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Nova Physical Therapy and Wellness, LLC

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Entity Number 000-866-007

Register Number000866007

Status Exists

NameNova Physical Therapy and Wellness, LLC

CountyJefferson

Date of registration 07 Jun 2021 (3 years ago)

Legal typeDomestic Limited Liability Company

Registered Office Street Address 4312 5th Avenue SouthBirmingham, AL 35222

Registered Office Street Address ZIP code 35222

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants File

NOVA PHYSICAL THERAPY AND WELLNESS, LLC 401(K) PLAN

2023

871164024

2024-05-10

NOVA PHYSICAL THERAPY AND WELLNESS, LLC

4

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Three-digit plan number (PN)001
Effective date of plan2022-01-01
Business code621340
Sponsor’s telephone number2052026078
Plan sponsor’s address2821 2ND AVENUE SOUTH, SUITE E, BIRMINGHAM, AL, 35233

Plan administrator’s name and address

Administrator’s EIN474474775
Plan administrator’s nameGUIDELINE, INC.
Plan administrator’s address1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number8882283491

Signature of

RolePlan administrator
Date2024-05-10
Name of individual signingQIAN LIU

NOVA PHYSICAL THERAPY AND WELLNESS, LLC 401(K) PLAN

2022

871164024

2023-05-28

NOVA PHYSICAL THERAPY AND WELLNESS, LLC

0

View Page

Three-digit plan number (PN)001
Effective date of plan2022-01-01
Business code621340
Sponsor’s telephone number2052026078
Plan sponsor’s address2821 2ND AVENUE SOUTH, SUITE E, BIRMINGHAM, AL, 35233

Plan administrator’s name and address

Administrator’s EIN474474775
Plan administrator’s nameGUIDELINE, INC.
Plan administrator’s address1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number8882283491

Signature of

RolePlan administrator
Date2023-05-28
Name of individual signingCHRISTINE RIMER

Agent

Name Role

Richardson, Laura

Agent

Organizer

Name Role Address

Pickering, John D

Organizer

1901 6th Avenue N, Suite 1500Birmingham, AL 35203

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State