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Dermatology Associates, P.A.

Details

Name: Dermatology Associates, P.A.
Jurisdiction: Alabama
Legal type: Domestic Professional Association
Status: Exists
Date of registration: 03 Jan 1973 (52 years ago)
Entity Number: 000-006-691
Register Number: 000006691
Historical Names: John M. Ennis, M.D., P.A.
ZIP code: 35801
County: Madison
Place of Formation: Madison County
Principal Address: 410 SIVLEY ROAD SWHUNTSVILLE, AL 35801

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOLOGY ASSOCIATES P. A. 401(K) PROFIT SHARING PLAN 2023 630622104 2024-09-09 DERMATOLOGY ASSOCIATES P.A. 48
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 621399
Sponsor’s telephone number 2565392741
Plan sponsor’s address 4021 BALMORAL DRIVE SW, HUNTSVILLE, AL, 35801
DERMATOLOGY ASSOCIATES P. A. 401(K) PROFIT SHARING PLAN 2022 630622104 2023-10-16 DERMATOLOGY ASSOCIATES P.A. 48
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 621399
Sponsor’s telephone number 2565392741
Plan sponsor’s address 4021 BALMORAL DRIVE SW, HUNTSVILLE, AL, 35801

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing TROY DAVENPORT
DERMATOLOGY ASSOCIATES P. A. 401(K) PROFIT SHARING PLAN 2021 630622104 2022-07-12 DERMATOLOGY ASSOCIATES P.A. 28
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 621399
Sponsor’s telephone number 2565392741
Plan sponsor’s address 4021 BALMORAL DRIVE SW, HUNTSVILLE, AL, 35801

Signature of

Role Plan administrator
Date 2022-07-12
Name of individual signing JOHN SOWELL MD
DERMATOLOGY ASSOC. P.A. 401K PROFIT SHARING PLAN 2020 630622104 2021-07-20 DERMATOLOGY ASSOCIATES P.A. 42
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 621399
Sponsor’s telephone number 2565392741
Plan sponsor’s address 4021 BALMORAL DRIVE S.W., HUNTSVILLE, AL, 35801

Signature of

Role Plan administrator
Date 2021-07-20
Name of individual signing JOHN SOWELL MD
DERMATOLOGY ASSOC. P.A. 401K PROFIT SHARING PLAN 2019 630622104 2020-09-24 DERMATOLOGY ASSOCIATES P.A. 36
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 621399
Sponsor’s telephone number 2565392741
Plan sponsor’s address 4021 BALMORAL DRIVE S.W., HUNTSVILLE, AL, 35801

Signature of

Role Plan administrator
Date 2020-09-24
Name of individual signing JOHN SOWELL MD
DERMATOLOGY ASSOC. P.A. 401K PROFIT SHARING PLAN 2018 630622104 2019-06-12 DERMATOLOGY ASSOCIATES P.A. 32
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 621399
Sponsor’s telephone number 2565392741
Plan sponsor’s address 4021 BALMORAL DRIVE S.W., HUNTSVILLE, AL, 35801

Signature of

Role Plan administrator
Date 2019-06-12
Name of individual signing JOHN SOWELL MD
DERMATOLOGY ASSOC. P.A. 401K PROFIT SHARING PLAN 2017 630622104 2018-08-29 DERMATOLOGY ASSOCIATES P.A. 35
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 621399
Sponsor’s telephone number 2565392741
Plan sponsor’s address 4021 BALMORAL DRIVE S.W., HUNTSVILLE, AL, 35801

Signature of

Role Plan administrator
Date 2018-08-29
Name of individual signing JOHN SOWELL MD

Member

Name Role
ENNIS, JOHN M Member

Events

Event Date Event Type Old Value New Value
1995-03-01 Name Change John M. Ennis, M.D., P.A. Dermatology Associates, P.A.

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6002678309 2021-01-26 0459 PPS 4021 Balmoral Dr SW, Huntsville, AL, 35801-6403
Loan Status Date 2021-08-11
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 376609
Loan Approval Amount (current) 376609
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434138
Servicing Lender Name ServisFirst Bank
Servicing Lender Address 2500 Woodcrest Place, BIRMINGHAM, AL, 35209-1374
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Huntsville, MADISON, AL, 35801-6403
Project Congressional District AL-05
Number of Employees 37
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 434138
Originating Lender Name ServisFirst Bank
Originating Lender Address BIRMINGHAM, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 378387.43
Forgiveness Paid Date 2021-07-19
5470007002 2020-04-05 0459 PPP 4021 BALMORAL DR, HUNTSVILLE, AL, 35801-6403
Loan Status Date 2021-03-13
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 361300
Loan Approval Amount (current) 361300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 434138
Servicing Lender Name ServisFirst Bank
Servicing Lender Address 2500 Woodcrest Place, BIRMINGHAM, AL, 35209-1374
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address HUNTSVILLE, MADISON, AL, 35801-6403
Project Congressional District AL-05
Number of Employees 39
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 434138
Originating Lender Name ServisFirst Bank
Originating Lender Address BIRMINGHAM, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 363716.68
Forgiveness Paid Date 2021-02-12

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State