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W. J. MANUEL, M.D., P.A.

Company Details

Name: W. J. MANUEL, M.D., P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 18 Jun 1980 (45 years ago)
Business ID: 108437
ZIP code: 39581
County: Jackson
State of Incorporation: MISSISSIPPI
Principal Office Address: 4211 HOSPITAL RD DRS PLZ BLDG #207Pascagoula, MS 39581-5311

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
W. J. MANUEL, M.D., P.A. PROFIT SHARING PLAN 2009 640639834 2010-09-28 W. J. MANUEL, M.D., P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 2287625445
Plan sponsor’s address 4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561

Plan administrator’s name and address

Administrator’s EIN 640639834
Plan administrator’s name PATRICIA MANUEL
Plan administrator’s address 4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561
Administrator’s telephone number 2287625445

Signature of

Role Plan administrator
Date 2010-09-28
Name of individual signing PATRICIA MANUEL
Valid signature Filed with authorized/valid electronic signature
W. J. MANUEL, M.D., P.A. PROFIT SHARING PLAN 2009 640639834 2010-09-15 W. J. MANUEL, M.D., P.A. 3
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 2287625445
Plan sponsor’s address 4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561

Plan administrator’s name and address

Administrator’s EIN 640639834
Plan administrator’s name W. J. MANUEL, M.D., P.A.
Plan administrator’s address 4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561
Administrator’s telephone number 2287625445

Signature of

Role Plan administrator
Date 2010-09-02
Name of individual signing PATRICIA MANUEL
Valid signature Filed with incorrect/unrecognized electronic signature
W. J. MANUEL, M.D., P.A. PROFIT SHARING PLAN 2009 640639834 2010-09-03 W. J. MANUEL, M.D., P.A. 3
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 2287625445
Plan sponsor’s address 4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561

Plan administrator’s name and address

Administrator’s EIN 640639834
Plan administrator’s name W. J. MANUEL, M.D., P.A.
Plan administrator’s address 4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561
Administrator’s telephone number 2287625445

Signature of

Role Plan administrator
Date 2010-09-02
Name of individual signing PATRICIA MANUEL
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-09-02
Name of individual signing PATRICIA MANUEL
Valid signature Filed with incorrect/unrecognized electronic signature
W. J. MANUEL, M.D., P.A. PROFIT SHARING PLAN 2009 640639834 2010-09-22 W. J. MANUEL, M.D., P.A. 3
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 2287625445
Plan sponsor’s address 4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561

Plan administrator’s name and address

Administrator’s EIN 640639834
Plan administrator’s name W. J. MANUEL, M.D., P.A.
Plan administrator’s address 4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561
Administrator’s telephone number 2287625445

Signature of

Role Plan administrator
Date 2010-09-22
Name of individual signing PATRICIA MANUEL
Valid signature Filed with incorrect/unrecognized electronic signature
W. J. MANUEL, M.D., P.A. PROFIT SHARING PLAN 2009 640639834 2010-09-22 W. J. MANUEL, M.D., P.A. 3
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 2287625445
Plan sponsor’s address 4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561

Plan administrator’s name and address

Administrator’s EIN 640639834
Plan administrator’s name W. J. MANUEL, M.D., P.A.
Plan administrator’s address 4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561
Administrator’s telephone number 2287625445

Signature of

Role Plan administrator
Date 2010-09-22
Name of individual signing PATRICIA MANUEL
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-09-22
Name of individual signing PATRICIA MANUEL
Valid signature Filed with incorrect/unrecognized electronic signature
W. J. MANUEL, M.D., P.A. PROFIT SHARING PLAN 2009 640639834 2010-09-15 W. J. MANUEL, M.D., P.A. 3
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 2287625445
Plan sponsor’s address 4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561

Plan administrator’s name and address

Administrator’s EIN 640639834
Plan administrator’s name W. J. MANUEL, M.D., P.A.
Plan administrator’s address 4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561
Administrator’s telephone number 2287625445

