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  5. Perioperative Services of Mississippi, LLC

Perioperative Services of Mississippi, LLC

Company Details

Name: Perioperative Services of Mississippi, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 22 Mar 2017 (8 years ago)
Business ID: 1114701
ZIP code: 39201
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 234 E. Capitol StreetJACKSON, MS 39201

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PERIOPERATIVE SERVICES OF MISSISSIPPI 401(K) PLAN 2023 813811968 2024-06-25 PERIOPERATIVE SERVICES OF MISSISSIPPI, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-06-21
Business code 621111
Sponsor’s telephone number 6013761848
Plan sponsor’s address 234 E CAPITOL ST, JACKSON, MS, 39201

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-06-25
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
PERIOPERATIVE SERVICES OF MISSISSIPPI 401(K) PLAN 2022 813811968 2023-06-19 PERIOPERATIVE SERVICES OF MISSISSIPPI, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-06-21
Business code 621111
Sponsor’s telephone number 6013761848
Plan sponsor’s address 234 E CAPITOL ST, JACKSON, MS, 39201

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-06-19
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
PERIOPERATIVE SERVICES OF MISSISSIPPI 401(K) PLAN 2021 813811968 2022-08-15 PERIOPERATIVE SERVICES OF MISSISSIPPI, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-06-21
Business code 621111
Sponsor’s telephone number 6013761848
Plan sponsor’s address 234 E CAPITOL ST, JACKSON, MS, 39201

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-08-15
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
PERIOPERATIVE SERVICES OF MISSISSIPPI 401(K) PLAN 2020 813811968 2021-07-16 PERIOPERATIVE SERVICES OF MISSISSIPPI, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-06-21
Business code 621111
Sponsor’s telephone number 6013761848
Plan sponsor’s address 234 E CAPITOL ST, JACKSON, MS, 39201

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-07-15
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
PERIOPERATIVE SERVICES OF MISSISSIPPI 401(K) PLAN 2019 813811968 2020-07-03 PERIOPERATIVE SERVICES OF MISSISSIPPI, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-06-21
Business code 621111
Sponsor’s telephone number 6013761848
Plan sponsor’s address 234 E CAPITOL ST, JACKSON, MS, 39201

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2020-07-02
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature
PERIOPERATIVE SERVICES OF MISSISSIPPI 401(K) PLAN 2018 813811968 2019-07-24 PERIOPERATIVE SERVICES OF MISSISSIPPI, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-06-21
Business code 621111
Sponsor’s telephone number 6013761848
Plan sponsor’s address 234 E CAPITOL ST, JACKSON, MS, 39201

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2019-07-24
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Member

Name Role Address
Larry Nixon Jr Member 234 E. Capitol Street, Jackson, MS 39201

Agent

Name Role Address
Tony R. Gaylor Agent 210 E. Capitol Street, Suite 1262, Jackson, MS 39201

Filings

Type Status Filed Date Description
Reinstatement Filed 2024-09-05 Reinstatement For Perioperative Services of Mississippi, LLC
Admin Dissolution Filed 2024-01-05 Action of Intent to Dissolve: AR: Perioperative Services of Mississippi, LLC
Notice to Dissolve/Revoke Filed 2023-09-08 Notice of Intent to Dissolve: AR: Perioperative Services of Mississippi, LLC
Annual Report LLC Filed 2022-07-13 Annual Report For Perioperative Services of Mississippi, LLC
Annual Report LLC Filed 2022-02-01 Annual Report For Perioperative Services of Mississippi, LLC
Annual Report LLC Filed 2021-04-09 Annual Report For Perioperative Services of Mississippi, LLC
Annual Report LLC Filed 2020-04-15 Annual Report For Perioperative Services of Mississippi, LLC
Amendment Form Filed 2019-10-02 Amendment For Perioperative Services of Mississippi, LLC
Annual Report LLC Filed 2019-06-19 Annual Report For Perioperative Services of Mississippi, LLC
Annual Report LLC Filed 2019-04-03 Annual Report For Perioperative Services of Mississippi, LLC

Related by officers

Tony R. Gaylor

Gaylor Consulting, LLC Community Asset Connections, LLC FlameCap USA, Inc. Hodge Transport LLC SMLK Holdings, LLC

Related by address

No related companies by address

Date of last update: 14 Jan 2025

Sources: Mississippi Secretary of State

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