Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Jones
    4. ›
  4. 39441
    5. ›
  5. JONES COUNTY MEDICAL SUPPLIES, INC.

JONES COUNTY MEDICAL SUPPLIES, INC.

Company Details

Name: JONES COUNTY MEDICAL SUPPLIES, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 27 Sep 1978 (46 years ago)
Business ID: 107529
ZIP code: 39441
County: Jones
State of Incorporation: MISSISSIPPI
Principal Office Address: 104 S 13th Avenue, P.O. Box 23Laurel, MS 39441

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JONES COUNTY MEDICAL SUPPLIES, INC. RETIREMENT PLAN 2023 640616376 2024-03-05 JONES COUNTY MEDICAL SUPPLIES, INC. 131
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 6016492574
Plan sponsor’s address PO BOX 23, LAUREL, MS, 394410023

Signature of
Role Plan administrator
Date 2024-03-05
Name of individual signing GARY WEST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-03-05
Name of individual signing GARY WEST
Valid signature Filed with authorized/valid electronic signature
JONES COUNTY MEDICAL SUPPLIES, INC. RETIREMENT PLAN 2022 640616376 2023-02-03 JONES COUNTY MEDICAL SUPPLIES, INC. 106
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 6016492574
Plan sponsor’s address PO BOX 23, LAUREL, MS, 394410023

Signature of
Role Plan administrator
Date 2023-02-03
Name of individual signing GARY WEST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-02-03
Name of individual signing GARY WEST
Valid signature Filed with authorized/valid electronic signature
JONES COUNTY MEDICAL SUPPLIES, INC. RETIREMENT PLAN 2021 640616376 2022-05-31 JONES COUNTY MEDICAL SUPPLIES, INC. 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 6016492574
Plan sponsor’s address PO BOX 23, LAUREL, MS, 394410023

Signature of
Role Plan administrator
Date 2022-05-31
Name of individual signing GARY WEST
Valid signature Filed with authorized/valid electronic signature
JONES COUNTY MEDICAL SUPPLIES, INC. RETIREMENT PLAN 2020 640616376 2021-04-21 JONES COUNTY MEDICAL SUPPLIES, INC. 99
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 6016492574
Plan sponsor’s address PO BOX 23, LAUREL, MS, 394410023

Signature of
Role Plan administrator
Date 2021-04-21
Name of individual signing CLAYTON DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-21
Name of individual signing CLAYTON DAVIS
Valid signature Filed with authorized/valid electronic signature
JONES COUNTY MEDICAL SUPPLIES, INC. RETIREMENT PLAN 2019 640616376 2020-04-06 JONES COUNTY MEDICAL SUPPLIES, INC. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 6016492574
Plan sponsor’s address PO BOX 23, LAUREL, MS, 394410023

Signature of
Role Plan administrator
Date 2020-04-06
Name of individual signing CLAYTON JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-06
Name of individual signing CLAYTON JOHNSON
Valid signature Filed with authorized/valid electronic signature
JONES COUNTY MEDICAL SUPPLIES, INC. RETIREMENT PLAN 2018 640616376 2019-03-21 JONES COUNTY MEDICAL SUPPLIES, INC. 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 6016492574
Plan sponsor’s address PO BOX 23, LAUREL, MS, 394410023

Signature of
Role Plan administrator
Date 2019-03-21
Name of individual signing CLAYTON JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-21
Name of individual signing CLAYTON JOHNSON
Valid signature Filed with authorized/valid electronic signature
JONES COUNTY MEDICAL SUPPLIES, INC. RETIREMENT PLAN 2017 640616376 2018-02-19 JONES COUNTY MEDICAL SUPPLIES, INC. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 6016492574
Plan sponsor’s address PO BOX 23, LAUREL, MS, 394410023

Signature of
Role Plan administrator
Date 2018-02-19
Name of individual signing CLAYTON JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-02-19
Name of individual signing CLAYTON JOHNSON
Valid signature Filed with authorized/valid electronic signature
JONES COUNTY MEDICAL SUPPLIES, INC. RETIREMENT PLAN 2016 640616376 2017-02-21 JONES COUNTY MEDICAL SUPPLIES, INC. 93
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 6016492574
Plan sponsor’s address PO BOX 23, LAUREL, MS, 394410023

Signature of
Role Plan administrator
Date 2017-02-21
Name of individual signing CLAYTON JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-21
Name of individual signing CLAYTON JOHNSON
Valid signature Filed with authorized/valid electronic signature
JONES COUNTY MEDICAL SUPPLIES, INC. RETIREMENT PLAN 2015 640616376 2016-03-31 JONES COUNTY MEDICAL SUPPLIES, INC. 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 6016492574
Plan sponsor’s address PO BOX 23, LAUREL, MS, 394410023

Signature of
Role Plan administrator
Date 2016-03-31
Name of individual signing CLAYTON JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-31
Name of individual signing CLAYTON JOHNSON
Valid signature Filed with authorized/valid electronic signature
JONES COUNTY MEDICAL SUPPLIES, INC. RETIREMENT PLAN 2014 640616376 2015-05-12 JONES COUNTY MEDICAL SUPPLIES, INC. 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 6016492574
Plan sponsor’s address PO BOX 23, LAUREL, MS, 394410023

