITE 150, BIRMINGHAM, AL, 35243 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-15 |
| Name of individual signing | AMANDA GILMORE |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2053972100 |
| Plan sponsor’s address | 3595 GRANDVIEW PARKWAY, SUITE 150, BIRMINGHAM, AL, 35243 |
Signature of
| Role | Plan administrator |
| Date | 2020-09-24 |
| Name of individual signing | ANNETTE GREEN |
| Role | Employer/plan sponsor |
| Date | 2020-09-24 |
| Name of individual signing | ANNETTE GREEN |
| Name | Role | Address |
|---|---|---|
| SCHAFFER, CHRISTOPHER J | Agent | 5008 GREYSTONE WAYBIRMINGHAM, AL 35242 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
