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  5. JACKSON RADIOLOGY ASSOCIATES, P.A.

JACKSON RADIOLOGY ASSOCIATES, P.A.

Company Details

Name: JACKSON RADIOLOGY ASSOCIATES, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 17 Aug 1971 (54 years ago)
Business ID: 109383
ZIP code: 39218
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 335 Lewis StRichland, MS 39218

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSON RADIOLOGY ASSOCIATES P.A 401K PROFIT SHARING PLAN 2023 640509309 2024-06-19 JACKSON RADIOLOGY ASSOCIATES, P.A. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6013736441
Plan sponsor’s address PO BOX 180073, RICHLAND, MS, 39218

Signature of
Role Plan administrator
Date 2024-06-19
Name of individual signing ERIC RUSHING
Valid signature Filed with authorized/valid electronic signature
JACKSON RADIOLOGY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2022 640509309 2023-02-28 JACKSON RADIOLOGY ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6013736441
Plan sponsor’s address 1860 CHADWICK DRIVE, SUITE B, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2023-02-28
Name of individual signing JOSEPH A. OLIVER
Valid signature Filed with authorized/valid electronic signature
JACKSON RADIOLOGY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2021 640509309 2022-06-06 JACKSON RADIOLOGY ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6013736441
Plan sponsor’s address 1860 CHADWICK DRIVE, SUITE B, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2022-06-06
Name of individual signing JOSEPH A. OLIVER
Valid signature Filed with authorized/valid electronic signature
JACKSON RADIOLOGY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2020 640509309 2021-03-18 JACKSON RADIOLOGY ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6013736441
Plan sponsor’s address 1860 CHADWICK DRIVE, SUITE B, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2021-03-18
Name of individual signing RALPH P WELLS
Valid signature Filed with authorized/valid electronic signature
JACKSON RADIOLOGY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2019 640509309 2020-03-30 JACKSON RADIOLOGY ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6013736441
Plan sponsor’s address 1860 CHADWICK DRIVE, SUITE B, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2020-03-30
Name of individual signing RALPH P. WELLS
Valid signature Filed with authorized/valid electronic signature
JACKSON RADIOLOGY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2018 640509309 2019-03-18 JACKSON RADIOLOGY ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6013736441
Plan sponsor’s address 1860 CHADWICK DRIVE, SUITE B, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2019-03-18
Name of individual signing RALPH P. WELLS
Valid signature Filed with authorized/valid electronic signature
JACKSON RADIOLOGY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2017 640509309 2018-05-02 JACKSON RADIOLOGY ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6013736441
Plan sponsor’s address 1860 CHADWICK DRIVE, SUITE B, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2018-05-02
Name of individual signing RALPH P. WELLS
Valid signature Filed with authorized/valid electronic signature
JACKSON RADIOLOGY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2016 640509309 2017-06-22 JACKSON RADIOLOGY ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6013736441
Plan sponsor’s address 1860 CHADWICK DRIVE, SUITE B, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2017-06-22
Name of individual signing RALPH WELLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-22
Name of individual signing RALPH WELLS
Valid signature Filed with authorized/valid electronic signature
JACKSON RADIOLOGY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2015 640509309 2016-06-29 JACKSON RADIOLOGY ASSOCIATES, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6013736441
Plan sponsor’s address 1860 CHADWICK DRIVE, SUITE B, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2016-06-29
Name of individual signing RALPH WELLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-29
Name of individual signing RALPH WELLS
Valid signature Filed with authorized/valid electronic signature
JACKSON RADIOLOGY ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2014 640509309 2015-10-08 JACKSON RADIOLOGY ASSOCIATES, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6013736441
Plan sponsor’s address 1860 CHADWICK DRIVE, SUITE B, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2015-10-08
Name of individual signing RALPH P. WELLS, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-08
Name of individual signing RALPH P. WELLS, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/23/20140723104143P030020330861001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6013736441
Plan sponsor’s address 1860 CHADWICK DRIVE, SUITE B, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2014-07-23
Name of individual signing RALPH P WELLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-23
Name of individual signing RALPH P WELLS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/10/20130710132434P030106865525001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6013736441
Plan sponsor’s address 1860 CHADWICK DRIVE, SUITE B, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2013-07-10
Name of individual signing RALPH WELLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-10
Name of individual signing RALPH WELLS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/29/20120629101613P030004491910001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6013736441
Plan sponsor’s address 1860 CHADWICK DRIVE, SUITE B, JACKSON, MS, 39204

Plan administrator’s name and address
Administrator’s EIN 640509309
Plan administrator’s name JACKSON RADIOLOGY ASSOCIATES, P.A.
Plan administrator’s address 1860 CHADWICK DRIVE, SUITE B, JACKSON, MS, 39204
Administrator’s telephone number 6013736441

