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  5. Fairhope Urology, P.C.

Fairhope Urology, P.C.

Details

Name: Fairhope Urology, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 06 Mar 2012 (13 years ago)
Date of dissolution: 06 Nov 2023
Entity Number: 000-044-566
Register Number: 000044566
ZIP code: 36532
County: Baldwin
Place of Formation: Baldwin County
Registered Office Street Address: 12973 SADDLEBROOK CIRCLEFAIRHOPE, AL 36532
Authorized Capital: 100 @ $1 PV

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811257926 2012-05-22 2017-04-18 8720 FAIRHOPE AVE, FAIRHOPE, AL, 365323608, US 8720 FAIRHOPE AVE, FAIRHOPE, AL, 365323608, US

Contacts
Phone +1 251-990-2241
Fax 2519902242

Authorized person
Name CHRISTOPHER D PETRUS
Role CEO
Phone 2519902241

Taxonomy
Taxonomy Code 208800000X - Urology Physician
License Number 29300
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAIRHOPE UROLOGY, P.C. 401(K) PLAN 2021 454712261 2022-06-22 FAIRHOPE UROLOGY, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2519902241
Plan sponsor’s address 8720 FAIRHOPE AVENUE, FAIRHOPE, AL, 36532
FAIRHOPE UROLOGY, P.C. 401(K) PLAN 2021 454712261 2022-11-15 FAIRHOPE UROLOGY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2519902241
Plan sponsor’s address 8720 FAIRHOPE AVENUE, FAIRHOPE, AL, 36532
FAIRHOPE UROLOGY, P.C. 401(K) PLAN 2020 454712261 2021-05-05 FAIRHOPE UROLOGY, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2519902241
Plan sponsor’s address 8720 FAIRHOPE AVENUE, FAIRHOPE, AL, 36532
FAIRHOPE UROLOGY, P.C. 401(K) PLAN 2019 454712261 2020-02-18 FAIRHOPE UROLOGY, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2519902241
Plan sponsor’s address 8720 FAIRHOPE AVENUE, FAIRHOPE, AL, 36532
FAIRHOPE UROLOGY, P.C. 401(K) PLAN 2018 454712261 2019-08-01 FAIRHOPE UROLOGY, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2519902241
Plan sponsor’s address 8720 FAIRHOPE AVENUE, FAIRHOPE, AL, 36532
FAIRHOPE UROLOGY, P.C. 401(K) PLAN 2017 454712261 2018-07-02 FAIRHOPE UROLOGY, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2519902241
Plan sponsor’s address 8720 FAIRHOPE AVENUE, FAIRHOPE, AL, 36532

Signature of
Role Plan administrator
Date 2018-07-02
Name of individual signing CHRISTOPHER PETRUS
FAIRHOPE UROLOGY, P.C. 401(K) PLAN 2016 454712261 2017-10-10 FAIRHOPE UROLOGY, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2519902241
Plan sponsor’s address 188 HOSPITAL DRIVE, SUITE 301, FAIRHOPE, AL, 36532

Signature of
Role Plan administrator
Date 2017-10-10
Name of individual signing CHRISTOPHER PETRUS
FAIRHOPE UROLOGY, P.C. 401(K) PLAN 2015 454712261 2016-07-13 FAIRHOPE UROLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2519902241
Plan sponsor’s address 188 HOSPITAL DRIVE, SUITE 301, FAIRHOPE, AL, 36532

Signature of
Role Plan administrator
Date 2016-07-13
Name of individual signing CHRISTOPHER PETRUS
FAIRHOPE UROLOGY, P.C. 401(K) PLAN 2014 454712261 2015-06-29 FAIRHOPE UROLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2519902241
Plan sponsor’s address 188 HOSPITAL DRIVE, SUITE 301, FAIRHOPE, AL, 36532

Signature of
Role Plan administrator
Date 2015-06-26
Name of individual signing CHRISTOPHER PETRUS
FAIRHOPE UROLOGY, P.C. 401(K) PLAN 2013 454712261 2014-04-25 FAIRHOPE UROLOGY, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2519902241
Plan sponsor’s address 188 HOSPITAL DRIVE, SUITE 301, FAIRHOPE, AL, 36532

Signature of
Role Plan administrator
Date 2014-04-25
Name of individual signing CHRISTOPHER PETRUS

Agent

Name Role Address
PETRUS, CHRIS D Agent 12973 SADDLEBROOK CIRCLEFAIRHOPE, AL 36532

Director

Name Role Address
PETRUS, CHRIS D Director 12973 SADDLEBROOK CIRCLEFAIRHOPE, AL 36532

Incorporator

Name Role Address
SULLIVAN, JOSEPH R Incorporator 55 NORTH SECTION STREETFAIRHOPE, AL 36532

Related by officers

SULLIVAN, JOSEPH R

Sash Properties, LLC MGG Family Practice, PC Point Clear Family Partners, LLC. Bayside Capital Funding, LLC Archetypal Capital, LLC Mac Capital Partners, LLC Premium Care Giver, Inc. WLW & Associates, Inc. REL Services, Inc. Sky Leasing, Inc.

Related by address

12973 SADDLEBROOK CIRCLEFAIRHOPE, AL 36532

Petrus Investments, LLC

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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