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Acton Road Pediatrics, LLC

Details

Name: Acton Road Pediatrics, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 19 Feb 2007 (18 years ago)
Entity Number: 000-490-523
Register Number: 000490523
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 2409 ACTON ROAD SUITE 171BIRMINGHAM, AL 35243
Registered Office Street Address ZIP Code: 35243

Activities PROFESSIONAL PEDIATRIC MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679692123 2007-03-28 2020-08-22 2409 ACTON RD, SUITE 171, BIRMINGHAM, AL, 352432940, US 2409 ACTON RD, SUITE 171, BIRMINGHAM, AL, 352432940, US

Contacts
Phone +1 205-978-8245
Fax 2059788249

Authorized person
Name DR. SHERIDYN B BREEDLOVE
Role PHYSICIAN AND PARTNER
Phone 2059788245

Taxonomy
Taxonomy Code 208000000X - Pediatrics Physician
License Number MD.18441
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ACTON ROAD PEDIATRICS, LLC 401(K) RETIREMENT PLAN 2023 208454170 2024-05-29 ACTON ROAD PEDIATRICS, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-01
Business code 621111
Sponsor’s telephone number 2059788245
Plan sponsor’s address 2409 ACTON ROAD, SUITE 171, BIRMINGHAM, AL, 35243

Signature of
Role Plan administrator
Date 2024-05-29
Name of individual signing TAMMY DALY
ACTON ROAD PEDIATRICS, LLC 401(K) RETIREMENT PLAN 2022 208454170 2023-07-18 ACTON ROAD PEDIATRICS, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-01
Business code 621111
Sponsor’s telephone number 2059788245
Plan sponsor’s address 2409 ACTON ROAD, SUITE 171, BIRMINGHAM, AL, 35243

Signature of
Role Plan administrator
Date 2023-07-18
Name of individual signing TERRA KIMBROUGH
ACTON ROAD PEDIATRICS, LLC 401(K) RETIREMENT PLAN 2021 208454170 2022-06-27 ACTON ROAD PEDIATRICS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-01
Business code 621111
Sponsor’s telephone number 2059788245
Plan sponsor’s address 2409 ACTON ROAD, SUITE 171, BIRMINGHAM, AL, 35243

Signature of
Role Plan administrator
Date 2022-06-27
Name of individual signing TERRA KIMBROUGH
ACTON ROAD PEDIATRICS, LLC 401(K) RETIREMENT PLAN 2020 208454170 2021-10-15 ACTON ROAD PEDIATRICS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-01
Business code 621111
Sponsor’s telephone number 2059788245
Plan sponsor’s address 2409 ACTON RD STE 171, BIRMINGHAM, AL, 352432938

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing ALISON MCAFEE
Role Employer/plan sponsor
Date 2021-10-15
Name of individual signing ALISON MCAFEE
ACTON ROAD PEDIATRICS, LLC 401(K) RETIREMENT PLAN 2019 208454170 2020-07-27 ACTON ROAD PEDIATRICS, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-01
Business code 621111
Sponsor’s telephone number 2059788245
Plan sponsor’s address 2409 ACTON RD STE 171, BIRMINGHAM, AL, 352432938

Signature of
Role Plan administrator
Date 2020-07-27
Name of individual signing SHERIDYN BREEDLOVE
Role Employer/plan sponsor
Date 2020-07-27
Name of individual signing SHERIDYN BREEDLOVE
ACTON ROAD PEDIATRICS, LLC 401(K) RETIREMENT PLAN 2018 208454170 2019-07-22 ACTON ROAD PEDIATRICS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-01
Business code 621111
Sponsor’s telephone number 2059788245
Plan sponsor’s address 2409 ACTON RD STE 171, BIRMINGHAM, AL, 352432938

Signature of
Role Plan administrator
Date 2019-07-22
Name of individual signing SHERIDYN BREEDLOVE
Role Employer/plan sponsor
Date 2019-07-22
Name of individual signing SHERIDYN BREEDLOVE
ACTON ROAD PEDIATRICS, LLC 401(K) RETIREMENT PLAN 2017 208454170 2018-07-13 ACTON ROAD PEDIATRICS, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-01
Business code 621111
Sponsor’s telephone number 2059788245
Plan sponsor’s address 2409 ACTON RD STE 171, BIRMINGHAM, AL, 352432938

Signature of
Role Plan administrator
Date 2018-07-13
Name of individual signing SHERIDYN BREEDLOVE
Role Employer/plan sponsor
Date 2018-07-13
Name of individual signing SHERIDYN BREEDLOVE
ACTON ROAD PEDIATRICS, LLC 401(K) RETIREMENT PLAN 2016 208454170 2017-07-14 ACTON ROAD PEDIATRICS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-01
Business code 621111
Sponsor’s telephone number 2059788245
Plan sponsor’s address 2409 ACTON RD STE 171, BIRMINGHAM, AL, 352432938

Signature of
Role Plan administrator
Date 2017-07-14
Name of individual signing SHERIDYN BREEDLOVE
Role Employer/plan sponsor
Date 2017-07-14
Name of individual signing SHERIDYN BREEDLOVE
ACTON ROAD PEDIATRICS, LLC 401(K) RETIREMENT PLAN 2015 208454170 2016-07-22 ACTON ROAD PEDIATRICS, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-01
Business code 621111
Sponsor’s telephone number 2059788245
Plan sponsor’s address 2409 ACTON RD STE 171, BIRMINGHAM, AL, 352432938

Signature of
Role Plan administrator
Date 2016-07-22
Name of individual signing SHERIDYN BREEDLOVE
Role Employer/plan sponsor
Date 2016-07-22
Name of individual signing SHERIDYN BREEDLOVE
ACTON ROAD PEDIATRICS, LLC 401(K) RETIREMENT PLAN 2014 208454170 2015-07-21 ACTON ROAD PEDIATRICS, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-09-01
Business code 621111
Sponsor’s telephone number 2059788245
Plan sponsor’s address 2409 ACTON RD STE 171, BIRMINGHAM, AL, 352432938

Signature of
Role Plan administrator
Date 2015-07-21
Name of individual signing SHERIDYN BREEDLOVE
Role Employer/plan sponsor
Date 2015-07-21
Name of individual signing SHERIDYN BREEDLOVE

Agent

Name Role
ALISON MCAFEE, M.D. Agent

Member

Name Role
ISRAEL, LILLIAN Member
BREEDLOVE, SHERIDYN Member

Related by officers

No related officers

Related by address

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Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State

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