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Lee County Youth Development Center, Inc.

Details

Name: Lee County Youth Development Center, Inc.
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 12 Sep 1969 (55 years ago)
Entity Number: 000-764-337
Register Number: 000764337
Place of Formation: Lee County
Principal Address: OPELIKA, AL

Activities YOUTH DEVELOPMENT CENTER

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
Q81WELE2F389 2023-10-31 1109 SPRING DR, OPELIKA, AL, 36801, 5345, USA 1109 SPRING DRIVE, OPELIKA, AL, 36801, USA

Business Information
Division Name LEE COUNTY YOUTH DEVELOPMENT CENTER, INC.
Congressional District 03
State/Country of Incorporation AL, USA
Activation Date 2022-11-17
Initial Registration Date 2022-06-28
Entity Start Date 1972-01-01
Fiscal Year End Close Date Sep 30

Service Classifications
NAICS Codes 562910, 611710, 621420, 623220, 623990, 624110, 624190

Points of Contacts
Electronic Business
Title PRIMARY POC
Name CALANDRA HARRIS
Role FINANCIAL COORDINATOR
Address 1109 SPRING DRIVE, OPELIKA, AL, 36801, USA
Government Business
Title PRIMARY POC
Name CORA B MCGRIFF
Role EMPLYMENT COORDINATOR
Address 1109 SPRING DRIVE, OPELIKA, AL, 36801, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003279613 2016-03-31 2016-03-31 1109 SPRING DR, OPELIKA, AL, 368015345, US 1109 SPRING DR, OPELIKA, AL, 368015345, US

Contacts
Phone +1 334-749-2996

Authorized person
Name LAURA COOPER
Role EXECUTIVE DIRECTOR
Phone 3347492996

Taxonomy
Taxonomy Code 261QM0855X - Adolescent and Children Mental Health Clinic/Center
License Number 671
State AL
Is Primary Yes

Other Provider Identifiers
Issuer NPPES
Number 1861631962
Issuer MEDICAID
Number RTF0001H
State AL
Issuer NPPES
Number 1336396399
Issuer NPPES
Number 1407003486
Issuer NPPES
Number 1558475319
Issuer NPPES
Number 1427295591
Issuer MEDICAID
Number 339100001
State AL
Issuer NPPES
Number 1619368875
Issuer MEDICAID
Number 339090245
State AL
Issuer MEDICAID
Number 529804070
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LEE COUNTY YOUTH DEVELOPMENT CENTER RETIREMENT PLAN 2023 237078903 2024-07-10 LEE COUNTY YOUTH DEVELOPMENT CENTER 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 624100
Sponsor’s telephone number 3342031631
Plan sponsor’s address 1109 SPRING DRIVE, OPELIKA, AL, 36801

Signature of
Role Plan administrator
Date 2024-07-10
Name of individual signing CORA MCGRIFF
Role Employer/plan sponsor
Date 2024-07-10
Name of individual signing LAURA COOPER
LEE COUNTY YOUTH DEVELOPMENT CENTER RETIREMENT PLAN 2022 237078903 2023-09-06 LEE COUNTY YOUTH DEVELOPMENT CENTER 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 624100
Sponsor’s telephone number 3342031631
Plan sponsor’s address 1109 SPRING DRIVE, OPELIKA, AL, 36801

Signature of
Role Plan administrator
Date 2023-09-06
Name of individual signing CORA MCGRIFF
Role Employer/plan sponsor
Date 2023-09-06
Name of individual signing LAURA COOPER
LEE COUNTY YOUTH DEVELOPMENT CENTER RETIREMENT PLAN 2021 237078903 2022-07-19 LEE COUNTY YOUTH DEVELOPMENT CENTER 91
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 624100
Sponsor’s telephone number 3342031631
Plan sponsor’s address 1109 SPRING DRIVE, OPELIKA, AL, 36801

Signature of
Role Plan administrator
Date 2022-07-19
Name of individual signing CORA MCGRIFF
Role Employer/plan sponsor
Date 2022-07-19
Name of individual signing LAURA COOPER
LEE COUNTY YOUTH DEVELOPMENT CENTER RETIREMENT PLAN 2012 237078903 2013-07-26 LEE COUNTY YOUTH DEVELOPMENT CENTER 111
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 624100
Sponsor’s telephone number 3347492996
Plan sponsor’s address 1109 SPRING DRIVE, OPELIKA, AL, 36801

