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Trellis Behavior and Learning Solutions, LLC

Details

Name: Trellis Behavior and Learning Solutions, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Sep 2018 (6 years ago)
Entity Number: 000-529-428
Register Number: 000529428
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 2153 YOUNG FARM PLACEMONTGOMERY, AL 36106
Registered Office Street Address ZIP Code: 36106

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295200889 2018-10-10 2022-01-13 2153 YOUNG FARM PL, MONTGOMERY, AL, 361063136, US 4241 LOMAC ST, MONTGOMERY, AL, 361062879, US

Contacts

Phone +1 334-790-7460
Fax 8777894775

Authorized person

Name MRS. JENNIFER SONMOR UNDERWOOD
Role OWNER
Phone 3347907460

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TRELLIS BEHAVIOR AND LEARNING SOLUTIONS 401(K) PLAN 2023 831630389 2024-05-17 TRELLIS BEHAVIOR AND LEARNING SOLUTIONS 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621330
Sponsor’s telephone number 3347907460
Plan sponsor’s address 4241 LOMAC ST., MONTGOMERY, AL, 36106

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-05-17
Name of individual signing QIAN LIU

Organizer

Name Role
UNDERWOOD, JENNIFER S Organizer

Agent

Name Role
UNDERWOOD, JENNIFER Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State