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Birmingham AIDS Outreach, Inc.

Details

Name: Birmingham AIDS Outreach, Inc.
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 26 Jul 1985 (39 years ago)
Entity Number: 000-715-792
Register Number: 000715792
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 205 32ND STREET SOUTHBIRMINGHAM, AL 35233
Registered Office Street Address ZIP Code: 35233

Activities EDUCATING PUBLIC

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
W42VM3PLXYE4 2025-01-28 205 32ND ST S, BIRMINGHAM, AL, 35233, 3000, USA 205 32ND ST S, BIRMINGHAM, AL, 35233, 3000, USA

Business Information
URL www.birminghamaidsoutreach.org
Division Name BIRMINGHAM AIDS OUTREACH, INC.
Congressional District 07
State/Country of Incorporation AL, USA
Activation Date 2024-01-31
Initial Registration Date 2004-03-17
Entity Start Date 1985-05-01
Fiscal Year End Close Date Sep 16

Points of Contacts
Electronic Business
Title PRIMARY POC
Name KAREN MUSGROVE
Address 205 32ND STREET SOUTH, BIRMINGHAM, AL, 35233, 3000, USA
Title ALTERNATE POC
Name CHRISTOPHER CREAMER
Address 205 32ND STREET S, BIRMINGHAM, AL, 35233, 3000, USA
Government Business
Title PRIMARY POC
Name KAREN MUSGROVE
Address 205 32ND STREET SOUTH, BIRMINGHAM, AL, 35233, 3000, USA
Title ALTERNATE POC
Name KAREN MUSGROVE
Address 205 32ND STREET S, BIRMINGHAM, AL, 35233, 3000, USA
Past Performance
Title PRIMARY POC
Name KAREN MUSGROVE
Address 205 32ND STREET S, BIRMINGHAM, AL, 35233, 3000, USA
Title ALTERNATE POC
Name KAREN MUSGROVE
Address 205 32ND STREET SOUTH, BIRMINGHAM, AL, 35233, USA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336507953 2016-02-10 2020-09-28 3220 5TH AVE S STE 100, BIRMINGHAM, AL, 352222309, US 3220 5TH AVE S STE 100, BIRMINGHAM, AL, 352222309, US

Contacts
Phone +1 205-877-8677
Fax 2058778675

Authorized person
Name WILL RAINER
Role DIRECTOR
Phone 2058778677

Taxonomy
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number 075108
State AL
Is Primary Yes

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3SLU5 Obsolete Non-Manufacturer 2004-03-17 2024-01-31 No data 2025-01-28

Contact Information
POC KAREN MUSGROVE
Phone +1 205-322-4197
Fax +1 205-322-2131
Address 205 32ND ST S, BIRMINGHAM, AL, 35233 3000, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BIRMINGHAM AIDS OUTREACH, INC. 403(B) RETIREMENT PLAN 2022 630948495 2023-11-19 BIRMINGHAM AIDS OUTREACH INC 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-07-01
Business code 624100
Sponsor’s telephone number 2053224197
Plan sponsor’s address 205 32ND ST S, P O BOX 550070, BIRMINGHAM, AL, 35233

Signature of
Role Plan administrator
Date 2023-11-19
Name of individual signing CHRISTOPHER CREAMER
Role Employer/plan sponsor
Date 2023-11-19
Name of individual signing KAREN MUSGROVE
BIRMINGHAM AIDS OUTREACH, INC. 403(B) RETIREMENT PLAN 2021 630948495 2022-09-28 BIRMINGHAM AIDS OUTREACH INC 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-07-01
Business code 624100
Sponsor’s telephone number 2053224197
Plan sponsor’s address 205 32ND ST S, P O BOX 550070, BIRMINGHAM, AL, 352550070

Signature of
Role Plan administrator
Date 2022-09-28
Name of individual signing CHRISTOPHER CREAMER
Role Employer/plan sponsor
Date 2022-09-28
Name of individual signing KAREN MUSGROVE
BIRMINGHAM AIDS OUTREACH, INC. 403(B) RETIREMENT PLAN 2020 630948495 2021-08-06 BIRMINGHAM AIDS OUTREACH INC 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-07-01
Business code 624100
Sponsor’s telephone number 2053224197
Plan sponsor’s address 205 32ND ST S, P O BOX 550070, BIRMINGHAM, AL, 352550070

