| Name: | Premier Women's Health, PLLC |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Limited Liability Company |
| Status: | Good Standing |
| Effective Date: | 03 Sep 2013 (11 years ago) |
| Business ID: | 1027318 |
| ZIP code: | 39503 |
| County: | Harrison |
| State of Incorporation: | MISSISSIPPI |
| Principal Office Address: | 14231 SEAWAY ROAD #3004GULFPORT, MS 39503 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PREMIER WOMEN'S HEALTH PLLC MEDOVA LIFESTYLE HEALTH PLAN | 2021 | 463589979 | 2024-08-20 | PREMIER WOMEN'S HEALTH PLLC | 0 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 200200514 |
| Plan administrator’s name | RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s address | 510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number | 6153700051 |
Signature of
| Role | Plan administrator |
| Date | 2024-08-16 |
| Name of individual signing | ROBERT MOORE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2020-10-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2282061905 |
| Plan sponsor’s address | 14231 SEAWAY RD STE 3004, GULFPORT, MS, 395034653 |
Plan administrator’s name and address
| Administrator’s EIN | 200200514 |
| Plan administrator’s name | RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s address | 510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number | 6153700051 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-13 |
| Name of individual signing | ROBERT MOORE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Donielle Daigle, MD, PLLC | Member | 14231 SEAWAY ROAD #3004, GULFPORT, MS 39503 |
| K. Brooke Shoultz | Member | 365 Lakeview Blvd. ( Biloxi 39531)PO Box 7353, Gulfport, MS 39506 |
| Name | Role | Address |
|---|---|---|
| Shoultz, K. Brooke | Agent | 365 Lakeview Blvd. ( Biloxi 39531);PO Box 7353, Gulfport, MS 39506 |
| Name | Role | Address |
|---|---|---|
| K Brooke Shoultz | Organizer | 365 LAKEVIEW BLVD. ( BILOXI 39531)PO BOX 7353, GULFPORT, MS 39506 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Annual Report LLC | Filed | 2024-02-20 | Annual Report For Premier Women's Health, PLLC |
| Annual Report LLC | Filed | 2023-04-12 | Annual Report For Premier Women's Health, PLLC |
| Annual Report LLC | Filed | 2022-03-28 | Annual Report For Premier Women's Health, PLLC |
| Annual Report LLC | Filed | 2021-03-15 | Annual Report For Premier Women's Health, PLLC |
| Annual Report LLC | Filed | 2020-04-12 | Annual Report For Premier Women's Health, PLLC |
| Annual Report LLC | Filed | 2019-04-14 | Annual Report For Premier Women's Health, PLLC |
| Annual Report LLC | Filed | 2018-04-11 | Annual Report For Premier Women's Health, PLLC |
| Annual Report LLC | Filed | 2017-03-20 | Annual Report For Premier Women's Health, PLLC |
| Annual Report LLC | Filed | 2016-03-29 | Annual Report For Premier Women's Health, PLLC |
| Annual Report LLC | Filed | 2015-04-03 | Annual Report For Premier Women's Health, PLLC |
Date of last update: 10 Jan 2025
Sources: Mississippi Secretary of State
