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  5. Biloxi Ob-Gyn Clinic, P. A.

Biloxi Ob-Gyn Clinic, P. A.

Company Details

Name: Biloxi Ob-Gyn Clinic, P. A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 16 Aug 1979 (45 years ago)
Business ID: 105597
ZIP code: 39530
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 147 REYNOIR STREET, SUITE 105, 147 REYNOIR STREET, SUITE 105BILOXI, MS 39530

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BILOXI OB-GYN CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2022 640629286 2023-06-02 BILOXI OB-GYN CLINIC, P.A. 23
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1979-09-01
Business code 621111
Sponsor’s telephone number 2284366658
Plan sponsor’s address 147 REYNOIR ST. STE. 105, BILOXI, MS, 39530

Signature of
Role Plan administrator
Date 2023-06-02
Name of individual signing LATISHA M WISNIEWSKI
Valid signature Filed with authorized/valid electronic signature
BILOXI OB-GYN CLINIC, P. A. 2022 640629286 2023-09-28 BILOXI OB-GYN CLINIC, P.A. 20
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1979-09-01
Business code 621111
Sponsor’s telephone number 2284366658
Plan sponsor’s address 147 REYNOIR ST. STE. 105, BILOXI, MS, 39530

Signature of
Role Plan administrator
Date 2023-09-28
Name of individual signing LATISHA M WISNIEWSKI
Valid signature Filed with authorized/valid electronic signature
BILOXI OB-GYN CLINIC, P. A. 401(K) PROFIT SHARING PLAN 2022 640629286 2023-10-17 BILOXI OB-GYN CLINIC, P.A. 20
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1979-09-01
Business code 621111
Sponsor’s telephone number 2284366658
Plan sponsor’s address 147 REYNOIR ST. STE. 105, BILOXI, MS, 39530

Signature of
Role Plan administrator
Date 2023-10-17
Name of individual signing LATISHA M WISNIEWSKI
Valid signature Filed with authorized/valid electronic signature
BILOXI OB-GYN CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2021 640629286 2022-07-26 BILOXI OB-GYN CLINIC, P.A. 25
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1979-09-01
Business code 621111
Sponsor’s telephone number 2284366658
Plan sponsor’s address 147 REYNOIR ST. STE. 105, BILOXI, MS, 39530

Signature of
Role Plan administrator
Date 2022-07-26
Name of individual signing LATISHA M WISNIEWSKI
Valid signature Filed with authorized/valid electronic signature
BILOXI OB-GYN CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2020 640629286 2021-07-28 BILOXI OB-GYN CLINIC, P.A. 28
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1979-09-01
Business code 621111
Sponsor’s telephone number 2284366658
Plan sponsor’s address 147 REYNOIR ST. STE. 105, BILOXI, MS, 39530

Signature of
Role Plan administrator
Date 2021-07-28
Name of individual signing LATISHA WISNIEWSKI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-28
Name of individual signing LATISHA WISNIEWSKI
Valid signature Filed with authorized/valid electronic signature
BILOXI OB-GYN CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2019 640629286 2020-09-18 BILOXI OB-GYN CLINIC, P.A. 21
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1979-09-01
Business code 621111
Sponsor’s telephone number 2284366658
Plan sponsor’s address 147 REYNOIR ST. STE. 105, BILOXI, MS, 39530

Signature of
Role Plan administrator
Date 2020-09-18
Name of individual signing LATISHA WISNIEWSKI
Valid signature Filed with authorized/valid electronic signature
BILOXI OB-GYN CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2018 640629286 2019-06-04 BILOXI OB-GYN CLINIC, P.A. 21
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1979-09-01
Business code 621111
Sponsor’s telephone number 2284366658
Plan sponsor’s address 147 REYNOIR ST. STE. 105, BILOXI, MS, 39530