Signature of
Role Plan administrator
Date 2012-06-29
Name of individual signing RALPH WELLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-29
Name of individual signing RALPH WELLS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/21/20110621100321P040372955776001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6013736441
Plan sponsor’s address 1860 CHADWICK DRIVE, SUITE B, JACKSON, MS, 39204

Plan administrator’s name and address
Administrator’s EIN 640509309
Plan administrator’s name JACKSON RADIOLOGY ASSOCIATES, P.A.
Plan administrator’s address 1860 CHADWICK DRIVE, SUITE B, JACKSON, MS, 39204
Administrator’s telephone number 6013736441

Signature of
Role Plan administrator
Date 2011-06-21
Name of individual signing RALPH P WELLS, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-21
Name of individual signing RALPH P WELLS, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/04/20100804085622P040019634982001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6013736441
Plan sponsor’s address 1860 CHADWICK DRIVE, SUITE B, JACKSON, MS, 39204

Plan administrator’s name and address
Administrator’s EIN 640509309
Plan administrator’s name JACKSON RADIOLOGY ASSOCIATES, P.A.
Plan administrator’s address 1860 CHADWICK DRIVE, SUITE B, JACKSON, MS, 39204
Administrator’s telephone number 6013736441

Signature of
Role Plan administrator
Date 2010-08-04
Name of individual signing RALPH P. WELLS, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-04
Name of individual signing RALPH P. WELLS, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Eric Lane Rushing MD Agent 122 Little Creek Road, Ridgeland, MS 39157

Incorporator

Name Role Address
Waymond L Rone Incorporator 2329 Twin Lakes Circle, Jackson, MS 39211
William F Lynch Jr Incorporator 2937 Eastline Drive, Jackson, MS

President

Name Role Address
Eric Lane Rushing President Po Box 180073, Richland, MS 39218

Treasurer

Name Role Address
James W Sutherland MD Treasurer Po Box 180073, Richland, MS 39218

Vice President

Name Role Address
James W Sutherland MD Vice President Po Box 180073, Richland, MS 39218

Filings

Type Status Filed Date Description
Dissolution Filed 2025-02-17 Dissolution For JACKSON RADIOLOGY ASSOCIATES, P.A.
Annual Report Filed 2024-03-28 Annual Report For JACKSON RADIOLOGY ASSOCIATES, P.A.
Amendment Form Filed 2024-01-17 Amendment For JACKSON RADIOLOGY ASSOCIATES, P.A.
Annual Report Filed 2023-01-11 Annual Report For JACKSON RADIOLOGY ASSOCIATES, P.A.
Annual Report Filed 2022-03-03 Annual Report For JACKSON RADIOLOGY ASSOCIATES, P.A.
Amendment Form Filed 2021-07-21 Amendment For JACKSON RADIOLOGY ASSOCIATES, P.A.
Annual Report Filed 2021-04-05 Annual Report For JACKSON RADIOLOGY ASSOCIATES, P.A.
Annual Report Filed 2020-01-09 Annual Report For JACKSON RADIOLOGY ASSOCIATES, P.A.
Annual Report Filed 2019-01-08 Annual Report For JACKSON RADIOLOGY ASSOCIATES, P.A.
Annual Report Filed 2018-01-10 Annual Report For JACKSON RADIOLOGY ASSOCIATES, P.A.

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6266418501 2021-03-03 0470 PPS 1860 Chadwick Dr Ste B, Jackson, MS, 39204-3472
Loan Status Date 2022-02-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 214523
Loan Approval Amount (current) 214523
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188567
Servicing Lender Name Loan Source Incorporated
Servicing Lender Address 353 East 83rd Street Suite 3H, NEW YORK, NY, 10028
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Jackson, HINDS, MS, 39204-3472
Project Congressional District MS-03
Number of Employees 7
NAICS code 621491
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 39334
Originating Lender Name Trustmark National Bank
Originating Lender Address JACKSON, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 215857.16
Forgiveness Paid Date 2021-10-22
7496347105 2020-04-14 0470 PPP 1860 Chadwick Dr. Suite B, JACKSON, MS, 39204-3472
Loan Status Date 2021-06-05
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 213500
Loan Approval Amount (current) 213500
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39334
Servicing Lender Name Trustmark National Bank
Servicing Lender Address 248 E Capitol St, JACKSON, MS, 39201-2503
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address JACKSON, HINDS, MS, 39204-3472
Project Congressional District MS-03
Number of Employees 7
NAICS code 621491
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 39334
Originating Lender Name Trustmark National Bank
Originating Lender Address JACKSON, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 215818.85
Forgiveness Paid Date 2021-05-21

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Date of last update: 13 Apr 2025

Sources: Mississippi Secretary of State

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