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MISS LOU Lithotripsy, LLC

Company Details

Name: MISS LOU Lithotripsy, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 30 Dec 2013 (11 years ago)
Business ID: 1033409
ZIP code: 39183
County: Warren
State of Incorporation: MISSISSIPPI
Principal Office Address: 106 Lakewood HillsVicksburg, MS 39183

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MISS LOU LITHOTRIPSY, LLC PROFIT SHARING PLAN 2023 464251659 2024-09-20 MISS LOU LITHOTRIPSY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 339110
Sponsor’s telephone number 6016297617
Plan sponsor’s address 106 LAKEWOOD HILLS, VICKSBURG, MS, 39180
MISS LOU LITHOTRIPSY, LLC PROFIT SHARING PLAN 2022 464251659 2023-06-05 MISS LOU LITHOTRIPSY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 339110
Sponsor’s telephone number 6016297617
Plan sponsor’s address 110 MONUMENT PLACE, VICKSBURG, MS, 39180
MISS LOU LITHOTRIPSY, LLC PROFIT SHARING PLAN 2021 464251659 2022-09-21 MISS LOU LITHOTRIPSY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 339110
Sponsor’s telephone number 6016297617
Plan sponsor’s address 110 MONUMENT PLACE, VICKSBURG, MS, 39180
MISS LOU LITHOTRIPSY, LLC PROFIT SHARING PLAN 2020 464251659 2021-09-08 MISS LOU LITHOTRIPSY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 339110
Sponsor’s telephone number 6016297617
Plan sponsor’s address 110 MONUMENT PLACE, VICKSBURG, MS, 39180
MISS LOU LITHOTRIPSY, LLC PROFIT SHARING PLAN 2019 464251659 2020-10-14 MISS LOU LITHOTRIPSY, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 339110
Sponsor’s telephone number 6016297617
Plan sponsor’s address 110 MONUMENT PLACE, VICKSBURG, MS, 39180

Agent

Name Role Address
Fagan, John David Agent 106 Lakewood Hills, Vicksburg, MS 39180

Organizer

Name Role Address
R. E. Parker Jr Organizer 1110 Jackson StreetPO Box 1237, Vicksburg, MS 39181

Member

Name Role Address
John David Fagan MD Member 106 Lakewood Hills, Vicksburg, MS 39180
Robert Lee Humble MD Member 4200 Addline Lane, Monroe, LA 71201-2173

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-30 Annual Report For MISS LOU Lithotripsy, LLC
Annual Report LLC Filed 2024-02-12 Annual Report For MISS LOU Lithotripsy, LLC
Annual Report LLC Filed 2023-03-28 Annual Report For MISS LOU Lithotripsy, LLC
Annual Report LLC Filed 2022-03-01 Annual Report For MISS LOU Lithotripsy, LLC
Annual Report LLC Filed 2021-03-23 Annual Report For MISS LOU Lithotripsy, LLC
Annual Report LLC Filed 2020-03-23 Annual Report For MISS LOU Lithotripsy, LLC
Annual Report LLC Filed 2019-03-23 Annual Report For MISS LOU Lithotripsy, LLC
Annual Report LLC Filed 2018-02-04 Annual Report For MISS LOU Lithotripsy, LLC
Annual Report LLC Filed 2017-03-28 Annual Report For MISS LOU Lithotripsy, LLC
Annual Report LLC Filed 2016-03-25 Annual Report For MISS LOU Lithotripsy, LLC

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7323757101 2020-04-14 0470 PPP 106 LAKEWOOD HLS, VICKSBURG, MS, 39180
Loan Status Date 2022-02-18
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 20832.5
Loan Approval Amount (current) 20832.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188567
Servicing Lender Name Loan Source Incorporated
Servicing Lender Address 353 East 83rd Street Suite 3H, NEW YORK, NY, 10028
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address VICKSBURG, WARREN, MS, 39180-0003
Project Congressional District MS-02
Number of Employees 1
NAICS code 531390
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39848
Originating Lender Name Cadence Bank
Originating Lender Address TUPELO, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 21185.8
Forgiveness Paid Date 2022-01-04

Date of last update: 28 Mar 2025

Sources: Mississippi Secretary of State