| Name: | Hometown Orthodontics LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 01 Apr 2019 (6 years ago) |
| Entity Number: | 000-548-338 |
| Register Number: | 000548338 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 5420 CARRINGTON CIRCLETRUSSVILLE, AL 35173 |
| Registered Office Street Address ZIP Code: | 35173 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568054336 | 2021-02-03 | 2021-02-03 | PO BOX 1488, ONEONTA, AL, 351210017, US | 401 2ND AVE W, ONEONTA, AL, 351211629, US | |||||||||||||||
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| Phone | +1 205-749-1242 |
| Fax | 2052786943 |
Authorized person
| Name | DR. WILLIAM G RAPE |
| Role | ORTHODONTIST |
| Phone | 2057491242 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HOMETOWN ORTHODONTICS PROFIT SHARING PLAN | 2023 | 834264487 | 2024-06-20 | HOMETOWN ORTHODONTICS, LLC | 10 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-20 |
| Name of individual signing | WILLIAM RAPE |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2057491242 |
| Plan sponsor’s address | 401 2ND AVENUE WEST, ONEONTA, AL, 35121 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-17 |
| Name of individual signing | WILLIAM RAPE |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621210 |
| Sponsor’s telephone number | 2057491242 |
| Plan sponsor’s address | 401 2ND AVENUE WEST, ONEONTA, AL, 35121 |
Signature of
| Role | Plan administrator |
| Date | 2022-08-09 |
| Name of individual signing | WILLIAM RAPE |
| Name | Role |
|---|---|
| RAPE, WILLIAM G | Agent |
| Name | Role | Address |
|---|---|---|
| BROWN, CARRI | Organizer | 26025 MUREAU RD. SUITE 120CALABASAS, CA 91302 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
