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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
Annual Report LLC Filed 2025-01-16 Annual Report For Perioperative Services of Mississippi, LLC
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

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2646527202 2020-04-16 0470 PPP 234 E CAPITOL ST, Jackson, MS, 39201-2418
Loan Status Date 2020-12-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 348300
Loan Approval Amount (current) 348300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Jackson, HINDS, MS, 39201-2418
Project Congressional District MS-03
Number of Employees 16
NAICS code 621111
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 350275.29
Forgiveness Paid Date 2020-11-23
1894278701 2021-03-27 0470 PPS 234 E Capitol St, Jackson, MS, 39201-2418
Loan Status Date 2021-12-08
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 338070
Loan Approval Amount (current) 338070
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Jackson, HINDS, MS, 39201-2418
Project Congressional District MS-03
Number of Employees 16
NAICS code 621111
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 340209.57
Forgiveness Paid Date 2021-11-17

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P2973243 PERIOPERATIVE SERVICES OF MISSISSIPPI LLC - LQWBY29CS9V6 234 E CAPITOL ST, JACKSON, MS, 39201-2418
Capabilities Statement Link -
Phone Number 601-918-0418
Fax Number -
E-mail Address larry.nixon@posmiss.com
WWW Page -
E-Commerce Website -
Contact Person LARRY NIXON
County Code (3 digit) 049
Congressional District 02
Metropolitan Statistical Area 3560
CAGE Code 9HZC8
Year Established 2018
Accepts Government Credit Card No
Legal Structure LLC
Ownership and Self-Certifications Self-Certified Small Disadvantaged Business
Business Development Servicing Office MISSISSIPPI DISTRICT OFFICE (SBA office code 0470)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications
HUBZone Certified No
Women Owned Certified No
Women Owned Pending No
Economically Disadvantaged Women Owned Certified No
Economically Disadvantaged Women Owned Pending No
Veteran-Owned Small Business Certified No
Veteran-Owned Small Business Joint Venture No
Service-Disabled Veteran-Owned Small Business Certified No
Service-Disabled Veteran-Owned Small Business Joint Venture No

Bonding Levels
Description Construction Bonding Level (per contract)
Level (none given)
Description Construction Bonding Level (aggregate)
Level (none given)
Description Service Bonding Level (per contract)
Level (none given)
Description Service Bonding Level (aggregate)
Level (none given)

NAICS Codes with Size Determinations by NAICS
Primary Yes
Code 621111
NAICS Code's Description Offices of Physicians (except Mental Health Specialists)
Buy Green Yes

Export Profile (Trade Mission Online)
Exporter Firm hasn't answered this question yet
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

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: 31 Mar 2025

Sources: Mississippi Secretary of State

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