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East Alabama Eye Clinic of Anniston, P.C.

Details

Name: East Alabama Eye Clinic of Anniston, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 02 Jan 1996 (29 years ago)
Entity Number: 000-176-445
Register Number: 000176445
ZIP code: 36207
County: Calhoun
Place of Formation: Calhoun County
Principal Address: ANNISTON, AL
Registered Office Street Address: 1029 CHRISTINE AVEANNISTON, AL 36207
Authorized Capital: 2,500
Paid Share Capital: ----

Activities PRIMARY EYE CARE
MEDICAL & SURGICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841375896 2006-10-26 2024-08-12 1029 CHRISTINE AVE, ANNISTON, AL, 362075709, US 1029 CHRISTINE AVE, ANNISTON, AL, 362075709, US

Contacts

Phone +1 256-237-0371
Fax 2562364181

Authorized person

Name KENT C KEYS
Role SECRETARY
Phone 2562370371

Taxonomy

Taxonomy Code 207W00000X - Ophthalmology Physician
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 528601110
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAST ALABAMA EYE CLINIC OF ANNISTON, P. C. CASH BALANCE PENSION PLAN 2023 631163211 2024-07-24 EAST ALABAMA EYE CLINIC OF ANNISTON, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address 1029 CHRISTINE AVENUE, ANNISTON, AL, 36207
EAST ALABAMA EYE CLINIC OF ANNISTON, P. C. 401(K) PROFIT SHARING PLAN 2023 631163211 2024-08-23 EAST ALABAMA EYE CLINIC OF ANNISTON P.C. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address 1029 CHARISTINE AVENUE, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2024-08-23
Name of individual signing KENT C KEYS
EAST ALABAMA EYE CLINIC OF ANNISTON, P. C. CASH BALANCE PENSION PLAN 2022 631163211 2023-08-03 EAST ALABAMA EYE CLINIC OF ANNISTON, P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address 1029 CHRISTINE AVENUE, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2023-08-02
Name of individual signing KENT KEYS
Role Employer/plan sponsor
Date 2023-08-02
Name of individual signing KENT KEYS
EAST ALABAMA EYE CLINIC OF ANNISTON, P. C. CASH BALANCE PENSION PLAN 2022 631163211 2023-07-26 EAST ALABAMA EYE CLINIC OF ANNISTON, P.C. 10
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address 1029 CHRISTINE AVENUE, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2023-07-26
Name of individual signing KENT KEYS
Role Employer/plan sponsor
Date 2023-07-26
Name of individual signing KENT KEYS
EAST ALABAMA EYE CLINIC OF ANNISTON, P. C. 401(K) PROFIT SHARING PLAN 2022 631163211 2023-10-11 EAST ALABAMA EYE CLINIC OF ANNISTON P.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address 1029 CHARISTINE AVENUE, ANNISTON, AL, 36207

Signature of

Role Plan administrator
Date 2023-10-11
Name of individual signing KENT C KEYS
EAST ALABAMA EYE CLINIC OF ANNISTON, P. C. 401(K) PROFIT SHARING PLAN 2021 631163211 2022-10-05 EAST ALABAMA EYE CLINIC OF ANNISTON P.C. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address 1029 CHARISTINE AVENUE, ANNISTON, AL, 36207
EAST ALABAMA EYE CLINIC OF ANNISTON, P. C. CASH BALANCE PENSION PLAN 2021 631163211 2022-10-13 EAST ALABAMA EYE CLINIC OF ANNISTON, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address 1029 CHRISTINE AVENUE, ANNISTON, AL, 36207
EAST ALABAMA EYE CLINIC OF ANNISTON, P. C. CASH BALANCE PENSION PLAN 2020 631163211 2021-09-10 EAST ALABAMA EYE CLINIC OF ANNISTON, P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address 1029 CHRISTINE AVENUE, ANNISTON, AL, 36207
EAST ALABAMA EYE CLINIC OF ANNISTON, P. C. 401(K) PROFIT SHARING PLAN 2020 631163211 2021-10-14 EAST ALABAMA EYE CLINIC OF ANNISTON P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address 1029 CHARISTINE AVENUE, ANNISTON, AL, 36207
EAST ALABAMA EYE CLINIC OF ANNISTON, P.C. 401(K) PROFIT SHARING PLAN 2019 631163211 2020-07-23 EAST ALABAMA EYE CLINIC OF ANNISTON, P.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2562370371
Plan sponsor’s address PO BOX 970, ANNISTON, AL, 36202

Agent

Name Role
KEYS, KENT C. Agent

Incorporator

Name Role Address
GIBBINS, GEORGE M Incorporator 426 OLD CHOCCOLOCCO ROADANNISTON, AL 36207
KEYS, KENT C Incorporator 1029 CHRISTINE AVENUEANNISTON, AL 36207
KOORS, JOHN M Incorporator No data

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7909387105 2020-04-14 0459 PPP 1029 Christine Ave, Anniston, AL, 36207-5709
Loan Status Date 2021-11-02
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 234102
Loan Approval Amount (current) 234102
Undisbursed Amount 0
Franchise Name -
Lender Location ID 449992
Servicing Lender Name Southern States Bank
Servicing Lender Address 615 Quintard Ave, ANNISTON, AL, 36201-5755
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Anniston, CALHOUN, AL, 36207-5709
Project Congressional District AL-03
Number of Employees 28
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 449992
Originating Lender Name Southern States Bank
Originating Lender Address ANNISTON, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 236699.57
Forgiveness Paid Date 2021-06-04

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State