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  5. Partners Medical Clinic LLC

Partners Medical Clinic LLC

Details

Name: Partners Medical Clinic LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 21 Dec 2009 (15 years ago)
Entity Number: 000-441-299
Register Number: 000441299
ZIP code: 36104
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Activities HEALTH CARE SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316278880 2010-01-24 2014-01-17 500 S 5TH ST, SUITE 1040, GADSDEN, AL, 359015104, US 431 SOUTH 5TH STREET, GADSDEN, AL, 35901, US

Contacts
Phone +1 256-547-3822
Fax 2565473825

Authorized person
Name AFOLAKE OGUNTUYO
Role OFFICE MANAGER
Phone 2565473822

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 26835
State AL
Is Primary Yes

Other Provider Identifiers
Issuer PTAN
Number 510I080262
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PARTNERS MEDICAL CLINIC LLC 401(K) P/S PLAN 2023 271539285 2024-06-25 PARTNERS MEDICAL CLINIC LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2565473822
Plan sponsor’s address 431 S 5TH ST, GADSDEN, AL, 35901

Signature of
Role Plan administrator
Date 2024-06-25
Name of individual signing AFOLAKE OGUNTUYO
PARTNERS MEDICAL CLINIC LLC 401(K) P/S PLAN 2022 271539285 2023-05-09 PARTNERS MEDICAL CLINIC LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 2565473822
Plan sponsor’s address 431 S 5TH ST, GADSDEN, AL, 35901

Plan administrator’s name and address
Administrator’s EIN 271539285
Plan administrator’s name PARTNERS MEDICAL CLINIC LLC
Plan administrator’s address 431 S 5TH ST, GADSDEN, AL, 35901
Administrator’s telephone number 2565473822

Signature of
Role Plan administrator
Date 2023-05-09
Name of individual signing JIMMY OGUNTUYO
PARTNERS MEDICAL CLINIC LLC 401(K) P/S PLAN 2021 271539285 2022-05-05 PARTNERS MEDICAL CLINIC LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 2565473822
Plan sponsor’s address 431 S 5TH ST, GADSDEN, AL, 35901

Plan administrator’s name and address
Administrator’s EIN 271539285
Plan administrator’s name PARTNERS MEDICAL CLINIC LLC
Plan administrator’s address 431 S 5TH ST, GADSDEN, AL, 35901
Administrator’s telephone number 2565473822

Signature of
Role Plan administrator
Date 2022-05-05
Name of individual signing JIMMY OGUNTUYO
PARTNERS MEDICAL CLINIC LLC 401(K) P/S PLAN 2020 271539285 2021-05-25 PARTNERS MEDICAL CLINIC LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 2565473822
Plan sponsor’s address 431 S 5TH ST, GADSDEN, AL, 35901

Plan administrator’s name and address
Administrator’s EIN 271539285
Plan administrator’s name PARTNERS MEDICAL CLINIC LLC
Plan administrator’s address 431 S 5TH ST, GADSDEN, AL, 35901
Administrator’s telephone number 2565473822

Signature of
Role Plan administrator
Date 2021-05-25
Name of individual signing JIMMY OGUNTUYO
PARTNERS MEDICAL CLINIC LLC 401(K) P/S PLAN 2019 271539285 2020-04-27 PARTNERS MEDICAL CLINIC LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 2565473822
Plan sponsor’s address 3549 JULIE ST, RAINBOW CITY, AL, 35906

Plan administrator’s name and address
Administrator’s EIN 271539285
Plan administrator’s name PARTNERS MEDICAL CLINIC LLC
Plan administrator’s address 3549 JULIE ST, RAINBOW CITY, AL, 35906
Administrator’s telephone number 2565473822

Signature of
Role Plan administrator
Date 2020-04-27
Name of individual signing JIMMY OGUNTUYO
PARTNERS MEDICAL CLINIC LLC 401(K) P/S PLAN 2018 271539285 2019-05-13 PARTNERS MEDICAL CLINIC LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 2565473822
Plan sponsor’s address 3549 JULIE ST, RAINBOW CITY, AL, 35906

Plan administrator’s name and address
Administrator’s EIN 271539285
Plan administrator’s name PARTNERS MEDICAL CLINIC LLC
Plan administrator’s address 3549 JULIE ST, RAINBOW CITY, AL, 35906
Administrator’s telephone number 2565473822

