| Name: | Pediatric Haven, LLC |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Limited Liability Company |
| Status: | Good Standing |
| Effective Date: | 15 Apr 2020 (5 years ago) |
| Business ID: | 1207323 |
| ZIP code: | 39046 |
| County: | Madison |
| State of Incorporation: | MISSISSIPPI |
| Principal Office Address: | 112 Westfalen DriveCanton, MS 39046 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 401K EMPLOYEE RETIREMENT PLAN | 2023 | 844027209 | 2024-07-22 | PEDIATRIC HAVEN LLC | 0 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 452557054 |
| Plan administrator’s name | RETIREMENT PLAN SERVICES, LLC |
| Plan administrator’s address | 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
| Administrator’s telephone number | 6019191023 |
Signature of
| Role | Plan administrator |
| Date | 2024-07-22 |
| Name of individual signing | SCOTT HILL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Jetuwan Brown | Agent | 103 Honours Drive, Madison, MS 39110 |
| Name | Role | Address |
|---|---|---|
| Jetuwan M Brown | Manager | 103 Honours Drive, Madison, MS 39110 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Annual Report LLC | Filed | 2024-11-10 | Annual Report For Pediatric Haven, LLC |
| Notice to Dissolve/Revoke | Filed | 2024-09-01 | Notice of Intent to Dissolve: AR: Pediatric Haven, LLC |
| Annual Report LLC | Filed | 2023-04-25 | Annual Report For Pediatric Haven, LLC |
| Amendment Form | Filed | 2023-02-07 | Amendment For Pediatric Haven, LLC |
| Annual Report LLC | Filed | 2023-02-07 | Annual Report For Pediatric Haven, LLC |
| Reinstatement | Filed | 2022-03-02 | Reinstatement For Pediatric Haven, LLC |
| Admin Dissolution | Filed | 2021-11-29 | Action of Intent to Dissolve: AR: Pediatric Haven, LLC |
| Notice to Dissolve/Revoke | Filed | 2021-09-07 | Notice of Intent to Dissolve: AR: Pediatric Haven, LLC |
| Formation Form | Filed | 2020-04-15 | Formation For Pediatric Haven, LLC |
Date of last update: 18 Jan 2025
Sources: Mississippi Secretary of State
