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Eastside Mental Health Center, Inc.

Details

Name: Eastside Mental Health Center, Inc.
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 12 Jun 1975 (49 years ago)
Entity Number: 000-813-650
Register Number: 000813650
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 129 EAST PARK CIRCLEBIRMINGHAM, AL 35235
Registered Office Street Address ZIP Code: 35235
Principal Address: BIRMINGHAM, AL

Activities PROVIDE MENTAL HEALTH SERVICES/HOUSING

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023283421 2008-04-25 2008-04-25 129 E PARK CIR, BIRMINGHAM, AL, 352353000, US 129 E PARK CIR, BIRMINGHAM, AL, 352353000, US

Contacts
Phone +1 205-836-7283
Fax 2058369594

Authorized person
Name MRS. BEVERLY FRANCIS
Role EXECUTIVE DIRECTOR
Phone 2058367283

Taxonomy
Taxonomy Code 101Y00000X - Counselor
Is Primary Yes

Other Provider Identifiers
Issuer BCBS ALLKIDS PLUS NUMBER
Number 051511690
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EASTSIDE MENTAL HEALTH CENTER, INC. PENSION PLAN 2022 630695977 2024-04-15 EASTSIDE MENTAL HEALTH CENTER, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-12-01
Business code 621399
Sponsor’s telephone number 2058367283
Plan sponsor’s address 129 EAST PARK CIRCLE, BIRMINGHAM, AL, 35235

Signature of
Role Plan administrator
Date 2024-04-15
Name of individual signing ERIN MURDOCH, BUSINESS MANAGER
EASTSIDE MENTAL HEALTH CENTER, INC. PENSION PLAN 2021 630695977 2023-06-02 EASTSIDE MENTAL HEALTH CENTER, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-12-01
Business code 621399
Sponsor’s telephone number 2058367283
Plan sponsor’s address 129 E. PARK CIRCLE, BIRMINGHAM, AL, 352353000

Signature of
Role Plan administrator
Date 2023-06-02
Name of individual signing BOB SIMS, EXECUTIVE DIRECTOR
EASTSIDE MENTAL HEALTH CENTER, INC. PENSION PLAN 2020 630695977 2021-11-02 EASTSIDE MENTAL HEALTH CENTER, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-12-01
Business code 621399
Sponsor’s telephone number 2058367283
Plan sponsor’s address 129 E. PARK CIRCLE, BIRMINGHAM, AL, 352353000

Signature of
Role Plan administrator
Date 2021-11-02
Name of individual signing REBECCA L MITCHELL, EXECUTIVE
EASTSIDE MENTAL HEALTH CENTER, INC. PENSION PLAN 2019 630695977 2020-10-19 EASTSIDE MENTAL HEALTH CENTER, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-12-01
Business code 621399
Sponsor’s telephone number 2058367283
Plan sponsor’s address 129 EAST PARK CIRCLE, BIRMINGHAM, AL, 35235

Signature of
Role Plan administrator
Date 2020-10-19
Name of individual signing REBECCA L MITCHELL, EXECUTIVE
EASTSIDE MENTAL HEALTH CENTER, INC. PENSION PLAN 2018 630695977 2020-04-09 EASTSIDE MENTAL HEALTH CENTER, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-12-01
Business code 621399
Sponsor’s telephone number 2058367283
Plan sponsor’s address 129 EAST PARK CIRCLE, BIRMINGHAM, AL, 35235

Signature of
Role Plan administrator
Date 2020-04-09
Name of individual signing REBECCA L MITCHELL, EXECUTIVE
EASTSIDE MENTAL HEALTH CENTER, INC. PENSION PLAN 2017 630695977 2019-01-10 EASTSIDE MENTAL HEALTH CENTER, INC. 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-12-01
Business code 621399
Sponsor’s telephone number 2058367283
Plan sponsor’s address 129 EAST PARK CIRCLE, BIRMINGHAM, AL, 35235

Signature of
Role Plan administrator
Date 2019-01-10
Name of individual signing REBECCA L MITCHELL, EXECUTIVE
EASTSIDE MENTAL HEALTH CENTER, INC. PENSION PLAN 2016 630695977 2017-11-20 EASTSIDE MENTAL HEALTH CENTER, INC. 52
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-12-01
Business code 621399
Sponsor’s telephone number 2058367283
Plan sponsor’s address 129 E. PARK CIRCLE, BIRMINGHAM, AL, 352353000

Signature of
Role Plan administrator
Date 2017-11-20
Name of individual signing REBECCA L MITCHELL, EXECUTIVE D
EASTSIDE MENTAL HEALTH CENTER, INC. PENSION PLAN 2015 630695977 2017-05-10 EASTSIDE MENTAL HEALTH CENTER, INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-12-01
Business code 621399
Sponsor’s telephone number 2058367283
Plan sponsor’s address 129 E. PARK CIRCLE, BIRMINGHAM, AL, 352353000

Signature of
Role Plan administrator
Date 2017-05-10
Name of individual signing REBECCA L GREENWAY, EXECUTIVE D
EASTSIDE MENTAL HEALTH CENTER, INC. PENSION PLAN 2014 630695977 2015-12-21 EASTSIDE MENTAL HEALTH CENTER, INC. 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-12-01
Business code 621399
Sponsor’s telephone number 2058367283
Plan sponsor’s address 129 E. PARK CIRCLE, BIRMINGHAM, AL, 352353000

Signature of
Role Plan administrator
Date 2015-12-21
Name of individual signing BEVERLY R FRANCIS, EXECUTIVE D
EASTSIDE MENTAL HEALTH CENTER, INC. PENSION PLAN 2013 630695977 2014-10-30 EASTSIDE MENTAL HEALTH CENTER, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-12-01
Business code 621399
Sponsor’s telephone number 2058367283
Plan sponsor’s address 129 E. PARK CIRCLE, BIRMINGHAM, AL, 352353000

Signature of
Role Plan administrator
Date 2014-10-30
Name of individual signing BEVERLY R FRANCIS, EXECUTIVE D

Incorporator

Name Role
PILGREEN, MARY S Incorporator
HOLLIS, VIVAN W Incorporator
JACKSON, HOMER A JR Incorporator

Agent

Name Role
FRANCIS, BEVERLY Agent

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JACKSON, HOMER A JR

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Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State

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