| Name: | Brewton Dental Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Nov 2018 (6 years ago) (Companies founded in November 2018) |
| Entity Number: | 000-534-783 |
| Register Number: | 000534783 |
| Place of Formation: | Jefferson County |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790254621 | 2018-11-20 | 2018-11-20 | 420 DOUGLAS AVE, BREWTON, AL, 364262052, US | 420 DOUGLAS AVE, BREWTON, AL, 364262052, US | |||||||||||||||
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| Phone | +1 251-867-5625 |
| Fax | 2518675648 |
Authorized person
| Name | DR. KENNETH WOODWARD JR. |
| Role | DENTIST |
| Phone | 2518675625 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BREWTON DENTAL CARE LLC 401(K) PLAN | 2023 | 832518965 | 2024-07-23 | BREWTON DENTAL CARE LLC | 9 | |||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-23 |
| Name of individual signing | KENNETH WOODWARD JR |
| Role | Employer/plan sponsor |
| Date | 2024-07-23 |
| Name of individual signing | KENNETH WOODWARD JR |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2514231992 |
| Plan sponsor’s address | 420 DOUGLAS AVE, BREWTON, AL, 36426 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-26 |
| Name of individual signing | KENNETH WAYNE WOODWARD |
| Role | Employer/plan sponsor |
| Date | 2023-06-26 |
| Name of individual signing | KENNETH WAYNE WOODWARD |
| Name | Role | Address |
|---|---|---|
| HASTY, WILLIAM D JR | Agent | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
| Name | Role | Address |
|---|---|---|
| HASTY, WILLIAM D JR | Organizer | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