Signature of
Role Plan administrator
Date 2019-06-04
Name of individual signing LATISHA WISNIEWSKI
Valid signature Filed with authorized/valid electronic signature
BILOXI OB-GYN CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2017 640629286 2018-06-14 BILOXI OB-GYN CLINIC, P.A. 20
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1979-09-01
Business code 621111
Sponsor’s telephone number 2284366658
Plan sponsor’s address 147 REYNOIR ST, STE 105, BILOXI, MS, 39530

Signature of
Role Plan administrator
Date 2018-06-14
Name of individual signing LATISHA WISNIEWSKI
Valid signature Filed with authorized/valid electronic signature
BILOXI OB-GYN CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2016 640629286 2017-05-04 BILOXI OB-GYN CLINIC, P.A. 21
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1979-09-01
Business code 621111
Sponsor’s telephone number 2284366658
Plan sponsor’s address 147 REYNOIR ST, SUITE 105, BILOXI, MS, 39530

Signature of
Role Plan administrator
Date 2017-05-04
Name of individual signing LATISHA WISNIEWSKI
Valid signature Filed with authorized/valid electronic signature
BILOXI OB-GYN, P. A. 401(K) PROFIT SHARING PLAN 2015 640629286 2016-06-21 BILOXI OB-GYN CLINIC, P.A. 21
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1979-09-01
Business code 621111
Sponsor’s telephone number 2284366658
Plan sponsor’s address 147 REYNOIR ST., SUITE 105, BILOXI, MS, 39530

Signature of
Role Plan administrator
Date 2016-06-21
Name of individual signing LATISHA WISNIEWSKI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/08/20150708080405P030085471687001.pdf
Three-digit plan number (PN) 004
Effective date of plan 1979-09-01
Business code 621111
Sponsor’s telephone number 2284366658
Plan sponsor’s address 147 REYNOIR ST., SUITE 105, BILOXI, MS, 39530

Signature of
Role Plan administrator
Date 2015-07-08
Name of individual signing LATISHA WISNIEWSKI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/15/20141015111524P030020867245001.pdf
Three-digit plan number (PN) 004
Effective date of plan 1979-09-01
Business code 621111
Sponsor’s telephone number 2284366658
Plan sponsor’s address 147 REYNOIR ST., SUITE 105, BILOXI, MS, 39530

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing LATISHA WISNIEWSKI
Valid signature Filed with authorized/valid electronic signature

President

Name Role Address
John H Mallett President P.O. Box 917, Biloxi, MS 39533

Agent

Name Role Address
JOHN H MALLETT Agent 147 REYNOIR ST #105, 105, BILOXI, MS 39530-4109

Filings

Type Status Filed Date Description
Annual Report Filed 2024-09-23 Annual Report For Biloxi Ob-Gyn Clinic, P. A.
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: AR: Biloxi Ob-Gyn Clinic, P. A.
Annual Report Filed 2023-01-20 Annual Report For Biloxi Ob-Gyn Clinic, P. A.
Annual Report Filed 2022-04-14 Annual Report For Biloxi Ob-Gyn Clinic, P. A.
Annual Report Filed 2021-02-02 Annual Report For Biloxi Ob-Gyn Clinic, P. A.
Annual Report Filed 2020-03-04 Annual Report For Biloxi Ob-Gyn Clinic, P. A.
Annual Report Filed 2019-02-06 Annual Report For Biloxi Ob-Gyn Clinic, P. A.
Annual Report Filed 2018-01-12 Annual Report For Biloxi Ob-Gyn Clinic, P. A.
Annual Report Filed 2017-05-05 Annual Report For Biloxi Ob-Gyn Clinic, P. A.
Annual Report Filed 2016-01-08 Annual Report For Biloxi Ob-Gyn Clinic, P. A.

Related by officers

No related officers

Related by address

147 REYNOIR STREET, SUITE 105, 147 REYNOIR STREET, SUITE 105BILOXI, MS 39530

JMSJ, L.L.C.

Date of last update: 10 Dec 2024

Sources: Mississippi Secretary of State

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