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  5. W. MICHAEL CAMPBELL, D.M.D., P.A.

W. MICHAEL CAMPBELL, D.M.D., P.A.

Company Details

Name: W. MICHAEL CAMPBELL, D.M.D., P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 21 Dec 1979 (45 years ago)
Business ID: 108475
ZIP code: 39056
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 405 MASONIC DRCLINTON, MS 39056

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
W. MICHAEL CAMPBELL, D.M.D., P.A. PROFIT SHARING PLAN 2012 640633467 2013-12-26 W. MICHAEL CAMPBELL, D.M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 6019240226
Plan sponsor’s address P. O. BOX 4611, JACKSON, MS, 39296

Signature of
Role Plan administrator
Date 2013-12-26
Name of individual signing W. MICHAEL CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-12-26
Name of individual signing W. MICHAEL CAMPBELL
Valid signature Filed with authorized/valid electronic signature
W. MICHAEL CAMPBELL, D.M.D., P.A. PROFIT SHARING PLAN 2012 640633467 2013-04-10 W. MICHAEL CAMPBELL, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 6019240226
Plan sponsor’s address P. O. BOX 4611, JACKSON, MS, 39296

Signature of
Role Plan administrator
Date 2013-04-10
Name of individual signing W. MICHAEL CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-10
Name of individual signing W. MICHAEL CAMPBELL
Valid signature Filed with authorized/valid electronic signature
W. MICHAEL CAMPBELL, D.M.D., P.A. PROFIT SHARING PLAN 2011 640633467 2012-05-08 W. MICHAEL CAMPBELL, D.M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 6019240226
Plan sponsor’s address P. O. BOX 4611, JACKSON, MS, 39296

Plan administrator’s name and address
Administrator’s EIN 640633467
Plan administrator’s name W. MICHAEL CAMPBELL, D.M.D., P.A.
Plan administrator’s address P. O. BOX 4611, JACKSON, MS, 39296
Administrator’s telephone number 6019240226

Signature of
Role Plan administrator
Date 2012-05-08
Name of individual signing W. MICHAEL CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-08
Name of individual signing W. MICHAEL CAMPBELL
Valid signature Filed with authorized/valid electronic signature
W. MICHAEL CAMPBELL, D.M.D., P.A. PROFIT SHARING PLAN 2010 640633467 2011-05-13 W. MICHAEL CAMPBELL, D.M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 6019240226
Plan sponsor’s address P. O. BOX 4611, JACKSON, MS, 39296

Plan administrator’s name and address
Administrator’s EIN 640633467
Plan administrator’s name W. MICHAEL CAMPBELL, D.M.D., P.A.
Plan administrator’s address P. O. BOX 4611, JACKSON, MS, 39296
Administrator’s telephone number 6019240226

Signature of
Role Plan administrator
Date 2011-05-13
Name of individual signing W. MICHAEL CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-13
Name of individual signing W. MICHAEL CAMPBELL
Valid signature Filed with authorized/valid electronic signature
W. MICHAEL CAMPBELL, D.M.D., P.A. PROFIT SHARING PLAN 2009 640633467 2010-09-14 W. MICHAEL CAMPBELL, D.M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 621210
Sponsor’s telephone number 6019240226
Plan sponsor’s address P. O. BOX 4611, JACKSON, MS, 39296

Plan administrator’s name and address
Administrator’s EIN 640633467
Plan administrator’s name W. MICHAEL CAMPBELL, D.M.D., P.A.
Plan administrator’s address P. O. BOX 4611, JACKSON, MS, 39296
Administrator’s telephone number 6019240226

Signature of
Role Plan administrator
Date 2010-09-14
Name of individual signing W. MICHAEL CAMPBELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-14
Name of individual signing W. MICHAEL CAMPBELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
W MICHAEL CAMPBELL Agent 405 Masonic Dr;P O Box 4611, Jackson, MS 39296

Director

Name Role Address
W Michael Campbell Director 405 Masonic Drive, Clinton, MS 39056
Kathy Richards Director No data

President

Name Role Address
W Michael Campbell President 405 Masonic Dr, Clinton, MS 39056

Vice President

Name Role
Kathy Richards Vice President

Secretary

Name Role
Patricia Parker Secretary

Treasurer

Name Role
Patricia Parker Treasurer

Filings

Type Status Filed Date Description
Dissolution Filed 2017-03-03 Dissolution For W. MICHAEL CAMPBELL, D.M.D., P.A.
Annual Report Filed 2017-01-17 Annual Report For W. MICHAEL CAMPBELL, D.M.D., P.A.
Annual Report Filed 2016-01-11 Annual Report For W. MICHAEL CAMPBELL, D.M.D., P.A.
Annual Report Filed 2015-01-05 Annual Report For W. MICHAEL CAMPBELL, D.M.D., P.A.
Annual Report Filed 2014-01-06 Annual Report
Annual Report Filed 2013-04-23 Annual Report
Amendment Form Filed 2012-10-11 Amendment
Annual Report Filed 2012-10-09 Annual Report
Notice to Dissolve/Revoke Filed 2012-09-13 Notice to Dissolve/Revoke
Annual Report Filed 2011-07-12 Annual Report

Related by officers

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Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Mississippi Secretary of State

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