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6amily Dental Care of Dothan, P.C.

Details

Name: 6amily Dental Care of Dothan, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 21 Jan 2000 (25 years ago)
Entity Number: 000-207-547
Register Number: 000207547
Historical Names: Family Dental Care of Dothan, P.C.
ZIP code: 36303
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 107 PROFESSIONAL LANEDOTHAN, AL 36303
Authorized Capital: 500

Activities DENTISTRY PRACTICE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY DENTAL CARE OF DOTHAN, P.C. 401K PROFIT SHARING PLAN 2023 631240191 2024-07-25 FAMILY DENTAL CARE OF DOTHAN, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3347925711
Plan sponsor’s address 107 PROFESSIONAL LANE, DOTHAN, AL, 36303

Signature of

Role Plan administrator
Date 2024-07-25
Name of individual signing DR. KEITH BLACKMON
FAMILY DENTAL CARE OF DOTHAN, P.C. 401K PROFIT SHARING PLAN 2022 631240191 2023-07-25 FAMILY DENTAL CARE OF DOTHAN, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3347925711
Plan sponsor’s address 107 PROFESSIONAL LANE, DOTHAN, AL, 36303

Signature of

Role Plan administrator
Date 2023-07-25
Name of individual signing DR. KEITH BLACKMON
FAMILY DENTAL CARE OF DOTHAN, P.C. 401K PROFIT SHARING PLAN 2021 631240191 2022-07-26 FAMILY DENTAL CARE OF DOTHAN, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3347925711
Plan sponsor’s address 107 PROFESSIONAL LANE, DOTHAN, AL, 36303

Signature of

Role Plan administrator
Date 2022-07-26
Name of individual signing DR. KEITH BLACKMON
FAMILY DENTAL CARE OF DOTHAN, P.C. 401K PROFIT SHARING PLAN 2020 631240191 2021-07-13 FAMILY DENTAL CARE OF DOTHAN, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3347925711
Plan sponsor’s address 107 PROFESSIONAL LANE, DOTHAN, AL, 36303

Signature of

Role Plan administrator
Date 2021-07-13
Name of individual signing DR. KEITH BLACKMON
FAMILY DENTAL CARE OF DOTHAN, P.C. 401K PROFIT SHARING PLAN 2019 631240191 2020-09-03 FAMILY DENTAL CARE OF DOTHAN, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3347925711
Plan sponsor’s address 107 PROFESSIONAL LANE, DOTHAN, AL, 36303

Signature of

Role Plan administrator
Date 2020-09-03
Name of individual signing DR. KEITH BLACKMON
FAMILY DENTAL CARE OF DOTHAN, P.C. 401(K) PROFIT SHARING PLAN 2018 631240191 2019-10-15 FAMILY DENTAL CARE OF DOTHAN, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3347925711
Plan sponsor’s address 107 PROFESSIONAL LANE, DOTHAN, AL, 36303

Plan administrator’s name and address

Administrator’s EIN 631240191
Plan administrator’s name FAMILY DENTAL CARE OF DOTHAN, P.C.
Plan administrator’s address 107 PROFESSIONAL LANE, DOTHAN, AL, 36303
Administrator’s telephone number 3347925711
FAMILY DENTAL CARE OF DOTHAN, P.C. 401K PROFIT SHARING PLAN 2018 631240191 2020-09-03 FAMILY DENTAL CARE OF DOTHAN, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3347925711
Plan sponsor’s address 107 PROFESSIONAL LANE, DOTHAN, AL, 36303

Signature of

Role Plan administrator
Date 2020-09-03
Name of individual signing DR. KEITH BLACKMON
FAMILY DENTAL CARE OF DOTHAN, P.C. 401K PROFIT SHARING PLAN 2017 631240191 2020-09-03 FAMILY DENTAL CARE OF DOTHAN, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3347925711
Plan sponsor’s address 107 PROFESSIONAL LANE, DOTHAN, AL, 36303

Signature of

Role Plan administrator
Date 2020-09-03
Name of individual signing DR. KEITH BLACKMON
FAMILY DENTAL CARE OF DOTHAN, P.C. 401K PROFIT SHARING PLAN 2016 631240191 2020-09-03 FAMILY DENTAL CARE OF DOTHAN, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3347925711
Plan sponsor’s address 107 PROFESSIONAL LANE, DOTHAN, AL, 36303

Signature of

Role Plan administrator
Date 2020-09-03
Name of individual signing DR. KEITH BLACKMON
FAMILY DENTAL CARE OF DOTHAN, P.C. 401(K) PROFIT SHARING PLAN 2016 631240191 2017-10-16 FAMILY DENTAL CARE OF DOTHAN, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621210
Sponsor’s telephone number 3347925711
Plan sponsor’s address 107 PROFESSIONAL LANE, DOTHAN, AL, 36303

Plan administrator’s name and address

Administrator’s EIN 631240191
Plan administrator’s name FAMILY DENTAL CARE OF DOTHAN, P.C.
Plan administrator’s address 107 PROFESSIONAL LANE, DOTHAN, AL, 36303
Administrator’s telephone number 3347925711

Agent

Name Role Address
BLACKMON, KEITH A Agent 501 GLADSTONE WAYDOTHAN, AL 36305

Incorporator

Name Role Address
BLACKMON, KEITH A Incorporator 501 GLADSTONE WAYDOTHAN, AL 36305

Events

Event Date Event Type Old Value New Value
2001-11-23 Name Change Family Dental Care of Dothan, P.C. 6amily Dental Care of Dothan, P.C.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State