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Medical Associates of Vicksburg PLLC

Company Details

Name: Medical Associates of Vicksburg PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 30 Apr 2014 (11 years ago)
Business ID: 1040707
ZIP code: 39180
County: Warren
State of Incorporation: MISSISSIPPI
Principal Office Address: 2080 South Frontage Road Suite 100Vicksburg, MS 39180

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDICAL ASSOCIATES OF VICKSBURG, PLLC 401(K) PLAN 2023 465541802 2024-10-14 MEDICAL ASSOCIATES OF VICKSBURG, PLLC 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6012621000
Plan sponsor’s address 2080 S FRONTAGE ROAD, STE 100, VICKSBURG, MS, 39180
MEDICAL ASSOCIATES OF VICKSBURG, PLLC 401(K) PLAN 2022 465541802 2023-10-12 MEDICAL ASSOCIATES OF VICKSBURG, PLLC 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6012621000
Plan sponsor’s address 2080 S FRONTAGE ROAD, STE 100, VICKSBURG, MS, 39180
MEDICAL ASSOCIATES OF VICKSBURG, PLLC 401(K) PLAN 2021 465541802 2022-10-12 MEDICAL ASSOCIATES OF VICKSBURG, PLLC 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6012621000
Plan sponsor’s address 2080 S FRONTAGE ROAD, STE 100, VICKSBURG, MS, 39180
MEDICAL ASSOCIATES OF VICKSBURG, PLLC 401(K) PLAN 2020 465541802 2021-10-28 MEDICAL ASSOCIATES OF VICKSBURG, PLLC 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6012621000
Plan sponsor’s address 2080 S FRONTAGE ROAD, STE 100, VICKSBURG, MS, 39180
MEDICAL ASSOCIATES OF VICKSBURG, PLLC 401(K) PLAN 2019 465541802 2020-10-15 MEDICAL ASSOCIATES OF VICKSBURG, PLLC 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6012621000
Plan sponsor’s address 2080 S FRONTAGE ROAD, STE 100, VICKSBURG, MS, 39180
MEDICAL ASSOCIATES OF VICKSBURG, PLLC 401(K) PLAN 2018 465541802 2019-10-14 MEDICAL ASSOCIATES OF VICKSBURG, PLLC 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6012621000
Plan sponsor’s address 2080 I-20 SOUTH FRONTAGE ROAD, VICKSBURG, MS, 39180
MEDICAL ASSOCIATES OF VICKSBURG, PLLC 401(K) PLAN 2017 465541802 2018-07-13 MEDICAL ASSOCIATES OF VICKSBURG, PLLC 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6012621000
Plan sponsor’s address 2080 I-20 SOUTH FRONTAGE ROAD, VICKSBURG, MS, 39180
MEDICAL ASSOCIATES OF VICKSBURG, PLLC 401(K) PLAN 2016 465541802 2017-07-10 MEDICAL ASSOCIATES OF VICKSBURG, PLLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6012621000
Plan sponsor’s address 2080 I-20 SOUTH FRONTAGE ROAD, VICKSBURG, MS, 39180
MEDICAL ASSOCIATES OF VICKSBURG, PLLC 401(K) PLAN 2015 465541802 2016-07-25 MEDICAL ASSOCIATES OF VICKSBURG, PLLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 6012621000
Plan sponsor’s address 2080 SOUTH FRONTAGE ROAD, VICKSBURG, MS, 39180

Manager

Name Role Address
Samuel L. Pierce MD Manager 2080 South Frontage Road, Vicksburg, MS 39180-5328
Todd A Boolos Manager 1007 Mission Park Drive, Vicksburg, MS 39180

Member

Name Role Address
Samuel L. Pierce MD Member 2080 South Frontage Road, Vicksburg, MS 39180-5328

Agent

Name Role Address
Boolos, Todd A Agent 1007 Mission Park Drive, Vicksburg, MS 39180-3763

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-19 Annual Report For Medical Associates of Vicksburg PLLC
Annual Report LLC Filed 2024-02-03 Annual Report For Medical Associates of Vicksburg PLLC
Annual Report LLC Filed 2023-01-31 Annual Report For Medical Associates of Vicksburg PLLC
Annual Report LLC Filed 2022-02-02 Annual Report For Medical Associates of Vicksburg PLLC
Annual Report LLC Filed 2021-02-23 Annual Report For Medical Associates of Vicksburg PLLC
Annual Report LLC Filed 2020-02-05 Annual Report For Medical Associates of Vicksburg PLLC
Annual Report LLC Filed 2019-02-05 Annual Report For Medical Associates of Vicksburg PLLC
Annual Report LLC Filed 2018-01-21 Annual Report For Medical Associates of Vicksburg PLLC
Annual Report LLC Filed 2017-01-24 Annual Report For Medical Associates of Vicksburg PLLC
Annual Report LLC Filed 2016-02-29 Annual Report For Medical Associates of Vicksburg PLLC

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2765957107 2020-04-11 0470 PPP 2080 S FRONTAGE RD, VICKSBURG, MS, 39180-5265
Loan Status Date 2021-01-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 571220
Loan Approval Amount (current) 571220
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39334
Servicing Lender Name Trustmark National Bank
Servicing Lender Address 248 E Capitol St, JACKSON, MS, 39201-2503
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address VICKSBURG, WARREN, MS, 39180-5265
Project Congressional District MS-02
Number of Employees 53
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39334
Originating Lender Name Trustmark National Bank
Originating Lender Address JACKSON, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 574361.71
Forgiveness Paid Date 2020-11-05

Date of last update: 28 Mar 2025

Sources: Mississippi Secretary of State