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Azalea City Dental, L.L.C.

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Entity Number 000-651-268

Register Number000651268

Status Exists

NameAzalea City Dental, L.L.C.

CountyMobile

Date of registration 30 Dec 1994 (30 years ago)

Legal typeDomestic Limited Liability Company

Principal Address 474 N CRAFT HWYCHICKASAW, AL 36611

Principal Address ZIP code 36611

Activities PRACTICE OF DENTISTRY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants File

AZALEA CITY DENTAL 401(K) PROFIT SHARING PLAN

2021

631036832

2022-10-10

AZALEA CITY DENTAL, L.L.C.

20

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Three-digit plan number (PN)001
Effective date of plan1997-01-01
Business code621210
Sponsor’s telephone number2514711516
Plan sponsor’s address457 NORTH CRAFT HIGHWAY, MOBILE, AL, 36611

Signature of

RolePlan administrator
Date2022-10-10
Name of individual signingSHAUN KERN

AZALEA CITY DENTAL 401(K) PROFIT SHARING PLAN

2020

631036832

2021-10-14

AZALEA CITY DENTAL, L.L.C.

17

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Three-digit plan number (PN)001
Effective date of plan1997-01-01
Business code621210
Sponsor’s telephone number2514711516
Plan sponsor’s address457 NORTH CRAFT HIGHWAY, MOBILE, AL, 36611

Signature of

RolePlan administrator
Date2021-10-14
Name of individual signingSHAUN KERN

AZALEA CITY DENTAL 401(K) PROFIT SHARING PLAN

2019

631036832

2020-10-12

AZALEA CITY DENTAL, L.L.C.

21

View Page

Three-digit plan number (PN)001
Effective date of plan1997-01-01
Business code621210
Sponsor’s telephone number2514711516
Plan sponsor’s address457 NORTH CRAFT HIGHWAY, MOBILE, AL, 36611

Signature of

RolePlan administrator
Date2020-10-12
Name of individual signingSHAUN KERN

AZALEA CITY DENTAL 401(K) PROFIT SHARING PLAN

2018

631036832

2019-10-14

AZALEA CITY DENTAL, L.L.C.

26

View Page

Three-digit plan number (PN)001
Effective date of plan1997-01-01
Business code621210
Sponsor’s telephone number2514711516
Plan sponsor’s address457 NORTH CRAFT HIGHWAY, MOBILE, AL, 36611

Signature of

RolePlan administrator
Date2019-10-14
Name of individual signingSHAUN KERN

AZALEA CITY DENTAL 401(K) PROFIT SHARING PLAN

2017

631036832

2018-09-10

AZALEA CITY DENTAL, L.L.C.

26

View Page

Three-digit plan number (PN)001
Effective date of plan1997-01-01
Business code621210
Sponsor’s telephone number2514711516
Plan sponsor’s address457 NORTH CRAFT HIGHWAY, MOBILE, AL, 36611

Signature of

RolePlan administrator
Date2018-09-10
Name of individual signingSCOTT MACRAE

AZALEA CITY DENTAL 401(K) PROFIT SHARING PLAN

2016

631036832

2017-04-10

AZALEA CITY DENTAL, L.L.C.

28

View Page

Three-digit plan number (PN)001
Effective date of plan1997-01-01
Business code621210
Sponsor’s telephone number2514711516
Plan sponsor’s address457 NORTH CRAFT HIGHWAY, MOBILE, AL, 36611

Signature of

RolePlan administrator
Date2017-04-10
Name of individual signingSCOTT MACRAE

AZALEA CITY DENTAL 401(K) PROFIT SHARING PLAN

2015

631036832

2016-06-16

AZALEA CITY DENTAL, L.L.C.

29

Three-digit plan number (PN)001
Effective date of plan1997-01-01
Business code621210
Sponsor’s telephone number2514711516
Plan sponsor’s address457 NORTH CRAFT HIGHWAY, MOBILE, AL, 36611

Signature of

RolePlan administrator
Date2016-06-16
Name of individual signingSCOTT MACRAE

AZALEA CITY DENTAL 401(K) PROFIT SHARING PLAN

2015

631036832

2016-08-02

AZALEA CITY DENTAL, L.L.C.

29

View Page

Three-digit plan number (PN)001
Effective date of plan1997-01-01
Business code621210
Sponsor’s telephone number2514711516
Plan sponsor’s address457 NORTH CRAFT HIGHWAY, MOBILE, AL, 36611

Signature of

RolePlan administrator
Date2016-08-02
Name of individual signingSCOTT MACRAE

AZALEA CITY DENTAL 401(K) PROFIT SHARING PLAN

2014

631036832

2015-09-24

AZALEA CITY DENTAL, L.L.C.

25

View Page

Three-digit plan number (PN)001
Effective date of plan1997-01-01
Business code621210
Sponsor’s telephone number2514568406
Plan sponsor’s address457 NORTH CRAFT HIGHWAY, CHICKASAW, AL, 36611

Signature of

RolePlan administrator
Date2015-09-24
Name of individual signingSCOTT MACRAE

Member

Name Role

BELLERJEAU, JOHN S

Member

MACRAE, SCOTT CHRISTOPHER

Member

KERN, SHAUN C

Member

Agent

Name Role

BELLERJEAU, JOHN S DMD

Agent

Events

Event Date Event Type Old Value New Value

1995-01-03

Name Merged

BELLERJEAU AND MACRAE (AL-GP) Non-Qualified Foreign Into Domestic

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State