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AFB Diversified, LLC

Details

Name: AFB Diversified, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 08 Mar 2004 (21 years ago) (Companies founded in March 2004)
Entity Number: 000-698-203
Register Number: 000698203
ZIP code: 35903 (Companies in Etowah, 35903)
County: Etowah
Place of Formation: Etowah County
Principal Address: GADSDEN, AL
Registered Office Street Address: 309 RALLS AVEGADSDEN, AL 35903

Activities CONSULTING SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306399175 2016-07-28 2016-07-28 614 ELMWOOD AVE, GADSDEN, AL, 359031654, US 614 ELMWOOD AVE, GADSDEN, AL, 359031654, US

Contacts

Phone +1 256-543-8837
Fax 2565438839

Authorized person

Name JANICE JACKSON
Role OWNER
Phone 2563903427

Taxonomy

Taxonomy Code 315P00000X - Intellectual Disabilities Intermediate Care Facility
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AFB DIVERSIFIED, INC. 401K PLAN 2015 341983511 2016-05-20 AFB DIVERSIFIED, LLC 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 2565438837
Plan sponsor’s address 614 ELMWOOD AVE, GADSDEN, AL, 35903

Signature of

Role Plan administrator
Date 2016-05-20
Name of individual signing SHERRY GULLEDGE
AFB DIVERSIFIED, INC. 401K PLAN 2014 341983511 2015-11-05 AFB DIVERSIFIED, LLC 50
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 2565438837
Plan sponsor’s address 614 ELMWOOD AVE, GADSDEN, AL, 35903

Signature of

Role Plan administrator
Date 2015-11-05
Name of individual signing SHERRY GULLEDGE
AFB DIVERSIFIED, INC. 401K PLAN 2014 341983511 2016-04-25 AFB DIVERSIFIED, LLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 2565438837
Plan sponsor’s address 614 ELMWOOD AVE, GADSDEN, AL, 35903

Signature of

Role Plan administrator
Date 2016-04-25
Name of individual signing SHERRY GULLEDGE
AFB DIVERSIFIED, INC. 401K PLAN 2014 341983511 2015-10-28 AFB DIVERSIFIED, LLC 50
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 623000
Sponsor’s telephone number 2565438837
Plan sponsor’s address 614 ELMWOOD AVE, GADSDEN, AL, 35903

Signature of

Role Plan administrator
Date 2015-10-28
Name of individual signing SHERRY GULLEDGE

Agent

Name Role
JACKSON, JANICE LEE Agent

Member

Name Role
JACKSON, JANICE LEE Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State