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McCalla Family Dentistry LLC

Details

Name: McCalla Family Dentistry LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 17 Aug 2005 (19 years ago) (Companies founded in August 2005)
Date of dissolution: 29 Dec 2006
Entity Number: 000-468-123
Register Number: 000468123
ZIP code: 35111 (Companies in Jefferson, 35111)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 4760 EASTERN VALLEY RD STE 106MCCALLA, AL 35111
Principal Address: MCCALLA, AL

Activities DENTISTRY PRACTICE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MCCALLA FAMILY DENTISTRY 401(K) PLAN 2016 412184108 2017-07-18 MCCALLA FAMILY DENTISTRY 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2054774242
Plan sponsor’s address 5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022

Signature of

Role Plan administrator
Date 2017-07-18
Name of individual signing TED POCZATEK
MCCALLA FAMILY DENTISTRY 401(K) PLAN 2015 412184108 2016-07-05 MCCALLA FAMILY DENTISTRY 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2054774242
Plan sponsor’s address 5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022

Plan administrator’s name and address

Administrator’s EIN 412184108
Plan administrator’s name MCCALLA FAMILY DENTISTRY
Plan administrator’s address 5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022
Administrator’s telephone number 2054774242

Signature of

Role Plan administrator
Date 2016-06-28
Name of individual signing TED POCZATEK
MCCALLA FAMILY DENTISTRY 401(K) PLAN 2014 412184108 2015-07-28 MCCALLA FAMILY DENTISTRY 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2054774242
Plan sponsor’s address 5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022

Plan administrator’s name and address

Administrator’s EIN 412184108
Plan administrator’s name MCCALLA FAMILY DENTISTRY
Plan administrator’s address 5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022
Administrator’s telephone number 2054774242

Signature of

Role Plan administrator
Date 2015-07-27
Name of individual signing TED POCZATEK
MCCALLA FAMILY DENTISTRY 401(K) PLAN 2013 412184108 2014-07-22 MCCALLA FAMILY DENTISTRY 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2054774242
Plan sponsor’s address 5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022

Plan administrator’s name and address

Administrator’s EIN 412184108
Plan administrator’s name MCCALLA FAMILY DENTISTRY
Plan administrator’s address 5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022
Administrator’s telephone number 2054774242

Signature of

Role Plan administrator
Date 2014-07-22
Name of individual signing TED POCZATEK
MCCALLA FAMILY DENTISTRY 401(K) PLAN 2012 412184108 2013-06-26 MCCALLA FAMILY DENTISTRY 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2054774242
Plan sponsor’s address 5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022

Plan administrator’s name and address

Administrator’s EIN 412184108
Plan administrator’s name MCCALLA FAMILY DENTISTRY
Plan administrator’s address 5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022
Administrator’s telephone number 2054774242

Signature of

Role Plan administrator
Date 2013-06-25
Name of individual signing TED POCZATEK
MCCALLA FAMILY DENTISTRY 401(K) PLAN 2011 412184108 2012-07-23 MCCALLA FAMILY DENTISTRY 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2054774242
Plan sponsor’s address 5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022

Plan administrator’s name and address

Administrator’s EIN 412184108
Plan administrator’s name MCCALLA FAMILY DENTISTRY
Plan administrator’s address 5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022
Administrator’s telephone number 2054774242

Signature of

Role Plan administrator
Date 2012-07-23
Name of individual signing TED POCZATEK
MCCALLA FAMILY DENTISTRY 401(K) PLAN 2010 412184108 2011-09-26 MCCALLA FAMILY DENTISTRY 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2054774242
Plan sponsor’s address 5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022

Plan administrator’s name and address

Administrator’s EIN 412184108
Plan administrator’s name MCCALLA FAMILY DENTISTRY
Plan administrator’s address 5751 POCAHONTAS ROAD, SUITE A, BESSEMER, AL, 35022
Administrator’s telephone number 2054774242

Signature of

Role Plan administrator
Date 2011-09-23
Name of individual signing TED POCZATEK
MCCALLA FAMILY DENTISTRY 401(K) PLAN 2009 412184108 2010-10-12 MCCALLA FAMILY DENTISTRY 9
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2054774242
Plan sponsor’s address 4760 EASTERN VALLEY ROAD, SUITE 106, MCCALLA, AL, 35111

Plan administrator’s name and address

Administrator’s EIN 412184108
Plan administrator’s name MCCALLA FAMILY DENTISTRY
Plan administrator’s address 4760 EASTERN VALLEY ROAD, SUITE 106, MCCALLA, AL, 35111
Administrator’s telephone number 2054774242

Signature of

Role Employer/plan sponsor
Date 2010-10-12
Name of individual signing TED POCZATEK
MCCALLA FAMILY DENTISTRY 401(K) PLAN 2009 412184108 2010-10-13 MCCALLA FAMILY DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 2054774242
Plan sponsor’s address 4760 EASTERN VALLEY ROAD, SUITE 106, MCCALLA, AL, 35111

Plan administrator’s name and address

Administrator’s EIN 412184108
Plan administrator’s name MCCALLA FAMILY DENTISTRY
Plan administrator’s address 4760 EASTERN VALLEY ROAD, SUITE 106, MCCALLA, AL, 35111
Administrator’s telephone number 2054774242

Signature of

Role Plan administrator
Date 2010-10-12
Name of individual signing TED POCZATEK

Member

Name Role
POCZATEK, TED M Member
POCZATEK, JOHN S Member

Agent

Name Role
POCZATEK, JOHN S Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State