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  5. WADSWORTH CLINIC, P. A.

WADSWORTH CLINIC, P. A.

Company Details

Name: WADSWORTH CLINIC, P. A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 24 Sep 1970 (54 years ago)
Business ID: 108563
ZIP code: 38632
County: DeSoto
State of Incorporation: MISSISSIPPI
Principal Office Address: 2240 HWY 51 SHERNANDO, MS 38632

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WADSWORTH CLINIC, P.A. PROFIT SHARING PLAN 2011 640502242 2012-08-08 WADSWORTH CLINIC, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-02-01
Business code 621111
Sponsor’s telephone number 6624295231
Plan sponsor’s address 2240 HWY 51 SOUTH, HERNANDO, MS, 38632

Plan administrator’s name and address
Administrator’s EIN 640502242
Plan administrator’s name WADSWORTH CLINIC, P.A.
Plan administrator’s address 2240 HWY 51 SOUTH, HERNANDO, MS, 38632
Administrator’s telephone number 6624295231

Signature of
Role Plan administrator
Date 2012-08-08
Name of individual signing KIM DANG - AS PRACTITIONER
Valid signature Filed with authorized/valid electronic signature
WADSWORTH CLINIC, P.A. PROFIT SHARING PLAN 2010 640502242 2011-10-06 WADSWORTH CLINIC, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-02-01
Business code 621111
Sponsor’s telephone number 6624295231
Plan sponsor’s address 2240 HWY 51 SOUTH, HERNANDO, MS, 38632

Plan administrator’s name and address
Administrator’s EIN 640502242
Plan administrator’s name WADSWORTH CLINIC, P.A.
Plan administrator’s address 2240 HWY 51 SOUTH, HERNANDO, MS, 38632
Administrator’s telephone number 6624295231

Signature of
Role Plan administrator
Date 2011-10-06
Name of individual signing KIM DANG AS PRACTITIONER
Valid signature Filed with authorized/valid electronic signature
WADSWORTH CLINIC, P.A. PROFIT SHARING PLAN 2009 640502242 2010-10-06 WADSWORTH CLINIC, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-02-01
Business code 621111
Sponsor’s telephone number 6624295231
Plan sponsor’s address 2240 HWY 51 SOUTH, HERNANDO, MS, 38632

Plan administrator’s name and address
Administrator’s EIN 640502242
Plan administrator’s name WADSWORTH CLINIC, P.A.
Plan administrator’s address 2240 HWY 51 SOUTH, HERNANDO, MS, 38632
Administrator’s telephone number 6624295231

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing KIM DANG
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Wadsworth, William M Agent 2240 Hwy 51 South, Hernando, MS 38632

Director

Name Role Address
William M Wadsworth Director 2240 Hwy 51 South, Hernando, MS 38632
F Kim Phillips Director 2240 Hwy 51 South, Hernando, MS 38632
Amy R Wadsworth Director 2240 Hwy 51 South, Hernando, MS 38632

President

Name Role Address
William M Wadsworth President 2240 Hwy 51 South, Hernando, MS 38632

Vice President

Name Role Address
F Kim Phillips Vice President 2240 Hwy 51 South, Hernando, MS 38632

Secretary

Name Role Address
Amy R Wadsworth Secretary 2240 Hwy 51 South, Hernando, MS 38632

Treasurer

Name Role Address
Amy R Wadsworth Treasurer 2240 Hwy 51 South, Hernando, MS 38632

Filings

Type Status Filed Date Description
Annual Report Filed 2024-02-01 Annual Report For WADSWORTH CLINIC, P. A.
Annual Report Filed 2023-02-16 Annual Report For WADSWORTH CLINIC, P. A.
Annual Report Filed 2022-04-05 Annual Report For WADSWORTH CLINIC, P. A.
Annual Report Filed 2021-03-17 Annual Report For WADSWORTH CLINIC, P. A.
Annual Report Filed 2020-04-02 Annual Report For WADSWORTH CLINIC, P. A.
Annual Report Filed 2019-04-01 Annual Report For WADSWORTH CLINIC, P. A.
Annual Report Filed 2018-04-05 Annual Report For WADSWORTH CLINIC, P. A.
Annual Report Filed 2017-04-10 Annual Report For WADSWORTH CLINIC, P. A.
Annual Report Filed 2016-04-14 Annual Report For WADSWORTH CLINIC, P. A.
Annual Report Filed 2015-04-23 Annual Report For WADSWORTH CLINIC, P. A.

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Jan 2025

Sources: Mississippi Secretary of State

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