| Name: | Columbiana Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Feb 2001 (24 years ago) |
| Entity Number: | 000-674-466 |
| Register Number: | 000674466 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | COLUMBIANA, AL |
| Registered Office Street Address: | 22266 HIGHWAY 25COLUMBIANA, AL 35051 |
| Registered Office Street Address ZIP Code: | 35051 |
Activities
STAFF/FURNISH/OPERATE/MAINTAIN A HEALTH CLINIC/FACILITY
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COLUMBIANA CLINIC, LLC 401(K) PROFIT SHARING PLAN | 2012 | 582621638 | 2013-04-05 | COLUMBIANA CLINIC | 11 | |||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2013-04-05 |
| Name of individual signing | ANTHONY CIULLA |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2056693138 |
| Plan sponsor’s address | 22266 HIGHWAY 25 BYPASS, COLUMBIANA, AL, 350518618 |
Plan administrator’s name and address
| Administrator’s EIN | 582621638 |
| Plan administrator’s name | COLUMBIANA CLINIC |
| Plan administrator’s address | 22266 HIGHWAY 25 BYPASS, COLUMBIANA, AL, 350518618 |
| Administrator’s telephone number | 2056693138 |
Signature of
| Role | Plan administrator |
| Date | 2012-03-30 |
| Name of individual signing | ANTHONY CIULLA |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2056693138 |
| Plan sponsor’s address | 22266 HIGHWAY 25 BYPASS, COLUMBIANA, AL, 350518618 |
Plan administrator’s name and address
| Administrator’s EIN | 582621638 |
| Plan administrator’s name | COLUMBIANA CLINIC |
| Plan administrator’s address | 22266 HIGHWAY 25 BYPASS, COLUMBIANA, AL, 350518618 |
| Administrator’s telephone number | 2056693138 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-04 |
| Name of individual signing | ANTHONY CIULLA |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2056693138 |
| Plan sponsor’s address | 22266 HIGHWAY 25 BYPASS, COLUMBIANA, AL, 350518618 |
Plan administrator’s name and address
| Administrator’s EIN | 582621638 |
| Plan administrator’s name | COLUMBIANA CLINIC, LLC |
| Plan administrator’s address | 22266 HIGHWAY 25 BYPASS, COLUMBIANA, AL, 350518618 |
| Administrator’s telephone number | 2056693138 |
Signature of
| Role | Plan administrator |
| Date | 2010-04-22 |
| Name of individual signing | ANTHONY CIULLA |
| Name | Role |
|---|---|
| STORY, JOSEPH | Agent |
| Name | Role |
|---|---|
| PHILLIPS, HARRY L | Member |
| STORY, JOSEPH | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
