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  5. TIMOTHY W SMITH DMD LLC

TIMOTHY W SMITH DMD LLC

Details

Name: TIMOTHY W SMITH DMD LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 11 Jul 2012 (13 years ago)
Entity Number: 000-039-417
Register Number: 000039417
ZIP code: 35053
County: Cullman
Place of Formation: Cullman County
Registered Office Street Address: 1065 COUNTY ROAD 920CRANE HILL, AL 35053

Activities HEALTH CARE - DENTISTS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508103821 2013-01-07 2013-01-07 655 AL HIGHWAY 69 S, HANCEVILLE, AL, 350773405, US 655 AL HIGHWAY 69 S, HANCEVILLE, AL, 350773405, US

Contacts
Phone +1 256-287-1250
Fax 2562871253

Authorized person
Name DR. TIMOTHY W SMITH
Role OWNER
Phone 2562871250

Taxonomy
Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number D5917-C1
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TIMOTHY W SMITH DMD LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 455552493 2024-04-18 TIMOTHY W SMITH DMD LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2562871250
Plan sponsor’s address 655 AL HWY 69 S, HANCEVILLE, AL, 35077

Signature of
Role Plan administrator
Date 2024-04-18
Name of individual signing TIMOTHY SMITH
TIMOTHY W SMITH DMD LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 455552493 2023-05-19 TIMOTHY W SMITH DMD LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2562871250
Plan sponsor’s address 655 AL HWY 69 S, HANCEVILLE, AL, 35077

Signature of
Role Plan administrator
Date 2023-05-19
Name of individual signing TIMOTHY SMITH
TIMOTHY W SMITH DMD LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 455552493 2022-06-28 TIMOTHY W SMITH DMD LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2562871250
Plan sponsor’s address 655 AL HWY 69 S, HANCEVILLE, AL, 35077

Signature of
Role Plan administrator
Date 2022-06-28
Name of individual signing TIMOTHY SMITH
TIMOTHY W SMITH DMD LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 455552493 2021-03-31 TIMOTHY W SMITH DMD LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2562871250
Plan sponsor’s address 655 AL HWY 69 S, HANCEVILLE, AL, 35077

Signature of
Role Plan administrator
Date 2021-03-31
Name of individual signing TIMOTHY SMITH
TIMOTHY W SMITH DMD LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 455552493 2021-08-06 TIMOTHY W SMITH DMD LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2562871250
Plan sponsor’s address 655 AL HWY 69 S, HANCEVILLE, AL, 35077

Signature of
Role Plan administrator
Date 2021-08-06
Name of individual signing TIMOTHY SMITH
TIMOTHY W SMITH DMD LLC 2018 455552493 2019-06-20 TIMOTHY W SMITH DMD LLC 6
File View Page
Three-digit plan number (PN) 260
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 2562871250
Plan sponsor’s DBA name DODGE CITY DENTAL CARE
Plan sponsor’s mailing address 655 AL HIGHWAY 69 S, HANCEVILLE, AL, 350773405
Plan sponsor’s address 655 AL HIGHWAY 69 S, HANCEVILLE, AL, 350773405

Number of participants as of the end of the plan year
Active participants 4
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 6
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2019-06-20
Name of individual signing TIMOTHY SMITH
Valid signature Filed with authorized/valid electronic signature
TIMOTHY W SMITH DMD LLC 401 K PROFIT SHARING PLAN TRUST 2017 455552493 2018-07-06 TIMOTHY W SMITH DMD LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2562871250
Plan sponsor’s address 655 AL HWY 69 S, HANCEVILLE, AL, 35077

Signature of
Role Plan administrator
Date 2018-07-06
Name of individual signing TIMOTHY SMITH
TIMOTHY W SMITH DMD LLC 401 K PROFIT SHARING PLAN TRUST 2016 455552493 2017-06-10 TIMOTHY W SMITH DMD LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2562871250
Plan sponsor’s address 655 AL HIGHWAY 69 S, HANCEVILLE, AL, 350773405

Signature of
Role Plan administrator
Date 2017-06-10
Name of individual signing TIMOTHY W SMITH
TIMOTHY W SMITH DMD LLC 401 K PROFIT SHARING PLAN TRUST 2015 455552493 2016-07-21 TIMOTHY W SMITH DMD LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2562871250
Plan sponsor’s address 655 AL HWY 69 S, HANCEVILLE, AL, 35077

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing TIMOTHY W SMITH
TIMOTHY W SMITH DMD LLC 401 K PROFIT SHARING PLAN TRUST 2014 455552493 2015-07-31 TIMOTHY W SMITH DMD LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621210
Sponsor’s telephone number 2562871250
Plan sponsor’s address 655 AL HIGHWAY 69 S, HANCEVILLE, AL, 35077

Signature of
Role Plan administrator
Date 2015-07-31
Name of individual signing TIMOTHY W SMITH

Agent

Name Role Address
SMITH, TIMOTHY W Agent 10555 MILDRED AVEGRAND BAY, AL 36541

Organizer

Name Role Address
LEGALZOOM.COM INC Organizer 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2381728508 2021-02-20 0459 PPS 655 AL Highway 69 S, Hanceville, AL, 35077-3405
Loan Status Date 2021-08-31
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 50500
Loan Approval Amount (current) 50500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 328816
Servicing Lender Name Traditions Bank
Servicing Lender Address 109 2nd Ave NW, CULLMAN, AL, 35055-3426
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Hanceville, CULLMAN, AL, 35077-3405
Project Congressional District AL-04
Number of Employees 7
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 328816
Originating Lender Name Traditions Bank
Originating Lender Address CULLMAN, AL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 50685.17
Forgiveness Paid Date 2021-07-08
8666187005 2020-04-08 0459 PPP 655 AL Highway 69 S, HANCEVILLE, AL, 35077-3405
Loan Status Date 2021-01-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 50500
Loan Approval Amount (current) 50500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 328816
Servicing Lender Name Traditions Bank
Servicing Lender Address 109 2nd Ave NW, CULLMAN, AL, 35055-3426
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address HANCEVILLE, CULLMAN, AL, 35077-3405
Project Congressional District AL-04
Number of Employees 7
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 328816
Originating Lender Name Traditions Bank
Originating Lender Address CULLMAN, AL
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 50854.9
Forgiveness Paid Date 2020-12-23

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Related by address

No related companies by address

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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