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Saadat Ansari, M.D., LLC

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Name: Saadat Ansari, M.D., LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 24 Oct 2001 (23 years ago) (Companies founded in October 2001)
Entity Number: 000-678-413
Register Number: 000678413
ZIP code: 35801 (Companies in Madison, 35801)
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 100 WASHINGTON ST STE 200HUNTSVILLE, AL 35801

Activities PROVIDE MEDICAL SERVICES

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SAADAT ANSARI M.D. 401(K) PLAN 2023 631285719 2024-10-06 SAADAT ANSARI, M.D., LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2565369604
Plan sponsor’s address 4810 WHITESPORT CIR SW STE 120, HUNTSVILLE, AL, 358017425

Signature of
Role Plan administrator
Date 2024-10-06
Name of individual signing NATIONAL PENSION
Valid signature Filed with authorized/valid electronic signature
SAADAT ANSARI, M.D. CASH BALANCE PLAN 2023 631285719 2024-09-29 SAADAT ANSARI, M.D., LLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2565369604
Plan sponsor’s address 4810 WHITESPORT CIR SW STE 120, HUNTSVILLE, AL, 358017425

Signature of
Role Plan administrator
Date 2024-09-29
Name of individual signing NATIONAL PENSION
Valid signature Filed with authorized/valid electronic signature
SAADAT ANSARI, M.D. CASH BALANCE PLAN 2022 631285719 2023-10-10 SAADAT ANSARI, M.D., LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2565369604
Plan sponsor’s address 4810 WHITESPORT CIR SW STE 120, HUNTSVILLE, AL, 358017425

Signature of
Role Plan administrator
Date 2023-10-10
Name of individual signing NATIONAL PENSION
SAADAT ANSARI M.D. 401(K) PLAN 2022 631285719 2023-09-25 SAADAT ANSARI, M.D., LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2565369604
Plan sponsor’s address 4810 WHITESPORT CIR SW STE 120, HUNTSVILLE, AL, 358017425

Signature of
Role Plan administrator
Date 2023-09-25
Name of individual signing NATIONAL PENSION
SAADAT ANSARI M.D. CASH BALANCE PLAN 2021 631285719 2022-09-28 SAADAT ANSARI, M.D., LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2565369604
Plan sponsor’s address 201 LONGWOOD DRIVE, SE, SUITE B, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2022-09-28
Name of individual signing DR. SAADAT ANSARI
SAADAT ANSARI M.D. 401(K) PLAN 2021 631285719 2022-06-14 SAADAT ANSARI, M.D., LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2565369604
Plan sponsor’s address 201 LONGWOOD DRIVE, SE, SUITE B, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2022-06-14
Name of individual signing SAADAT ANSARI
SAADAT ANSARI M.D. CASH BALANCE PLAN 2021 631285719 2022-08-03 SAADAT ANSARI, M.D., LLC 6
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2565369604
Plan sponsor’s address 201 LONGWOOD DRIVE, SE, SUITE B, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2022-08-03
Name of individual signing DR. SAADAT ANSARI
SAADAT ANSARI M.D. CASH BALANCE PLAN 2020 631285719 2022-10-13 SAADAT ANSARI, M.D., LLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2565369604
Plan sponsor’s address 201 LONGWOOD DRIVE, SE, SUITE B, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing DR. SAADAT ANSARI
SAADAT ANSARI M.D. CASH BALANCE PLAN 2020 631285719 2021-06-24 SAADAT ANSARI, M.D., LLC 6
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2565369604
Plan sponsor’s address 201 LONGWOOD DRIVE, SE, SUITE B, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2021-06-24
Name of individual signing DR. SAADAT ANSARI
SAADAT ANSARI M.D. CASH BALANCE PLAN 2020 631285719 2021-07-21 SAADAT ANSARI, M.D., LLC 6
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2565369604
Plan sponsor’s address 201 LONGWOOD DRIVE, SE, SUITE B, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2021-07-21
Name of individual signing DR. SAADAT ANSARI

Agent

Name Role Address
ANSARI, SAADAT Agent 4501 ASLE DRIVEHUNTSVILLE, AL 35802

Member

Name Role Address
ANSARI, SAADAT Member 4501 ASLE DRIVEHUNTSVILLE, AL 35802

Related by officers

ANSARI, SAADAT

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Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State

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