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  5. Ivancic Pediatric Clinic PA

Ivancic Pediatric Clinic PA

Company Details

Name: Ivancic Pediatric Clinic PA
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 23 Sep 2014 (10 years ago)
Business ID: 1052267
ZIP code: 38801
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: 499 Gloster Creek Village, Suite H-3Tupelo, MS 38801

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
IVANCIC PEDIATRIC CLINIC PA 401(K) PLAN 2023 472215408 2024-07-25 IVANCIC PEDIATRIC CLINIC PA 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6628406026
Plan sponsor’s address 499 GLOSTER CREEK VILLAGE, STE H-3, TUPELO, MS, 38801

Signature of
Role Plan administrator
Date 2024-07-25
Name of individual signing MITZI PARSONS
Valid signature Filed with authorized/valid electronic signature
IVANCIC PEDIATRIC CLINIC PA 401(K) PLAN 2022 472215408 2023-10-05 IVANCIC PEDIATRIC CLINIC PA 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6628406026
Plan sponsor’s address 499 GLOSTER CREEK VILLAGE, STE H-3, TUPELO, MS, 38801

Signature of
Role Plan administrator
Date 2023-10-05
Name of individual signing MITZI PARSONS
Valid signature Filed with authorized/valid electronic signature
IVANCIC PEDIATRIC CLINIC PA 401(K) PLAN 2021 472215408 2022-10-05 IVANCIC PEDIATRIC CLINIC PA 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6628406026
Plan sponsor’s address 499 GLOSTER CREEK VILLAGE, STE H-3, TUPELO, MS, 38801

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing MITZI PARSONS
Valid signature Filed with authorized/valid electronic signature
IVANCIC PEDIATRIC CLINIC PA 401(K) PLAN 2020 472215408 2021-09-17 IVANCIC PEDIATRIC CLINIC PA 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6628406026
Plan sponsor’s address 499 GLOSTER CREEK VILLAGE, STE H-3, TUPELO, MS, 38801

Signature of
Role Plan administrator
Date 2021-09-17
Name of individual signing MITZI PARSONS
Valid signature Filed with authorized/valid electronic signature
IVANCIC PEDIATRIC CLINIC PA 401(K) PLAN 2019 472215408 2020-09-23 IVANCIC PEDIATRIC CLINIC PA 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6628406026
Plan sponsor’s address 499 GLOSTER CREEK VILLAGE, STE H-3, TUPELO, MS, 38801

Signature of
Role Plan administrator
Date 2020-09-23
Name of individual signing MITZI PARSONS
Valid signature Filed with authorized/valid electronic signature
IVANCIC PEDIATRIC CLINIC PA 401(K) PLAN 2018 472215408 2019-09-19 IVANCIC PEDIATRIC CLINIC PA 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6628406026
Plan sponsor’s address 499 GLOSTER CREEK VILLAGE, STE H-3, TUPELO, MS, 38801

Signature of
Role Plan administrator
Date 2019-09-19
Name of individual signing MITZI PARSONS
Valid signature Filed with authorized/valid electronic signature
IVANCIC PEDIATRIC CLINIC PA 401(K) PLAN 2017 472215408 2018-06-01 IVANCIC PEDIATRIC CLINIC PA 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6628406026
Plan sponsor’s address 499 GLOSTER CREEK VILLAGE, STE H-3, TUPELO, MS, 38801

Signature of
Role Plan administrator
Date 2018-06-01
Name of individual signing MITZI PARSONS
Valid signature Filed with authorized/valid electronic signature
IVANCIC PEDIATRIC CLINIC PA 401(K) PLAN 2016 472215408 2017-01-31 IVANCIC PEDIATRIC CLINIC PA 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 6628406026
Plan sponsor’s address 499 GLOSTER CREEK VILLAGE, STE H-3, TUPELO, MS, 38801

Signature of
Role Plan administrator
Date 2017-01-31
Name of individual signing MITZI PARSONS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Norma Carr Ruff Agent 363 North Broadway, P.O. Box 496, Tupelo, MS 38802-0496

Incorporator

Name Role Address
M. Edward Ivancic MD Incorporator c/o P.O. Box 496, Tupelo, MS 38802-0496

President

Name Role Address
Milan Edward Ivancic MD President 499 Gloster Creek Village, Suite H-3, Tupelo, MS 38801

Vice President

Name Role Address
Alexa Nicole Currey MD Vice President 499 Gloster Creek Village, Suite H-3, Tupelo, MS 38801

Filings

Type Status Filed Date Description
Annual Report Filed 2024-03-21 Annual Report For Ivancic Pediatric Clinic PA
Annual Report Filed 2023-04-13 Annual Report For Ivancic Pediatric Clinic PA
Annual Report Filed 2022-02-10 Annual Report For Ivancic Pediatric Clinic PA
Annual Report Filed 2021-01-25 Annual Report For Ivancic Pediatric Clinic PA
Annual Report Filed 2020-02-10 Annual Report For Ivancic Pediatric Clinic PA
Annual Report Filed 2019-02-27 Annual Report For Ivancic Pediatric Clinic PA
Annual Report Filed 2018-04-04 Annual Report For Ivancic Pediatric Clinic PA
Annual Report Filed 2017-02-20 Annual Report For Ivancic Pediatric Clinic PA
Annual Report Filed 2016-02-24 Annual Report For Ivancic Pediatric Clinic PA
Annual Report Filed 2015-06-05 Annual Report For Ivancic Pediatric Clinic PA

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Norma Carr Ruff

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Related by address

No related companies by address

Date of last update: 11 Jan 2025

Sources: Mississippi Secretary of State

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