Signature of
Role Plan administrator
Date 2013-07-26
Name of individual signing KEYONA FOSTON
LEE COUNTY YOUTH DEVELOPMENT CENTER RETIREMENT PLAN 2011 237078903 2012-09-19 LEE COUNTY YOUTH DEVELOPMENT CENTER 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 624100
Sponsor’s telephone number 3347492996
Plan sponsor’s address 1109 SPRING DRIVE, OPELIKA, AL, 36801

Plan administrator’s name and address
Administrator’s EIN 237078903
Plan administrator’s name LEE COUNTY YOUTH DEVELOPMENT CENTER
Plan administrator’s address 1109 SPRING DRIVE, OPELIKA, AL, 36801
Administrator’s telephone number 3347492996

Signature of
Role Plan administrator
Date 2012-09-19
Name of individual signing LAURA COOPER
Role Employer/plan sponsor
Date 2012-09-19
Name of individual signing LAURA COOPER
LEE COUNTY YOUTH DEVELOPMENT CENTER RETIREMENT PLAN 2010 237078903 2011-08-22 LEE COUNTY YOUTH DEVELOPMENT CENTER 114
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 624100
Sponsor’s telephone number 3347492996
Plan sponsor’s address 1109 SPRING DRIVE, OPELIKA, AL, 36801

Plan administrator’s name and address
Administrator’s EIN 237078903
Plan administrator’s name LEE COUNTY YOUTH DEVELOPMENT CENTER
Plan administrator’s address 1109 SPRING DRIVE, OPELIKA, AL, 36801
Administrator’s telephone number 3347492996

Signature of
Role Plan administrator
Date 2011-08-22
Name of individual signing LAURA COOPER
Role Employer/plan sponsor
Date 2011-08-22
Name of individual signing LAURA COOPER
LEE COUNTY YOUTH DEVELOPMENT CENTER RETIREMENT PLAN 2010 237078903 2011-08-22 LEE COUNTY YOUTH DEVELOPMENT CENTER 114
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 624100
Sponsor’s telephone number 3347492996
Plan sponsor’s address 1109 SPRING DRIVE, OPELIKA, AL, 36801

Plan administrator’s name and address
Administrator’s EIN 237078903
Plan administrator’s name LEE COUNTY YOUTH DEVELOPMENT CENTER
Plan administrator’s address 1109 SPRING DRIVE, OPELIKA, AL, 36801
Administrator’s telephone number 3347492996
LEE COUNTY YOUTH DEVELOPMENT CENTER RETIREMENT PLAN 2009 237078903 2010-10-15 LEE COUNTY YOUTH DEVELOPMENT CENTER 113
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 624100
Sponsor’s telephone number 3347492996
Plan sponsor’s address 1109 SPRING DRIVE, OPELIKA, AL, 36801

Plan administrator’s name and address
Administrator’s EIN 237078903
Plan administrator’s name LEE COUNTY YOUTH DEVELOPMENT CENTER
Plan administrator’s address 1109 SPRING DRIVE, OPELIKA, AL, 36801
Administrator’s telephone number 3347492996
LEE COUNTY YOUTH DEVELOPMENT CENTER RETIREMENT PLAN 2009 237078903 2010-10-15 LEE COUNTY YOUTH DEVELOPMENT CENTER 113
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 624100
Sponsor’s telephone number 3347492996
Plan sponsor’s address 1109 SPRING DRIVE, OPELIKA, AL, 36801

Plan administrator’s name and address
Administrator’s EIN 237078903
Plan administrator’s name LEE COUNTY YOUTH DEVELOPMENT CENTER
Plan administrator’s address 1109 SPRING DRIVE, OPELIKA, AL, 36801
Administrator’s telephone number 3347492996

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing LAURA COOPER

Incorporator

Name Role
WHITTELSEY, C S Incorporator
WALKER, JANE C MRS Incorporator
LOCKLIN, LUCY MRS Incorporator

Related by officers

WHITTELSEY, C S

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Related by address

OPELIKA, AL

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Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State

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