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Helena Family Medicine LLC

Details

Name: Helena Family Medicine LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 21 Nov 2006 (18 years ago) (Companies founded in November 2006)
Entity Number: 000-486-793
Register Number: 000486793
ZIP code: 35080 (Companies in Shelby, 35080)
County: Shelby
Place of Formation: Shelby County
Principal Address: HELENA, AL
Registered Office Street Address: 270 VILLAGE PKYHELENA, AL 35080

Activities PROFESSIONAL MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215086020 2007-01-09 2020-08-22 660 HAVENWOOD TRL, MONTEVALLO, AL, 351157846, US 270 VILLAGE PKWY, HELENA, AL, 350804040, US

Contacts
Phone +1 205-665-9192
Phone +1 205-664-9430
Fax 2056641846

Authorized person
Name MICHAEL A. REMILLARD
Role PHYSICIAN
Phone 2056649430

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 21972
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HELENA FAMILY MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2023 205952192 2024-10-23 HELENA FAMILY MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-12-31
Business code 621111
Sponsor’s telephone number 2056649430
Plan sponsor’s address 270 VILLAGE PKWY, HELENA, AL, 350804040

Signature of
Role Plan administrator
Date 2024-10-23
Name of individual signing MICHAEL REMILLARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-23
Name of individual signing MICHAEL REMILLARD
Valid signature Filed with authorized/valid electronic signature
HELENA FAMILY MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2022 205952192 2023-07-02 HELENA FAMILY MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-12-31
Business code 621111
Sponsor’s telephone number 2056649430
Plan sponsor’s address 270 VILLAGE PKWY, HELENA, AL, 350804040

Signature of
Role Plan administrator
Date 2023-07-02
Name of individual signing MICHAEL REMILLARD
Role Employer/plan sponsor
Date 2023-07-02
Name of individual signing MICHAEL REMILLARD
HELENA FAMILY MEDICINE 401K PROFIT SHARING PLAN & TRUST 2020 205952192 2021-07-27 HELENA FAMILY MEDICINE 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-12-31
Business code 621111
Sponsor’s telephone number 2056649430
Plan sponsor’s DBA name HELENA FAMILY MEDICINE
Plan sponsor’s address 270 VILLAGE PKWY, HELENA, AL, 350804040

Signature of
Role Plan administrator
Date 2021-07-27
Name of individual signing MICHAEL REMILLARD
Role Employer/plan sponsor
Date 2021-07-27
Name of individual signing MICHAEL REMILLARD
HELENA FAMILY MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2019 205952192 2020-07-12 HELENA FAMILY MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-12-31
Business code 621111
Sponsor’s telephone number 2056649430
Plan sponsor’s address 270 VILLAGE PKWY, HELENA, AL, 35080

Signature of
Role Plan administrator
Date 2020-07-12
Name of individual signing MICHAEL REMILLARD
HELENA FAMILY MEDICINE 401 K PROFIT SHARING PLAN TRUST 2018 205952192 2019-07-05 HELENA FAMILY MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-12-31
Business code 621111
Sponsor’s telephone number 2056649430
Plan sponsor’s address 270 VILLAGE PKWY, HELENA, AL, 35080

Signature of
Role Plan administrator
Date 2019-07-05
Name of individual signing MICHAEL REMILLARD
HELENA FAMILY MEDICINE 401 K PROFIT SHARING PLAN TRUST 2017 205952192 2018-07-23 HELENA FAMILY MEDICINE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-12-31
Business code 621111
Sponsor’s telephone number 2056649430
Plan sponsor’s address 270 VILLAGE PKWY, HELENA, AL, 35080

Signature of
Role Plan administrator
Date 2018-07-23
Name of individual signing MICHAEL REMILLARD
HELENA FAMILY MEDICINE 401 K PROFIT SHARING PLAN TRUST 2016 205952192 2017-10-16 HELENA FAMILY MEDICINE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-12-31
Business code 621111
Sponsor’s telephone number 2056649430
Plan sponsor’s address 270 VILLAGE PKWY, HELENA, AL, 35080

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing MICHAEL REMILLARD
HELENA FAMILY MEDICINE LLC 401(K) PROFIT SHARING PLAN AND TRUST 2015 205952192 2016-10-15 HELENA FAMILY MEDICINE LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2056643812
Plan sponsor’s address 270 VILLAGE PARKWAY, HELENA, AL, 35080

Signature of
Role Plan administrator
Date 2016-10-15
Name of individual signing MICHAEL A. REMILLARD, M.D.
HELENA FAMILY MEDICINE LLC 401(K) PROFIT SHARING PLAN AND TRUST 2014 205952192 2015-10-15 HELENA FAMILY MEDICINE LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2056643812
Plan sponsor’s address 270 VILLAGE PARKWAY, HELENA, AL, 35080

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing MICHAEL A. REMILLARD, M.D.
HELENA FAMILY MEDICINE LLC 401(K) PROFIT SHARING PLAN AND TRUST 2013 205952192 2014-10-14 HELENA FAMILY MEDICINE LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 2056643812
Plan sponsor’s address 270 VILLAGE PARKWAY, HELENA, AL, 35080

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing MICHAEL A. REMILLARD, M.D.

Agent

Name Role
REMILLARD, MICHAEL A Agent

Member

Name Role
REMILLARD, MICHAEL A Member

Related by officers

No related officers

Related by address

HELENA, AL

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Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State

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