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Physicians' Pain and Spine Specialists, PLLC

Company Details

Name: Physicians' Pain and Spine Specialists, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 08 Oct 2013 (11 years ago)
Business ID: 1029273
ZIP code: 39503
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 17132 Excalibur Circle, 17132 Excalibur CircleGulfport, MS 39503

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2023 461830250 2024-10-15 PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2483425207
Plan sponsor’s address 14986 ANGELA DRIVE, GULFPORT, MS, 39503

Signature of

Role Plan administrator
Date 2024-10-15
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-15
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC DEFINED BENEFIT PLAN 2023 461830250 2024-10-15 PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2483425207
Plan sponsor’s address 14986 ANGELA DRIVE, GULFPORT, MS, 39503

Signature of

Role Plan administrator
Date 2024-10-15
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-15
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2022 461830250 2023-08-08 PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2483425207
Plan sponsor’s address 14986 ANGELA DRIVE, GULFPORT, MS, 39503

Signature of

Role Plan administrator
Date 2023-08-08
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-08
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC DEFINED BENEFIT PLAN 2022 461830250 2023-08-08 PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2483425207
Plan sponsor’s address 14986 ANGELA DRIVE, GULFPORT, MS, 39503

Signature of

Role Plan administrator
Date 2023-08-08
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-08
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2021 461830250 2022-10-04 PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2483425207
Plan sponsor’s address 14986 ANGELA DRIVE, GULFPORT, MS, 39503

Signature of

Role Plan administrator
Date 2022-10-04
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-04
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC DEFINED BENEFIT PLAN 2021 461830250 2022-10-04 PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2483425207
Plan sponsor’s address 14986 ANGELA DRIVE, GULFPORT, MS, 39503

Signature of

Role Plan administrator
Date 2022-10-04
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-04
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2020 461830250 2021-10-13 PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2483425207
Plan sponsor’s address 14986 ANGELA DRIVE, GULFPORT, MS, 39503

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC DEFINED BENEFIT PLAN 2020 461830250 2021-10-13 PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2483425207
Plan sponsor’s address 14986 ANGELA DRIVE, GULFPORT, MS, 39503

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC DEFINED BENEFIT PLAN 2019 461830250 2020-07-24 PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2483425207
Plan sponsor’s address 14986 ANGELA DRIVE, GULFPORT, MS, 39503

Signature of

Role Plan administrator
Date 2020-07-24
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-24
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
PHYSICIANS PAIN & SPINE SPECIALISTS, PLLC 401(K) PROFIT SHARING PLAN 2019 461830250 2020-07-21 PHYSICIANS' PAIN AND SPINE SPECIALISTS, PLLC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2483425207
Plan sponsor’s address 14986 ANGELA DRIVE, GULFPORT, MS, 39503

Signature of

Role Plan administrator
Date 2020-07-21
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-21
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/08/20/20190820092733P030000440341001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2483425207
Plan sponsor’s address 14986 ANGELA DRIVE, GULFPORT, MS, 39503

Signature of

Role Plan administrator
Date 2019-08-20
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-20
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/08/20/20190820093119P030005826193001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2483425207
Plan sponsor’s address 14986 ANGELA DRIVE, GULFPORT, MS, 39503

Signature of

Role Plan administrator
Date 2019-08-20
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-20
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/30/20180730120922P030091191927001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2483425207
Plan sponsor’s address 14986 ANGELA DRIVE, GULFPORT, MS, 39503

Signature of

Role Plan administrator
Date 2018-07-30
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-30
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/05/20180705170559P040038928919001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2483425207
Plan sponsor’s address 14986 ANGELA DRIVE, GULFPORT, MS, 39503

Signature of

Role Plan administrator
Date 2018-07-05
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-05
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/30/20180730125834P040003955029001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2483425207
Plan sponsor’s address 14986 ANGELA DRIVE, GULFPORT, MS, 39503

Signature of

Role Plan administrator
Date 2018-07-30
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-30
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/08/25/20170825131742P030098014263001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2483425207
Plan sponsor’s address 14986 ANGELA DRIVE, GULFPORT, MS, 39503

Signature of

Role Plan administrator
Date 2017-08-25
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-25
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/08/23/20170823143913P040096146007001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2016-10-01
Business code 621111
Sponsor’s telephone number 2483425207
Plan sponsor’s address 14986 ANGELA DRIVE, GULFPORT, MS, 39503

Signature of

Role Plan administrator
Date 2017-08-23
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-23
Name of individual signing SHAWN WU
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Wu, Shawn X Agent 17132 Excalibur Circle, Gulfport, MS 39503

Manager

Name Role Address
Shawn X. Wu MD Manager 17132 Excalibur Circle, Gulfport, MS 39503

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-02-12 Annual Report For Physicians' Pain and Spine Specialists, PLLC
Annual Report LLC Filed 2023-04-02 Annual Report For Physicians' Pain and Spine Specialists, PLLC
Annual Report LLC Filed 2022-04-10 Annual Report For Physicians' Pain and Spine Specialists, PLLC
Annual Report LLC Filed 2021-01-27 Annual Report For Physicians' Pain and Spine Specialists, PLLC
Annual Report LLC Filed 2020-03-07 Annual Report For Physicians' Pain and Spine Specialists, PLLC
Annual Report LLC Filed 2019-03-10 Annual Report For Physicians' Pain and Spine Specialists, PLLC
Annual Report LLC Filed 2018-01-31 Annual Report For Physicians' Pain and Spine Specialists, PLLC
Annual Report LLC Filed 2017-04-05 Annual Report For Physicians' Pain and Spine Specialists, PLLC
Annual Report LLC Filed 2016-04-10 Annual Report For Physicians' Pain and Spine Specialists, PLLC
Annual Report LLC Filed 2015-06-04 Annual Report For Physicians' Pain and Spine Specialists, PLLC

Date of last update: 10 Jan 2025

Sources: Mississippi Secretary of State