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South Butler Medical Services, L.L.C.

Details

Name: South Butler Medical Services, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 03 Jun 1997 (27 years ago)
Entity Number: 000-656-714
Register Number: 000656714
County: Autauga
Place of Formation: Autauga County
Principal Address: 725 E MAIN ST STE APRATTVILLE, AL 36067
Principal Address ZIP Code: 36067
Registered Office Street Address: 515 MIRANDA STGEORGIANA, AL 36033
Registered Office Street Address ZIP Code: 36033

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699028357 2012-10-18 2012-10-18 P.O. BOX 735, 435 MEETING STREET, GEORGIANA, AL, 360330723, US 435 MEETING STREET, GEORGIANA, AL, 360330723, US

Contacts

Phone +1 334-376-2286
Fax 3343763661

Authorized person

Name MR. HARRY NMI COLE JR.
Role ADMINISTRATOR
Phone 3343762963

Taxonomy

Taxonomy Code 251G00000X - Community Based Hospice Care Agency
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTH BUTLER MEDICAL SERVICES L.L.C. 401K PROFIT SHARING PLAN 2012 311524243 2013-09-15 SOUTH BUTLER MEDICAL SERVICES L.L.C. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 622000
Sponsor’s telephone number 3344378203
Plan sponsor’s address 515 MIRANDA AVENUE, GEORGIANA, AL, 36033

Signature of

Role Plan administrator
Date 2013-09-15
Name of individual signing HARRY COLE JR.
SOUTH BUTLER MEDICAL SERVICES L.L.C. 401K PROFIT SHARING PLAN 2011 311524243 2012-08-01 SOUTH BUTLER MEDICAL SERVICES L.L.C. 94
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 622000
Sponsor’s telephone number 3343762205
Plan sponsor’s address 515 MIRANDA AVENUE, GEORGIANA, AL, 36033

Plan administrator’s name and address

Administrator’s EIN 311524243
Plan administrator’s name SOUTH BUTLER MEDICAL SERVICES L.L.C.
Plan administrator’s address 515 MIRANDA AVENUE, GEORGIANA, AL, 36033
Administrator’s telephone number 3343762205

Signature of

Role Plan administrator
Date 2012-08-01
Name of individual signing HARRY COLE JR.
Role Employer/plan sponsor
Date 2012-08-01
Name of individual signing HARRY COLE JR.
SOUTH BUTLER MEDICAL SERVICES L.L.C. 401K PROFIT SHARING PLAN 2010 311524243 2011-09-23 SOUTH BUTLER MEDICAL SERVICES L.L.C. 113
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 622000
Sponsor’s telephone number 3343762205
Plan sponsor’s address 515 MIRANDA AVENUE, GEORGIANA, AL, 36033

Plan administrator’s name and address

Administrator’s EIN 311524243
Plan administrator’s name SOUTH BUTLER MEDICAL SERVICES L.L.C.
Plan administrator’s address 515 MIRANDA AVENUE, GEORGIANA, AL, 36033
Administrator’s telephone number 3343762205

Signature of

Role Plan administrator
Date 2011-09-23
Name of individual signing HARRY COLE JR.
Role Employer/plan sponsor
Date 2011-09-23
Name of individual signing HARRY COLE JR.
SOUTH BUTLER MEDICAL SERVICES L.L.C. 401K PROFIT SHARING PLAN 2009 311524243 2010-10-14 SOUTH BUTLER MEDICAL SERVICES L.L.C. 108
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 622000
Sponsor’s telephone number 3343762205
Plan sponsor’s address 515 MIRANDA AVENUE, GEORGIANA, AL, 36033

Plan administrator’s name and address

Administrator’s EIN 311524243
Plan administrator’s name SOUTH BUTLER MEDICAL SERVICES L.L.C.
Plan administrator’s address 515 MIRANDA AVENUE, GEORGIANA, AL, 36033
Administrator’s telephone number 3343762205

Signature of

Role Plan administrator
Date 2010-10-13
Name of individual signing HARRY COLE
Role Employer/plan sponsor
Date 2010-10-13
Name of individual signing HARRYCOLE
SOUTH BUTLER MEDICAL SERVICES L.L.C. 401K PROFIT SHARING PLAN 2009 311524243 2010-10-14 SOUTH BUTLER MEDICAL SERVICES L.L.C. 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 622000
Sponsor’s telephone number 3343762205
Plan sponsor’s address 515 MIRANDA AVENUE, GEORGIANA, AL, 36033

Plan administrator’s name and address

Administrator’s EIN 311524243
Plan administrator’s name SOUTH BUTLER MEDICAL SERVICES L.L.C.
Plan administrator’s address 515 MIRANDA AVENUE, GEORGIANA, AL, 36033
Administrator’s telephone number 3343762205

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing HARRY COLE
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing HARRY COLE

Agent

Name Role
COLE, HARRY JR Agent

Member

Name Role
SOUTH BUTLER MEDICAL HOLDINGS INC Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State