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  5. Professional Lane Dental Associates, P.A.

Professional Lane Dental Associates, P.A.

Details

Name: Professional Lane Dental Associates, P.A.
Jurisdiction: Alabama
Legal type: Domestic Professional Association
Status: Exists
Date of registration: 16 Jan 1976 (49 years ago)
Entity Number: 000-040-143
Register Number: 000040143
Historical Names: Tony W. Dollar D.M.D., P.A.
ZIP code: 36303
County: Houston
Place of Formation: Houston County
Principal Address: 102 PROFESSIONAL LANEDOTHAN, AL 36303

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PROFESSIONAL LANE DENTAL ASSOCIATES, PLLC 401K PROFIT SHARING PLAN 2021 850517615 2022-10-17 PROFESSIONAL LANE DENTAL ASSOCIATES, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-09-30
Business code 621210
Sponsor’s telephone number 3347920997
Plan sponsor’s address 102 PROFESSIONAL LANE, DOTHAN, AL, 36303

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing ANGELA DOUGHERTY
PROFESSIONAL LANE DENTAL ASSOCIATES, P. A. 401K PROFIT SHARING PLAN 2020 630701027 2021-08-05 PROFESSIONAL LANE DENTAL ASSOCIATES, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-09-30
Business code 621210
Sponsor’s telephone number 3347920997
Plan sponsor’s address 102 PROFESSIONAL LANE, DOTHAN, AL, 36303

Signature of
Role Plan administrator
Date 2021-08-05
Name of individual signing NANCY HEIN
PROFESSIONAL LANE DENTAL ASSOCIATES, P. A. 401K PROFIT SHARING PLAN 2019 630701027 2020-10-14 PROFESSIONAL LANE DENTAL ASSOCIATES, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-09-30
Business code 621210
Sponsor’s telephone number 3347920997
Plan sponsor’s address 102 PROFESSIONAL LANE, DOTHAN, AL, 36303

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing NANCY HEIN
PROFESSIONAL LANE DENTAL ASSOCIATES, P.A. 401K PROFIT SHARING PLAN 2016 630701027 2017-03-31 PROFESSIONAL LANE DENTAL ASSOCIATES, P.A 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621210
Sponsor’s telephone number 3347920997
Plan sponsor’s address 102 PROFESSIONAL LANE, DOTHAN, AL, 36303
PROFESSIONAL LANE DENTAL ASSOCIATES, P.A. 401K PROFIT SHARING PLAN 2015 630701027 2016-03-14 PROFESSIONAL LANE DENTAL ASSOCIATES, P.A 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621210
Sponsor’s telephone number 3347920997
Plan sponsor’s address 102 PROFESSIONAL LANE, DOTHAN, AL, 36303
PROFESSIONAL LANE DENTAL ASSOCIATES, P.A. 401K PROFIT SHARING PLAN 2014 630701027 2015-04-27 PROFESSIONAL LANE DENTAL ASSOCIATES, P.A 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621210
Sponsor’s telephone number 3347920997
Plan sponsor’s address 102 PROFESSIONAL LANE, DOTHAN, AL, 36303
PROFESSIONAL LANE DENTAL ASSOCIATES, P.A. 401K PROFIT SHARING PLAN 2013 630701027 2014-03-27 PROFESSIONAL LANE DENTAL ASSOCIATES, P.A 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621210
Sponsor’s telephone number 3347920997
Plan sponsor’s address 102 PROFESSIONAL LANE, DOTHAN, AL, 36303
PROFESSIONAL LANE DENTAL ASSOCIATES, P.A. 401K PROFIT SHARING PLAN 2012 630701027 2013-07-29 PROFESSIONAL LANE DENTAL ASSOCIATES, P.A 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621210
Sponsor’s telephone number 3347920997
Plan sponsor’s address 102 PROFESSIONAL LANE, DOTHAN, AL, 36303

Signature of
Role Plan administrator
Date 2013-07-24
Name of individual signing NANCY M. HEIN
PROFESSIONAL LANE DENTAL ASSOCIATES, P.A. 401K PROFIT SHARING PLAN 2011 630701027 2012-04-12 PROFESSIONAL LANE DENTAL ASSOCIATES , P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621210
Sponsor’s telephone number 3347920997
Plan sponsor’s address 102 PROFESSIONAL LANE, DOTHAN, AL, 36303

Plan administrator’s name and address
Administrator’s EIN 630701027
Plan administrator’s name PROFESSIONAL LANE DENTAL ASSOCIATES , P.A.
Plan administrator’s address 102 PROFESSIONAL LANE, DOTHAN, AL, 36303
Administrator’s telephone number 3347920997

Signature of
Role Plan administrator
Date 2012-04-12
Name of individual signing TONY W. DOLLAR OR NANCY M. HEIN
PROFESSIONAL LANE DENTAL ASSOCIATES, P.A. 401K PROFIT SHARING PLAN 2010 630701027 2011-04-01 PROFESSIONAL LANE DENTAL ASSOCIATES , P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-10-01
Business code 621210
Sponsor’s telephone number 3347920997
Plan sponsor’s address 102 PROFESSIONAL LANE, DOTHAN, AL, 36303

Plan administrator’s name and address
Administrator’s EIN 630701027
Plan administrator’s name PROFESSIONAL LANE DENTAL ASSOCIATES , P.A.
Plan administrator’s address 102 PROFESSIONAL LANE, DOTHAN, AL, 36303
Administrator’s telephone number 3347920997

Signature of
Role Plan administrator
Date 2011-04-01
Name of individual signing TONY W. DOLLAR OR NANCY M. HEIN

Member

Name Role Address
DOLLAR, TONY W DR Member No data
HEIN, NANCY Member 102 PROFESSIONAL LANEDOTHAN, AL 36303

Events

Event Date Event Type Old Value New Value
2001-10-15 Name Change Tony W. Dollar D.M.D., P.A. Professional Lane Dental Associates, P.A.

Related by officers

HEIN, NANCY

Professional Lane Dental, PLLC Professional Lane Realty, LLC

Related by address

102 PROFESSIONAL LANEDOTHAN, AL 36303

Professional Lane Dental, PLLC

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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