Signature of
Role Plan administrator
Date 2019-05-13
Name of individual signing JIMMY OGUNTUYO
PARTNERS MEDICAL CLINIC LLC 401(K) P/S PLAN 2017 271539285 2018-07-09 PARTNERS MEDICAL CLINIC LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 622000
Sponsor’s telephone number 2565473822
Plan sponsor’s address 3549 JULIE ST, RAINBOW CITY, AL, 35906

Plan administrator’s name and address
Administrator’s EIN 271539285
Plan administrator’s name PARTNERS MEDICAL CLINIC LLC
Plan administrator’s address 3549 JULIE ST, RAINBOW CITY, AL, 35906
Administrator’s telephone number 2565473822

Signature of
Role Plan administrator
Date 2018-07-09
Name of individual signing JIMMY OGUNTUYO
PARTNERS MEDICAL CLINIC LLC 401(K) P/S PLAN 2016 271539285 2017-05-12 PARTNERS MEDICAL CLINIC LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 2565473822
Plan sponsor’s address 3549 JULIE ST, RAINBOW CITY, AL, 35906

Plan administrator’s name and address
Administrator’s EIN 271539285
Plan administrator’s name PARTNERS MEDICAL CLINIC LLC
Plan administrator’s address 3549 JULIE ST, RAINBOW CITY, AL, 35906
Administrator’s telephone number 2565473822

Signature of
Role Plan administrator
Date 2017-05-12
Name of individual signing JIMMY OGUNTUYO
PARTNERS MEDICAL CLINIC LLC 401(K) P/S PLAN 2015 271539285 2016-11-17 PARTNERS MEDICAL CLINIC LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 2565473822
Plan sponsor’s address 3549 JULIE ST, RAINBOW CITY, AL, 35906

Plan administrator’s name and address
Administrator’s EIN 271539285
Plan administrator’s name PARTNERS MEDICAL CLINIC LLC
Plan administrator’s address 3549 JULIE ST, RAINBOW CITY, AL, 35906
Administrator’s telephone number 2565473822

Signature of
Role Plan administrator
Date 2016-11-17
Name of individual signing JIMMY OGUNTUYO
PARTNERS MEDICAL CLINIC LLC 401(K) P/S PLAN 2014 271539285 2015-07-06 PARTNERS MEDICAL CLINIC LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 541990
Sponsor’s telephone number 2565473822
Plan sponsor’s address 3549 JULIE ST, RAINBOW CITY, AL, 35906

Plan administrator’s name and address
Administrator’s EIN 271539285
Plan administrator’s name PARTNERS MEDICAL CLINIC LLC
Plan administrator’s address 3549 JULIE ST, RAINBOW CITY, AL, 35906
Administrator’s telephone number 2565473822

Signature of
Role Plan administrator
Date 2015-07-06
Name of individual signing JIMMY OGUNTUYO

Agent

Name Role
NATIONAL REGISTERED AGENTS INC Agent

Member

Name Role
OGUNTUYO, JIMMY ADESOLA Member

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5822617100 2020-04-14 0459 PPP 3549 JULIE ST, RAINBOW CITY, AL, 35906-8626
Loan Status Date 2021-03-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 42600
Loan Approval Amount (current) 42600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 440693
Servicing Lender Name River Bank & Trust
Servicing Lender Address 2611 Legends Dr, PRATTVILLE, AL, 36066-7761
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address RAINBOW CITY, ETOWAH, AL, 35906-8626
Project Congressional District AL-04
Number of Employees 4
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 440693
Originating Lender Name River Bank & Trust
Originating Lender Address PRATTVILLE, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 42955
Forgiveness Paid Date 2021-02-17
8063138303 2021-01-29 0459 PPS 431 S 5th St, Gadsden, AL, 35901-5101
Loan Status Date 2022-03-17
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 42677.5
Loan Approval Amount (current) 42677.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 440693
Servicing Lender Name River Bank & Trust
Servicing Lender Address 2611 Legends Dr, PRATTVILLE, AL, 36066-7761
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Gadsden, ETOWAH, AL, 35901-5101
Project Congressional District AL-04
Number of Employees 5
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 440693
Originating Lender Name River Bank & Trust
Originating Lender Address PRATTVILLE, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 43101.9
Forgiveness Paid Date 2022-01-28

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MONTGOMERY, AL

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2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104

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Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State

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