| Name: | Active Rehabilitation III, LLC |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Limited Liability Company |
| Status: | Good Standing |
| Effective Date: | 23 Sep 2020 (4 years ago) |
| Business ID: | 1238109 |
| ZIP code: | 39401 |
| County: | Forrest |
| State of Incorporation: | MISSISSIPPI |
| Principal Office Address: | 915 Adeline StreetHattiesburg, MS 39401 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ACTIVE REHABILITATION III, LLC 401(K) PLAN | 2023 | 853174489 | 2024-09-23 | ACTIVE REHABILITATION III, LLC | 41 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-23 |
| Name of individual signing | LAUREN WORREL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 6012971740 |
| Plan sponsor’s address | 915 ADELINE STREET, HATTIESBURG, MS, 39401 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-13 |
| Name of individual signing | LAUREN WORREL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 6012971740 |
| Plan sponsor’s address | 915 ADELINE STREET, HATTIESBURG, MS, 39401 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-07 |
| Name of individual signing | LAUREN WORREL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Robin L Roberts | Agent | 307 West Pine Street, P O Box 1953, Hattiesburg, MS 39403 |
| Name | Role | Address |
|---|---|---|
| Stephen August Worrel Senior | Organizer | 915 Adeline Street, Hattiesburg, MS 39401 |
| Name | Role | Address |
|---|---|---|
| Lauren Elise Worrel | Manager | 500 Mamie Street, Hattiesburg, MS 39401 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Annual Report LLC | Filed | 2024-04-09 | Annual Report For Active Rehabilitation III, LLC |
| Annual Report LLC | Filed | 2023-06-21 | Annual Report For Active Rehabilitation III, LLC |
| Annual Report LLC | Filed | 2022-08-03 | Annual Report For Active Rehabilitation III, LLC |
| Annual Report LLC | Filed | 2021-05-19 | Annual Report For Active Rehabilitation III, LLC |
| Formation Form | Filed | 2020-09-23 | Formation For Active Rehabilitation III, LLC |
Date of last update: 19 Jan 2025
Sources: Mississippi Secretary of State
