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Alabaster Pediatrics, LLC

Details

Name: Alabaster Pediatrics, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 16 Feb 2005 (20 years ago) (Companies founded in February 2005)
Entity Number: 000-460-703
Register Number: 000460703
ZIP code: 35078 (Companies in Shelby, 35078)
County: Shelby
Place of Formation: Shelby County
Principal Address: HARPERSVILLE, AL
Registered Office Street Address: 1259 DEAD HOLLOW RD SHARPERSVILLE, AL 35078

Activities PEDIATRIC MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740375724 2006-10-04 2020-12-29 1004 1ST ST N STE 370, ALABASTER, AL, 350078605, US 1004 1ST ST N STE 370, ALABASTER, AL, 350078605, US

Contacts
Phone +1 205-663-5547
Fax 2056631990
Fax 2056635547

Authorized person
Name MS. SHARON BOHANNON
Role PRACTICE ADMINISTRATOR
Phone 2056635547

Taxonomy
Taxonomy Code 208000000X - Pediatrics Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALABASTER PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2023 202221351 2024-07-30 ALABASTER PEDIATRICS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056635547
Plan sponsor’s address 1004 1ST STREET NORTH, SUITE 370, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2024-07-30
Name of individual signing HEATHER WYLIE
ALABASTER PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2022 202221351 2023-09-07 ALABASTER PEDIATRICS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056635547
Plan sponsor’s address 1004 1ST STREET NORTH, SUITE 370, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2023-09-07
Name of individual signing HEATHER WYLIE
ALABASTER PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2021 202221351 2022-08-01 ALABASTER PEDIATRICS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056635547
Plan sponsor’s address 1004 1ST STREET NORTH, SUITE 370, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2022-08-01
Name of individual signing HEATHER WYLIE
ALABASTER PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2020 202221351 2021-10-06 ALABASTER PEDIATRICS, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056635547
Plan sponsor’s address 1004 1ST STREET NORTH, SUITE 370, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing HEATHER WYLIE
ALABASTER PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2019 202221351 2020-07-31 ALABASTER PEDIATRICS, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056635547
Plan sponsor’s address 1004 1ST STREET NORTH, SUITE 370, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2020-07-31
Name of individual signing HEATHER WYLIE
ALABASTER PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2018 202221351 2019-10-07 ALABASTER PEDIATRICS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056635547
Plan sponsor’s address 1004 1ST STREET NORTH, SUITE 370, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2019-10-07
Name of individual signing HEATHER WYLIE
ALABASTER PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2017 202221351 2018-07-20 ALABASTER PEDIATRICS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056635547
Plan sponsor’s address 1004 1ST STREET NORTH, SUITE 370, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2018-07-20
Name of individual signing HEATHER WYLIE
ALABASTER PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2016 202221351 2017-10-02 ALABASTER PEDIATRICS, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056635547
Plan sponsor’s address 1004 1ST STREET NORTH, SUITE 370, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2017-10-02
Name of individual signing HEATHER WYLIE
ALABASTER PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2015 202221351 2016-10-03 ALABASTER PEDIATRICS, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056635547
Plan sponsor’s address 1004 1ST STREET NORTH, SUITE 370, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2016-10-03
Name of individual signing HEATHER WYLIE
ALABASTER PEDIATRICS, LLC 401(K) PROFIT SHARING PLAN 2014 202221351 2015-07-22 ALABASTER PEDIATRICS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2056635547
Plan sponsor’s address 1004 1ST STREET NORTH, SUITE 370, ALABASTER, AL, 35007

Signature of
Role Plan administrator
Date 2015-07-22
Name of individual signing HEATHER WYLIE

Agent

Name Role
MATHESON, ELIZABETH DIANNE Agent

Member

Name Role Address
MATHESON, ELIZABETH DIANNE Member No data
JOHNSON, PAULA BAXTER Member No data
SCHRODER, PATTI J Member 435 HIGHWAY 56WILSONVILLE, AL 35186

Related by officers

SCHRODER, PATTI J

Camp Jared

Related by address

HARPERSVILLE, AL

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Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State

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