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GREENVILLE SURGICAL CLINIC, P. A.

Company Details

Name: GREENVILLE SURGICAL CLINIC, P. A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 10 Nov 1971 (53 years ago)
Business ID: 203229
State of Incorporation: MISSISSIPPI
Principal Office Address: 1214 HOSPITAL STREETGREENVILLE, MS 387044499

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN 2023 640511145 2024-07-03 GREENVILLE SURGICAL CLINIC, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6623359283
Plan sponsor’s address 1214 HOSPITAL STREET, GREENVILLE, MS, 38703

Signature of
Role Plan administrator
Date 2024-07-03
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN 2022 640511145 2023-05-15 GREENVILLE SURGICAL CLINIC, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6623359283
Plan sponsor’s address 1214 HOSPITAL STREET, GREENVILLE, MS, 38701

Signature of
Role Plan administrator
Date 2023-05-15
Name of individual signing JEFFERY DOOLITTLE, M.D.
Valid signature Filed with authorized/valid electronic signature
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN 2021 640511145 2022-06-09 GREENVILLE SURGICAL CLINIC, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6623359283
Plan sponsor’s address 1214 HOSPITAL STREET, GREENVILLE, MS, 38701

Signature of
Role Plan administrator
Date 2022-06-09
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-09
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN 2020 640511145 2021-07-22 GREENVILLE SURGICAL CLINIC, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6623359283
Plan sponsor’s address 1214 HOSPITAL STREET, GREENVILLE, MS, 38701

Signature of
Role Plan administrator
Date 2021-07-22
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-07-22
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN 2019 640511145 2020-05-14 GREENVILLE SURGICAL CLINIC, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6623359283
Plan sponsor’s address 1214 HOSPITAL STREET, GREENVILLE, MS, 38701

Signature of
Role Plan administrator
Date 2020-05-14
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-05-14
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN 2018 640511145 2019-07-23 GREENVILLE SURGICAL CLINIC, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6623359283
Plan sponsor’s address 1214 HOSPITAL STREET, GREENVILLE, MS, 38701

Signature of
Role Plan administrator
Date 2019-07-23
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-23
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN 2017 640511145 2018-06-21 GREENVILLE SURGICAL CLINIC, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6623359283
Plan sponsor’s address 1214 HOSPITAL STREET, GREENVILLE, MS, 38701

Signature of
Role Plan administrator
Date 2018-06-21
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-21
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN 2016 640511145 2017-08-04 GREENVILLE SURGICAL CLINIC, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6623359283
Plan sponsor’s address 1214 HOSPITAL STREET, GREENVILLE, MS, 38701

Signature of
Role Plan administrator
Date 2017-08-04
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-04
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN 2015 640511145 2016-10-11 GREENVILLE SURGICAL CLINIC, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6623359283
Plan sponsor’s address 1214 HOSPITAL STREET, GREENVILLE, MS, 38701

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-11
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
GREENVILLE SURGICAL CLINIC, P.A. 401(K) PLAN 2014 640511145 2015-05-05 GREENVILLE SURGICAL CLINIC, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6623359283
Plan sponsor’s address 1214 HOSPITAL STREET, GREENVILLE, MS, 38701

Signature of
Role Plan administrator
Date 2015-05-05
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-05
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/02/20141002133207P030001596233001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6623359283
Plan sponsor’s address 1214 HOSPITAL STREET, GREENVILLE, MS, 38701

Signature of
Role Plan administrator
Date 2014-10-02
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-02
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/11/20130611152035P030089398677001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 6623359283
Plan sponsor’s address 1214 HOSPITAL STREET, GREENVILLE, MS, 38703

Signature of
Role Plan administrator
Date 2013-06-11
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-11
Name of individual signing JEFFERY DOOLITTLE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PHIL DOOLITTLE Agent 1214 HOSPITAL ST, PO BOX 4499, GREENVILLE, MS 38704

Director

Name Role Address
JEFFERY DOOLITTLE Director 1214 HOSPITAL STREET, GREENVILLE, MS 38704

President

Name Role Address
JEFFERY DOOLITTLE President 1214 HOSPITAL STREET, GREENVILLE, MS 38704

Vice President

Name Role Address
Phillip D Doolittle Vice President 1214 Hospital Street, Greenville, MS 38703

Filings

Type Status Filed Date Description
Annual Report Filed 2025-04-14 Annual Report For GREENVILLE SURGICAL CLINIC, P. A.
Annual Report Filed 2024-04-10 Annual Report For GREENVILLE SURGICAL CLINIC, P. A.
Annual Report Filed 2023-04-12 Annual Report For GREENVILLE SURGICAL CLINIC, P. A.
Annual Report Filed 2022-03-29 Annual Report For GREENVILLE SURGICAL CLINIC, P. A.
Annual Report Filed 2021-04-02 Annual Report For GREENVILLE SURGICAL CLINIC, P. A.
Annual Report Filed 2020-04-13 Annual Report For GREENVILLE SURGICAL CLINIC, P. A.
Annual Report Filed 2019-04-04 Annual Report For GREENVILLE SURGICAL CLINIC, P. A.
Annual Report Filed 2018-04-03 Annual Report For GREENVILLE SURGICAL CLINIC, P. A.
Annual Report Filed 2017-02-20 Annual Report For GREENVILLE SURGICAL CLINIC, P. A.
Annual Report Filed 2016-04-14 Annual Report For GREENVILLE SURGICAL CLINIC, P. A.

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5340727008 2020-04-05 0470 PPP 1214 HOSPITAL ST, GREENVILLE, MS, 38703-3213
Loan Status Date 2020-12-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 54544
Loan Approval Amount (current) 54544
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39146
Servicing Lender Name Guaranty Bank & Trust Company
Servicing Lender Address 210 Hayden St, BELZONI, MS, 39038-3636
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address GREENVILLE, WASHINGTON, MS, 38703-3213
Project Congressional District MS-02
Number of Employees 5
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 39146
Originating Lender Name Guaranty Bank & Trust Company
Originating Lender Address BELZONI, MS
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 54877.24
Forgiveness Paid Date 2020-11-25

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Date of last update: 16 Apr 2025

Sources: Mississippi Secretary of State

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