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  5. MOBILE PEDIATRIC CLINIC, LLC

MOBILE PEDIATRIC CLINIC, LLC

Details

Name: MOBILE PEDIATRIC CLINIC, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 24 Jan 2012 (13 years ago)
Entity Number: 000-038-125
Register Number: 000038125
ZIP code: 36607
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 1835 OLD SHELL ROADMOBILE, AL 36607

Activities TO INVEST IN/MANAGE/OPERATE REAL PROPERTY AND ITS IMPROVEMENTS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902352180 2016-08-29 2016-08-29 PO BOX 91899, MOBILE, AL, 366911899, US 6321 PICCADILLY SQUARE DR STE A, MOBILE, AL, 366095305, US

Contacts
Phone +1 251-342-8900
Fax 2513422333

Authorized person
Name AMY COLLINS
Role OWNER
Phone 2516101810

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOBILE MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2023 454575453 2024-08-26 MOBILE PEDIATRIC CLINIC, LLC 32
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2517068170
Plan sponsor’s address PO BOX 91899, MOBILE, AL, 36691

Signature of
Role Plan administrator
Date 2024-08-26
Name of individual signing JASON JOHNSON
MOBILE MEDICAL GROUP 401(K) PROFIT SHARING PLAN 2023 454575453 2024-08-26 MOBILE PEDIATRIC CLINIC, LLC 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2517068170
Plan sponsor’s address PO BOX 91899, MOBILE, AL, 36691

Signature of
Role Plan administrator
Date 2024-08-26
Name of individual signing JASON JOHNSON
MOBILE PEDIATRIC CLINIC SAFE HARBOR 401(K) PLAN 2022 454575453 2023-10-15 MOBILE PEDIATRIC CLINIC, LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2517068170
Plan sponsor’s address PO BOX 91899, MOBILE, AL, 36691

Signature of
Role Plan administrator
Date 2023-10-15
Name of individual signing AMY COLLINS
MOBILE PEDIATRIC CLINIC SAFE HARBOR 401(K) PLAN 2021 454575453 2022-06-02 MOBILE PEDIATRIC CLINIC, LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2517068170
Plan sponsor’s address PO BOX 91899, MOBILE, AL, 36691

Signature of
Role Plan administrator
Date 2022-06-02
Name of individual signing AMY COLLINS
MOBILE PEDIATRIC CLINIC SAFE HARBOR 401(K) PLAN 2020 454575453 2021-07-08 MOBILE PEDIATRIC CLINIC, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2517068170
Plan sponsor’s address 1835 OLD SHELL ROAD, MOBILE, AL, 36607

Signature of
Role Plan administrator
Date 2021-07-08
Name of individual signing AMY COLLINS
Role Employer/plan sponsor
Date 2021-07-08
Name of individual signing AMY COLLINS
MOBILE PEDIATRIC CLINIC SAFE HARBOR 401(K) PLAN 2019 454575453 2020-09-02 MOBILE PEDIATRIC CLINIC, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2517068170
Plan sponsor’s address 32 TACON STREET, SUITE A, MOBILE, AL, 36606

Signature of
Role Plan administrator
Date 2020-09-02
Name of individual signing AMY COLLINS
Role Employer/plan sponsor
Date 2020-09-02
Name of individual signing AMY COLLINS
MOBILE PEDIATRIC CLINIC SAFE HARBOR 401(K) PLAN 2018 454575453 2019-10-10 MOBILE PEDIATRIC CLINIC, LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2517068170
Plan sponsor’s address 32 TACON STREET, SUITE A, MOBILE, AL, 36606

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing AMY COLLINS
Role Employer/plan sponsor
Date 2019-10-10
Name of individual signing AMY COLLINS
MOBILE PEDIATRIC CLINIC SAFE HARBOR 401(K) PLAN 2017 454575453 2018-07-16 MOBILE PEDIATRIC CLINIC, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2517068170
Plan sponsor’s address 32 TACON STREET, SUITE A, MOBILE, AL, 36606

