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NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD.

Company Details

Name: NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 10 Apr 1980 (45 years ago)
Business ID: 201455
ZIP code: 38804
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: 1202 NORTH GLOSTER STTupelo, MS 38804

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD PROFIT SHARING PLAN 2022 640638142 2023-08-21 NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 6628449166
Plan sponsor’s address 961 S GLOSTER ST, TUPELO, MS, 388016343

Signature of

Role Plan administrator
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD PROFIT SHARING PLAN 2022 640638142 2023-08-21 NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 6628449166
Plan sponsor’s address 961 S GLOSTER ST, TUPELO, MS, 388016343

Signature of

Role Plan administrator
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD PROFIT SHARING PLAN 2022 640638142 2023-08-21 NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 6228449166
Plan sponsor’s address 961 S GLOSTER ST, TUPELO, MS, 388016343

Signature of

Role Plan administrator
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD PROFIT SHARING PLAN 2022 640638142 2023-08-21 NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 6628449166
Plan sponsor’s address 961 S GLOSTER ST, TUPELO, MS, 388016343

Signature of

Role Plan administrator
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD PROFIT SHARING PLAN 2022 640638142 2023-08-21 NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 6628449166
Plan sponsor’s address 961 S GLOSTER ST, TUPELO, MS, 388016343

Signature of

Role Plan administrator
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD PROFIT SHARING PLAN 2022 640638142 2023-08-21 NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 6228449166
Plan sponsor’s address 961 S GLOSTER ST, TUPELO, MS, 388016343

Signature of

Role Plan administrator
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD PROFIT SHARING PLAN 2022 640638142 2023-08-21 NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 6628449166
Plan sponsor’s address 961 S GLOSTER ST, TUPELO, MS, 388016343

Signature of

Role Plan administrator
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD PROFIT SHARING PLAN 2022 640638142 2023-08-21 NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 6628449166
Plan sponsor’s address 961 S GLOSTER ST, TUPELO, MS, 388016343

Signature of

Role Plan administrator
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD PROFIT SHARING PLAN 2021 640638142 2023-08-21 NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 6628449166
Plan sponsor’s address 961 S GLOSTER ST, TUPELO, MS, 388016343

Signature of

Role Plan administrator
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD PROFIT SHARING PLAN 2020 640638142 2023-08-21 NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 6628449166
Plan sponsor’s address 961 S GLOSTER ST, TUPELO, MS, 388016343

Signature of

Role Plan administrator
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-21
Name of individual signing ANDREW KELLUM
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/08/13/20140813084429P030032642125001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 6628449166
Plan sponsor’s address 990 SOUTH MADISON, SUITE 2, TUPELO, MS, 38801

Signature of

Role Plan administrator
Date 2014-08-13
Name of individual signing CHARLES W. MONTGOMERY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-13
Name of individual signing CHARLES W. MONTGOMERY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/26/20130726111912P040118030213001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 6628449166
Plan sponsor’s address 990 SOUTH MADISON, SUITE 2, TUPELO, MS, 38801

Signature of

Role Plan administrator
Date 2013-07-26
Name of individual signing CHARLES W. MONTGOMERY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-26
Name of individual signing CHARLES W. MONTGOMERY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/10/20121010083131P030000820532001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 6628449166
Plan sponsor’s address 990 SOUTH MADISON, SUITE 2, TUPELO, MS, 38801

Plan administrator’s name and address

Administrator’s EIN 640638142
Plan administrator’s name NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD.
Plan administrator’s address 990 SOUTH MADISON, SUITE 2, TUPELO, MS, 38801
Administrator’s telephone number 6628449166

Signature of

Role Plan administrator
Date 2012-10-10
Name of individual signing CHARLES W. MONTGOMERY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-10
Name of individual signing CHARLES W. MONTGOMERY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/13/20111013105219P030021849202001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 6628449166
Plan sponsor’s address 990 SOUTH MADISON, SUITE 2, TUPELO, MS, 38801

Plan administrator’s name and address

Administrator’s EIN 640638142
Plan administrator’s name NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD.
Plan administrator’s address 990 SOUTH MADISON, SUITE 2, TUPELO, MS, 38801
Administrator’s telephone number 6628449166

Signature of

Role Plan administrator
Date 2011-10-13
Name of individual signing CHARLES W. MONTGOMERY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing CHARLES W. MONTGOMERY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/23/20100923120117P070002878930001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 6628449166
Plan sponsor’s address 990 SOUTH MADISON, SUITE 2, TUPELO, MS, 38801

Plan administrator’s name and address

Administrator’s EIN 640638142
Plan administrator’s name NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD.
Plan administrator’s address 990 SOUTH MADISON, SUITE 2, TUPELO, MS, 38801
Administrator’s telephone number 6628449166

Signature of

Role Plan administrator
Date 2010-09-23
Name of individual signing CHARLES W. MONTGOMERY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-23
Name of individual signing CHARLES W. MONTGOMERY
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1980-05-01
Business code 621111
Sponsor’s telephone number 6628449166
Plan sponsor’s address 990 SOUTH MADISON, SUITE 2, TUPELO, MS, 38801

Plan administrator’s name and address

Administrator’s EIN 640638142
Plan administrator’s name NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD.
Plan administrator’s address 990 SOUTH MADISON, SUITE 2, TUPELO, MS, 38801
Administrator’s telephone number 6628449166

Signature of

Role Plan administrator
Date 2010-09-22
Name of individual signing CHARLES W. MONTGOMERY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-22
Name of individual signing CHARLES W. MONTGOMERY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CHARLES W MONTGOMERY Agent 961 South Gloster Street, Tupelo, MS 38801

Director

Name Role Address
Andrew H Kellum Director 961 South Gloster St, Tupelo, MS 38801
Julian B Hill Director 961 South Gloster St, Tupelo, MS 38801
Charles W Montgomery Director 961 South Gloster St, Tupelo, MS 38801

President

Name Role Address
Andrew H Kellum President 961 South Gloster St, Tupelo, MS 38801

Treasurer

Name Role Address
Julian B Hill Treasurer 961 South Gloster St, Tupelo, MS 38801

Vice President

Name Role Address
Julian B Hill Vice President 961 South Gloster St, Tupelo, MS 38801

Secretary

Name Role Address
Charles W Montgomery Secretary 961 South Gloster St, Tupelo, MS 38801

Filings

Type Status Filed Date Description
Annual Report Filed 2024-04-01 Annual Report For NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD.
Annual Report Filed 2023-06-01 Annual Report For NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD.
Annual Report Filed 2022-04-21 Annual Report For NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD.
Annual Report Filed 2021-04-16 Annual Report For NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD.
Annual Report Filed 2020-04-12 Annual Report For NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD.
Annual Report Filed 2019-03-20 Annual Report For NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD.
Annual Report Filed 2018-08-09 Annual Report For NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD.
Annual Report Filed 2017-03-22 Annual Report For NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD.
Annual Report Filed 2016-04-10 Annual Report For NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD.
Annual Report Filed 2015-04-16 Annual Report For NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES, LTD.

Date of last update: 11 Dec 2024

Sources: Mississippi Secretary of State