Signature of

Role Plan administrator
Date 2010-09-02
Name of individual signing PATRICIA MANUEL
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-09-15
Name of individual signing PATRICIA MANUEL
Valid signature Filed with incorrect/unrecognized electronic signature
W. J. MANUEL, M.D., P.A. PROFIT SHARING PLAN 2009 640639834 2010-09-15 W. J. MANUEL, M.D., P.A. 3
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 2287625445
Plan sponsor’s address 4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561

Plan administrator’s name and address

Administrator’s EIN 640639834
Plan administrator’s name W. J. MANUEL, M.D., P.A.
Plan administrator’s address 4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561
Administrator’s telephone number 2287625445

Signature of

Role Plan administrator
Date 2010-09-02
Name of individual signing PATRICIA MANUEL
Valid signature Filed with incorrect/unrecognized electronic signature
W. J. MANUEL, M.D., P.A. PROFIT SHARING PLAN 2009 640639834 2010-09-02 W. J. MANUEL, M.D., P.A. 3
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 2287625445
Plan sponsor’s address 4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561

Plan administrator’s name and address

Administrator’s EIN 640639834
Plan administrator’s name W. J. MANUEL, M.D., P.A.
Plan administrator’s address 4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561
Administrator’s telephone number 2287625445

Signature of

Role Plan administrator
Date 2010-09-02
Name of individual signing PATRICIA MANUEL
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-09-02
Name of individual signing PATRICIA MANUEL
Valid signature Filed with incorrect/unrecognized electronic signature
W. J. MANUEL, M.D., P.A. PROFIT SHARING PLAN 2009 640639834 2010-09-02 W. J. MANUEL, M.D., P.A. 3
Three-digit plan number (PN) 001
Effective date of plan 1980-07-01
Business code 621111
Sponsor’s telephone number 2287625445
Plan sponsor’s address 4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561

Plan administrator’s name and address

Administrator’s EIN 640639834
Plan administrator’s name W. J. MANUEL, M.D., P.A.
Plan administrator’s address 4211 HOSPITAL ROAD, SUITE 207, PASCAGOULA, MS, 39561
Administrator’s telephone number 2287625445

Signature of

Role Plan administrator
Date 2010-09-02
Name of individual signing PATRICIA MANUEL
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-09-02
Name of individual signing PATRICIA MANUEL
Valid signature Filed with incorrect/unrecognized electronic signature

Director

Name Role Address
W J Manuel Director Doctors Plaza, 4211 Hospital Road, Pascagoula, MS 39567
Guy Manuel Director 4211 Hospital St Ste 207, Pascagoula, MS 39581
Cecily A O'Brien Director 4211 Hospital St Ste 207, Pascagoula, MS 39581

Secretary

Name Role Address
Cecily A O'Brien Secretary 4211 Hospital St Ste 207, Pascagoula, MS 39581

Agent

Name Role Address
W J MANUEL Agent DOCTORS PLAZA, 4211 HOSPITAL ROAD, PASCAGOULA, MS 39567

President

Name Role Address
W J Manuel President Doctors Plaza, 4211 Hospital Road, Pascagoula, MS 39567

Filings

Type Status Filed Date Description
Dissolution Filed 2010-03-11 Dissolution
Annual Report Filed 2009-04-03 Annual Report
Annual Report Filed 2008-06-23 Annual Report
Annual Report Filed 2007-08-14 Annual Report
Annual Report Filed 2006-05-22 Annual Report
Annual Report Filed 2005-03-30 Annual Report
Annual Report Filed 2005-03-22 Annual Report
Annual Report Filed 2004-03-30 Annual Report
Annual Report Filed 2003-07-15 Annual Report
Annual Report Filed 2002-04-01 Annual Report

Date of last update: 10 Dec 2024

Sources: Mississippi Secretary of State