Signature of
Role Plan administrator
Date 2021-08-06
Name of individual signing CHRISTOPHER CREAMER
Role Employer/plan sponsor
Date 2021-08-06
Name of individual signing KAREN MUSGROVE
BIRMINGHAM AIDS OUTREACH, INC. 403(B) RETIREMENT PLAN 2019 630948495 2020-08-12 BIRMINGHAM AIDS OUTREACH INC 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-07-01
Business code 624100
Sponsor’s telephone number 2053224197
Plan sponsor’s address 205 32ND ST S, P O BOX 550070, BIRMINGHAM, AL, 352550070

Signature of
Role Plan administrator
Date 2020-08-12
Name of individual signing KAREN MUSGROVE
Role Employer/plan sponsor
Date 2020-08-12
Name of individual signing CHRISTOPHER CREAMER
BIRMINGHAM AIDS OUTREACH, INC. 403(B) RETIREMENT PLAN 2018 630948495 2019-08-13 BIRMINGHAM AIDS OUTREACH INC 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-07-01
Business code 624100
Sponsor’s telephone number 2053224197
Plan sponsor’s address 205 32ND ST S, P O BOX 550070, BIRMINGHAM, AL, 352550070

Signature of
Role Plan administrator
Date 2019-08-13
Name of individual signing KAREN MUSGROVE
Role Employer/plan sponsor
Date 2019-08-13
Name of individual signing CHRISTOPHER CREAMER
BIRMINGHAM AIDS OUTREACH, INC. 403(B) RETIREMENT PLAN 2017 630948495 2018-11-06 BIRMINGHAM AIDS OUTREACH INC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-07-01
Business code 624100
Sponsor’s telephone number 2053224197
Plan sponsor’s address 205 32ND ST S, P O BOX 550070, BIRMINGHAM, AL, 352550070

Signature of
Role Plan administrator
Date 2018-11-06
Name of individual signing KAREN MUSGROVE
Role Employer/plan sponsor
Date 2018-11-06
Name of individual signing CHRISTOPHER CREAMER
BIRMINGHAM AIDS OUTREACH, INC. 403(B) RETIREMENT PLAN 2016 630948495 2017-09-11 BIRMINGHAM AIDS OUTREACH INC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-07-01
Business code 624100
Sponsor’s telephone number 2053224197
Plan sponsor’s address 205 32ND ST S, P O BOX 550070, BIRMINGHAM, AL, 352550070

Signature of
Role Plan administrator
Date 2017-09-11
Name of individual signing KAREN MUSGROVE
Role Employer/plan sponsor
Date 2017-09-11
Name of individual signing CHRISTOPHER CREAMER
BIRMINGHAM AIDS OUTREACH, INC. 403(B) RETIREMENT PLAN 2015 630948495 2016-12-02 BIRMINGHAM AIDS OUTREACH INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-07-01
Business code 624100
Sponsor’s telephone number 2053224197
Plan sponsor’s address 205 32ND ST S, P O BOX 550070, BIRMINGHAM, AL, 352550070

Signature of
Role Plan administrator
Date 2016-12-02
Name of individual signing KAREN MUSGROVE
Role Employer/plan sponsor
Date 2016-12-02
Name of individual signing CHRISTOPHER CREAMER
BIRMINGHAM AIDS OUTREACH, INC. 403(B) RETIREMENT PLAN 2014 630948495 2016-03-31 BIRMINGHAM AIDS OUTREACH INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-07-01
Business code 624100
Sponsor’s telephone number 2053224197
Plan sponsor’s address 205 32ND ST S, P O BOX 550070, BIRMINGHAM, AL, 352550070

Signature of
Role Plan administrator
Date 2016-03-31
Name of individual signing KAREN MUSGROVE
Role Employer/plan sponsor
Date 2016-03-30
Name of individual signing CHRISTOPHER CREAMER
BIRMINGHAM AIDS OUTREACH, INC. 403(B) RETIREMENT PLAN 2013 630948495 2014-10-30 BIRMINGHAM AIDS OUTREACH INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-07-01
Business code 624100
Sponsor’s telephone number 2053224197
Plan sponsor’s address 205 32ND ST S, P O BOX 550070, BIRMINGHAM, AL, 352550070

Signature of
Role Plan administrator
Date 2014-10-30
Name of individual signing KAREN MUSGROVE
Role Employer/plan sponsor
Date 2014-10-30
Name of individual signing CHRISTOPHER CREAMER

Agent

Name Role
MUSGROVE, KAREN Agent

Incorporator

Name Role
CRUTCHER, KAY Incorporator
GANNAWAY, JOHN Incorporator
ROE, JAMES J Incorporator

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205 32ND STREET SOUTHBIRMINGHAM, AL 35233

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Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State

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