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Pediatric Healthcare, LLC

Details

Name: Pediatric Healthcare, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 30 Dec 1997 (27 years ago)
Entity Number: 000-658-449
Register Number: 000658449
ZIP code: 36111
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 3054 MCGEHEE ROADMONTGOMERY, AL 36111

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437238474 2006-11-02 2022-07-21 4700 WOODMERE BLVD, MONTGOMERY, AL, 361063065, US 4700 WOODMERE BLVD, MONTGOMERY, AL, 361063065, US

Contacts

Phone +1 334-273-9700
Fax 3342739788

Authorized person

Name DR. MARTIN GLOVER
Role OWNER
Phone 3342739700

Taxonomy

Taxonomy Code 282NC2000X - Children's Hospital
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2023 631190786 2024-06-10 PEDIATRIC HEALTHCARE, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BOULEVARD, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2024-06-10
Name of individual signing DENSLOW TRUMBULL, III
Role Employer/plan sponsor
Date 2024-06-10
Name of individual signing DENSLOW TRUMBULL, III
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2022 631190786 2023-10-10 PEDIATRIC HEALTHCARE, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BOULEVARD, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2023-10-09
Name of individual signing DENSLOW TRUMBULL, III
Role Employer/plan sponsor
Date 2023-10-09
Name of individual signing DENSLOW TRUMBULL, III
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2021 631190786 2022-09-29 PEDIATRIC HEALTHCARE, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BOULEVARD, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2022-09-29
Name of individual signing DENSLOW TRUMBULL
Role Employer/plan sponsor
Date 2022-09-29
Name of individual signing DEN TRUMBULL
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2020 631190786 2021-10-13 PEDIATRIC HEALTHCARE, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BOULEVARD, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing DENSLOW TRUMBULL
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2020 631190786 2021-10-13 PEDIATRIC HEALTHCARE, LLC 21
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BOULEVARD, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing DENSLOW TRUMBULL
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2019 631190786 2020-10-07 PEDIATRIC HEALTHCARE, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BOULEVARD, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2020-10-07
Name of individual signing DENSLOW TRUMBULL
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2018 631190786 2019-09-24 PEDIATRIC HEALTHCARE, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BOULEVARD, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2019-09-24
Name of individual signing DENSLOW TRUMBULL
Role Employer/plan sponsor
Date 2019-09-24
Name of individual signing DENSLOW TRUMBULL
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2017 631190786 2018-07-09 PEDIATRIC HEALTHCARE, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BLVD., MONTGOMERY, AL, 361063065

Signature of

Role Plan administrator
Date 2018-05-30
Name of individual signing DENSLOW TRUMBULL
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2016 631190786 2017-05-16 PEDIATRIC HEALTHCARE, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BLVD., MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2017-05-02
Name of individual signing DENSLOW TRUMBULL
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2015 631190786 2016-06-16 PEDIATRIC HEALTHCARE, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BLVD., MONTGOMERY, AL, 361063065

Signature of

Role Plan administrator
Date 2016-06-16
Name of individual signing DENSLOW TRUMBULL

Agent

Name Role
GLOVER, MARTIN C Agent

Member

Name Role
MARTIN C GLOVER MD LLC Member
DAVID L MORRISON MD LLC Member
DENSLOW A TRUMBULL III MD LLC Member

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6667848807 2021-04-20 0459 PPS 4700 Woodmere Blvd, Montgomery, AL, 36106-3065
Loan Status Date 2022-02-15
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 127965
Loan Approval Amount (current) 127965
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19248
Servicing Lender Name Synovus Bank
Servicing Lender Address 1148 Broadway, COLUMBUS, GA, 31901-2429
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Montgomery, MONTGOMERY, AL, 36106-3065
Project Congressional District AL-02
Number of Employees 12
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 19248
Originating Lender Name Synovus Bank
Originating Lender Address COLUMBUS, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 128887.05
Forgiveness Paid Date 2022-01-11
5229837106 2020-04-13 0459 PPP 4700 Woodmere BLVD, MONTGOMERY, AL, 36106-3065
Loan Status Date 2021-04-20
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 228982
Loan Approval Amount (current) 228982
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19248
Servicing Lender Name Synovus Bank
Servicing Lender Address 1148 Broadway, COLUMBUS, GA, 31901-2429
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MONTGOMERY, MONTGOMERY, AL, 36106-3065
Project Congressional District AL-02
Number of Employees 14
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 19248
Originating Lender Name Synovus Bank
Originating Lender Address COLUMBUS, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 231002.06
Forgiveness Paid Date 2021-03-03

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State