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CAMELLIA CITY ANIMAL HOSPITAL, LLC

Company Details

Name: CAMELLIA CITY ANIMAL HOSPITAL, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 06 Dec 2017 (7 years ago)
Business ID: 1133749
ZIP code: 39648
County: Pike
State of Incorporation: MISSISSIPPI
Principal Office Address: 412 W Georgia Avenue, 412 W Georgia AvenueMCCOMB, MS 39648

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CAMELLIA CITY ANIMAL HOSPITAL 401(K) PSP 2023 823707442 2024-07-16 CAMELLIA CITY ANIMAL HOSPITAL LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 541940
Sponsor’s telephone number 6016846717
Plan sponsor’s address 412 W GEORGIA AVENUE, MCCOMB, MS, 39648

Signature of

Role Plan administrator
Date 2024-02-22
Name of individual signing RACHEL BATEMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-02-22
Name of individual signing RACHEL BATEMAN
Valid signature Filed with authorized/valid electronic signature
CAMELLIA CITY ANIMAL HOSPITAL 401(K) PSP 2022 823707442 2023-04-12 CAMELLIA CITY ANIMAL HOSPITAL LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 541940
Sponsor’s telephone number 6016846717
Plan sponsor’s address 412 W GEORGIA AVENUE, MCCOMB, MS, 39648

Signature of

Role Plan administrator
Date 2023-03-26
Name of individual signing RACHEL BATEMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-03-26
Name of individual signing RACHEL BATEMAN
Valid signature Filed with authorized/valid electronic signature
CAMELLIA CITY ANIMAL HOSPITAL 401(K) PSP 2021 823707442 2022-09-07 CAMELLIA CITY ANIMAL HOSPITAL LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 541940
Sponsor’s telephone number 6016846717
Plan sponsor’s address 412 W GEORGIA AVENUE, MCCOMB, MS, 39648

Signature of

Role Plan administrator
Date 2022-08-22
Name of individual signing RACHEL BATEMAN
Valid signature Filed with authorized/valid electronic signature
CAMELLIA CITY ANIMAL HOSPITAL 401(K) PSP 2020 823707442 2021-09-28 CAMELLIA CITY ANIMAL HOSPITAL LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 541940
Sponsor’s telephone number 6016846717
Plan sponsor’s address 412 W GEORGIA AVENUE, MCCOMB, MS, 39648

Signature of

Role Plan administrator
Date 2021-09-25
Name of individual signing RACHEL BATEMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-25
Name of individual signing RACHEL BATEMAN
Valid signature Filed with authorized/valid electronic signature
CAMELLIA CITY ANIMAL HOSPITAL 401(K) PSP 2019 823707442 2020-09-09 CAMELLIA CITY ANIMAL HOSPITAL LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 541940
Sponsor’s telephone number 6016846717
Plan sponsor’s address 412 W GEORGIA AVENUE, MCCOMB, MS, 39648

Signature of

Role Plan administrator
Date 2020-09-09
Name of individual signing RACHEL BATEMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-09
Name of individual signing RACHEL BATEMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RACHEL BATEMAN Agent 412 W. GEORGIA AVE., MCCOMB, MS 39648

Member

Name Role Address
RACHEL BATEMAN Member 412 W. GEORGIA AVE., MCCOMB, MS 39648

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-11 Annual Report For CAMELLIA CITY ANIMAL HOSPITAL, LLC
Annual Report LLC Filed 2024-02-17 Annual Report For CAMELLIA CITY ANIMAL HOSPITAL, LLC
Annual Report LLC Filed 2023-01-06 Annual Report For CAMELLIA CITY ANIMAL HOSPITAL, LLC
Annual Report LLC Filed 2022-02-08 Annual Report For CAMELLIA CITY ANIMAL HOSPITAL, LLC
Annual Report LLC Filed 2021-03-10 Annual Report For CAMELLIA CITY ANIMAL HOSPITAL, LLC
Annual Report LLC Filed 2020-03-06 Annual Report For CAMELLIA CITY ANIMAL HOSPITAL, LLC
Annual Report LLC Filed 2019-03-12 Annual Report For CAMELLIA CITY ANIMAL HOSPITAL, LLC
Annual Report LLC Filed 2018-09-27 Annual Report For CAMELLIA CITY ANIMAL HOSPITAL, LLC
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Formation Form Filed 2017-12-06 Formation For CAMELLIA CITY ANIMAL HOSPITAL, LLC

Date of last update: 15 Jan 2025

Sources: Mississippi Secretary of State