Signature of
Role Plan administrator
Date 2018-07-14
Name of individual signing AMY COLLINS
Role Employer/plan sponsor
Date 2018-07-14
Name of individual signing AMY COLLINS
MOBILE PEDIATRIC CLINIC SAFE HARBOR 401(K) PLAN 2016 454575453 2017-07-25 MOBILE PEDIATRIC CLINIC, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2517068170
Plan sponsor’s address 32 TACON STREET, SUITE A, MOBILE, AL, 36606

Signature of
Role Plan administrator
Date 2017-07-25
Name of individual signing AMY COLLINS
Role Employer/plan sponsor
Date 2017-07-25
Name of individual signing AMY COLLINS
MOBILE PEDIATRIC CLINIC SAFE HARBOR 401(K) PLAN 2015 454575453 2016-10-13 MOBILE PEDIATRIC CLINIC, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2517068170
Plan sponsor’s address 32 TACON STREET, SUITE A, MOBILE, AL, 36606

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing AMY COLLINS

Agent

Name Role Address
COLLINS, AMY W Agent 254 WOODLANDS AVENUEMOBILE, AL 36607

Organizer

Name Role Address
COLLINS, AMY W Organizer 254 WOODLANDS AVENUEMOBILE, AL 36607
PEARSON, STEVEN C Organizer P O BOX 290MOBILE, AL 36601

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
344657440 0418600 2020-02-26 6321 PICADILLY SQUARE DRIVE, MOBILE, AL, 36609
Inspection Type Monitoring
Scope Partial
Safety/Health Health
Close Conference 2020-02-26
Case Closed 2020-10-13

Related Activity
Type Complaint
Activity Nr 1437367
Health Yes

Violation Items
Citation ID 01001
Citaton Type Other
Standard Cited 19101030 F02 IV
Issuance Date 2020-04-08
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2020-05-04
Nr Instances 1
Nr Exposed 4
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1030(f)(2)(iv): The employer did not ensure that employees who declined to accept the hepatitis B vaccination offered by the employer signed the statement in appendix A: Facility: On or about February 26, 2020; the employer failed to have employees sign a declination form when they declined the employer provided hepatitis B vaccination.

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7197917001 2020-04-07 0459 PPP PO BOX 91899, MOBILE, AL, 36691
Loan Status Date 2021-10-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 312457
Loan Approval Amount (current) 323400
Undisbursed Amount 0
Franchise Name -
Lender Location ID 67422
Servicing Lender Name First Horizon Bank
Servicing Lender Address 165 Madison Ave, MEMPHIS, TN, 38103-2723
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MOBILE, MOBILE, AL, 36691-0001
Project Congressional District AL-01
Number of Employees 35
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 78586
Originating Lender Name IberiaBank, A Division of First Horizon Bank
Originating Lender Address Lafayette, LA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 327900.65
Forgiveness Paid Date 2021-09-02
4984898500 2021-02-26 0459 PPS 1835 Old Shell Rd, Mobile, AL, 36607-3416
Loan Status Date 2021-12-14
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 262692
Loan Approval Amount (current) 262692
Undisbursed Amount 0
Franchise Name -
Lender Location ID 67422
Servicing Lender Name First Horizon Bank
Servicing Lender Address 165 Madison Ave, MEMPHIS, TN, 38103-2723
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Mobile, MOBILE, AL, 36607-3416
Project Congressional District AL-01
Number of Employees 28
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 67422
Originating Lender Name First Horizon Bank
Originating Lender Address MEMPHIS, TN
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 264435.98
Forgiveness Paid Date 2021-11-03

Related by officers

COLLINS, AMY W

CHP Enterprises, Inc. 3000 MOB Realty, LLC Medical Practice Management, LLC Medical Practice Management, LLC

PEARSON, STEVEN C

Southwest Mobile Family Practice, LLC South Alabama Medical Clinic, LLC McElderry Properties, LLC Alans Grill LLC MJHD Investments, LLC DFI Construction of Mississippi, Inc. SHEPHERD'S PLACE FOUNDATION ISLANDERS RESTAURANT AND BAR, LLC Historic Murphy District Association, Inc. River Oaks Homeowners' Association, Inc.

Related by address

No related companies by address

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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