Signature of
Role Plan administrator
Date 2015-05-12
Name of individual signing CLAYTON JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-12
Name of individual signing CLAYTON JOHNSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/15/20140715154448P040016574797001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 6016492574
Plan sponsor’s address PO BOX 23, LAUREL, MS, 394410023

Signature of
Role Plan administrator
Date 2014-07-15
Name of individual signing GARY WEST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-15
Name of individual signing GARY WEST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/02/08/20130208143831P030008176679001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 6016492574
Plan sponsor’s address PO BOX 23, LAUREL, MS, 394410023

Signature of
Role Plan administrator
Date 2013-02-08
Name of individual signing CLAYTON JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-02-08
Name of individual signing CLAYTON JOHNSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/01/26/20120126095851P040024027137001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 6016492574
Plan sponsor’s address PO BOX 23, LAUREL, MS, 394410023

Plan administrator’s name and address
Administrator’s EIN 640616376
Plan administrator’s name JONES COUNTY MEDICAL SUPPLIES, INC.
Plan administrator’s address PO BOX 23, LAUREL, MS, 394410023
Administrator’s telephone number 6016492574

Signature of
Role Plan administrator
Date 2012-01-26
Name of individual signing CLAYTON JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-01-26
Name of individual signing CLAYTON JOHNSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/02/08/20110208110015P040002140375001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 6016492574
Plan sponsor’s address PO BOX 23, LAUREL, MS, 394410023

Plan administrator’s name and address
Administrator’s EIN 640616376
Plan administrator’s name JONES COUNTY MEDICAL SUPPLIES, INC.
Plan administrator’s address PO BOX 23, LAUREL, MS, 394410023
Administrator’s telephone number 6016492574

Signature of
Role Plan administrator
Date 2011-02-08
Name of individual signing CLAYTON JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-02-08
Name of individual signing CLAYTON JOHNSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/04/27/20100427090559P030074053298001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621399
Sponsor’s telephone number 6016492574
Plan sponsor’s address PO BOX 23, LAUREL, MS, 394410023

Plan administrator’s name and address
Administrator’s EIN 640616376
Plan administrator’s name JONES COUNTY MEDICAL SUPPLIES, INC.
Plan administrator’s address PO BOX 23, LAUREL, MS, 394410023
Administrator’s telephone number 6016492574

Signature of
Role Plan administrator
Date 2010-04-27
Name of individual signing ROSE DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-04-27
Name of individual signing ROSE DAVIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Clayton E Johnson Agent 104 S 13TH AVE, P.O. Box 23, Laurel, MS 39440

Director

Name Role Address
Clayton E Johnson Director 1230 N 6th Ave, Laurel, MS 39440
Mary Ella Johnson Director 1230 N 6th Ave, Laurel, MS 39440

President

Name Role Address
Clayton E Johnson President 1230 N 6th Ave, Laurel, MS 39440

Vice President

Name Role Address
Mary Ella Johnson Vice President 1230 N 6th Ave, Laurel, MS 39440

Treasurer

Name Role Address
Catherine J Holland Treasurer PO Box 23, Laurel, MS 39441

Secretary

Name Role Address
Meredith J West Secretary PO Box 23, Laurel, MS 39441

Filings

Type Status Filed Date Description
Annual Report Filed 2024-03-28 Annual Report For JONES COUNTY MEDICAL SUPPLIES, INC.
Annual Report Filed 2023-04-12 Annual Report For JONES COUNTY MEDICAL SUPPLIES, INC.
Amendment Form Filed 2022-03-29 Amendment For JONES COUNTY MEDICAL SUPPLIES, INC.
Annual Report Filed 2022-03-29 Annual Report For JONES COUNTY MEDICAL SUPPLIES, INC.
Annual Report Filed 2021-07-26 Annual Report For JONES COUNTY MEDICAL SUPPLIES, INC.
Annual Report Filed 2020-09-08 Annual Report For JONES COUNTY MEDICAL SUPPLIES, INC.
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report Filed 2019-02-27 Annual Report For JONES COUNTY MEDICAL SUPPLIES, INC.
Annual Report Filed 2018-01-31 Annual Report For JONES COUNTY MEDICAL SUPPLIES, INC.
Annual Report Filed 2017-01-25 Annual Report For JONES COUNTY MEDICAL SUPPLIES, INC.

Related by officers

Clayton E Johnson

NORTH LAUREL DISCOUNT PHARMACY, INC. CLAYTON E. JOHNSON INSURANCE SERVICES, INC. CEME, Inc.

Mary Ella Johnson

NORTH LAUREL DISCOUNT PHARMACY, INC. CLAYTON E. JOHNSON INSURANCE SERVICES, INC.

Catherine J Holland

NORTH LAUREL DISCOUNT PHARMACY, INC. CEME, Inc.

Meredith J West

CEME, Inc.

Related by address

No related companies by address

Date of last update: 26 Jan 2025

Sources: Mississippi Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 msorgs.com, Part of Big Data Integrated