Entity Number 000-550-646
Register Number000550646
Status Exists
NameThe University of Alabama Ophthalmology Services Foundation
CountyJefferson
Date of registration 07 Aug 1998 (26 years ago)
Legal typeDomestic Non-Profit Corporation
Registered Office Street Address 1720 UNIVERSITY BLVDBIRMINGHAM, AL 35233
Registered Office Street Address ZIP code 35233
Activities
DVLP PATIENT CARE IN A GROUP PRACTICE/STUDY PROBLEMS/EYE HEALTH
UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION RETIREMENT PLAN
2022
631206956
2023-10-02
UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION
90
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1985-01-01 |
| Business code | 621320 |
| Sponsor’s telephone number | 2053258361 |
| Plan sponsor’s address | 1720 UNIVERSITY BLVD STE 305, BIRMINGHAM, AL, 352331816 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-02 |
| Name of individual signing | SHELBY SMITH |
UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION RETIREMENT PLAN
2021
631206956
2022-10-04
UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION
87
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1985-01-01 |
| Business code | 621320 |
| Sponsor’s telephone number | 2053258361 |
| Plan sponsor’s address | 1720 UNIVERSITY BLVD STE 305, BIRMINGHAM, AL, 352331816 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-04 |
| Name of individual signing | SHELBY SMITH |
UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION RETIREMENT PLAN
2020
631206956
2021-10-05
UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION
91
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1985-01-01 |
| Business code | 621320 |
| Sponsor’s telephone number | 2053258361 |
| Plan sponsor’s address | 1720 UNIVERSITY BLVD STE 305, BIRMINGHAM, AL, 352331816 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-05 |
| Name of individual signing | RODRENA BUSH |
UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION RETIREMENT PLAN
2020
631206956
2021-10-05
UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION
63
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1985-01-01 |
| Business code | 621320 |
| Sponsor’s telephone number | 2053258361 |
| Plan sponsor’s address | 1720 UNIVERSITY BLVD STE 305, BIRMINGHAM, AL, 352331816 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-05 |
| Name of individual signing | RODRENA BUSH |
UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION RETIREMENT PLAN
2020
631206956
2021-10-05
UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION
87
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1985-01-01 |
| Business code | 621320 |
| Sponsor’s telephone number | 2053258361 |
| Plan sponsor’s address | 1720 UNIVERSITY BLVD STE 305, BIRMINGHAM, AL, 352331816 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-05 |
| Name of individual signing | RODRENA BUSH |
UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION RETIREMENT PLAN
2019
631206956
2021-10-05
UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION
90
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1985-01-01 |
| Business code | 621320 |
| Sponsor’s telephone number | 2053258361 |
| Plan sponsor’s address | 1720 UNIVERSITY BLVD STE 305, BIRMINGHAM, AL, 352331816 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-05 |
| Name of individual signing | RODRENA BUSH |
UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION RETIREMENT PLAN
2017
631206956
2018-10-08
UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION
97
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1985-01-01 |
| Business code | 621320 |
| Sponsor’s telephone number | 2053258361 |
| Plan sponsor’s address | 1720 UNIVERSITY BLVD STE 305, BIRMINGHAM, AL, 352331816 |
Signature of
| Role | Plan administrator |
| Date | 2018-10-04 |
| Name of individual signing | CASSANDRA PAGE |
| Role | Employer/plan sponsor |
| Date | 2018-10-04 |
| Name of individual signing | CASSANDRA PAGE |
THE UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION RETIREMENT PLAN
2015
631206956
2017-11-01
UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION
109
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1985-01-01 |
| Business code | 621320 |
| Sponsor’s telephone number | 2053258361 |
| Plan sponsor’s DBA name | OPHTHALMOLOGY SERVICES FOUNDATION |
| Plan sponsor’s address | 1720 UNIVERSITY BLVD STE 305, BIRMINGHAM, AL, 352331816 |
Signature of
| Role | Plan administrator |
| Date | 2017-11-01 |
| Name of individual signing | CASSANDRA PAGE |
| Role | Employer/plan sponsor |
| Date | 2017-11-01 |
| Name of individual signing | CASSANDRA PAGE |
UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION RETIREMENT PLAN
2014
631206956
2015-10-02
UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION
119
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1985-01-01 |
| Business code | 621320 |
| Sponsor’s telephone number | 2053258629 |
| Plan sponsor’s address | 700 EIGHTENTH ST S, SUITE 601, BIRMINGHAM, AL, 35233 |
Signature of
| Role | Plan administrator |
| Date | 2015-10-01 |
| Name of individual signing | CASSANDRA PAGE |
| Role | Employer/plan sponsor |
| Date | 2015-10-01 |
| Name of individual signing | CASSANDRA PAGE |
THE UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION RETIREMENT PLAN
2013
631206956
2014-10-10
UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION
96
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 1985-01-01 |
| Business code | 621320 |
| Sponsor’s telephone number | 2053258338 |
| Plan sponsor’s DBA name | SAME |
| Plan sponsor’s address | 700 18TH STREET SOUTH SUITE 601, BIRMINGHAM, AL, 35233 |
Plan administrator’s name and address
| Administrator’s EIN | 631206956 |
| Plan administrator’s name | UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION |
| Plan administrator’s address | 700 18TH STREET SOUTH SUITE 601, BIRMINGHAM, AL, 35233 |
| Administrator’s telephone number | 2053258338 |
Signature of
| Role | Plan administrator |
| Date | 2014-10-10 |
| Name of individual signing | CASSANDRA PAGE |
| Role | Employer/plan sponsor |
| Date | 2014-10-10 |
| Name of individual signing | CASSANDRA PAGE |
AGARWAL, ANUPAM
Director
510 20TH STREET SOUTH STE 1203BIRMINGHAM, AL 35294
BAKER, CARLTON
Director
321 VESCLUB DRIVEBIRMINGHAM, AL 35216
DRENNEN, FELIX
Director
115 OFFICE PARK DRIVEBIRMINGHAM, AL 35223
FERNIANY, WILLIAM
Director
500 22ND STREET SOUTH, SUITE 408BIRMINGHAM, AL 35233
GIRKIN, CHRISTOPHER
Director
1720 UNIVERSITY BOULEVARD, SUITE 601BIRMINGHAM, AL 35294-0009
SPRABERRY, BRIAN
Director
1720 UNIVERSITY BOULEVARDBIRMINGHAM, AL 35233
EARNHARDT, CAMERON T
Agent
701 20TH STREET SUITE 820BIRMINGHAM, AL 35233
POOL, JAMES M
Incorporator
2400 REGIONS/HARBERT PLAZABIRMINGHAM, AL 35203
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
