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  5. ROBERT F. COOPER, III, M.D., P.A.

ROBERT F. COOPER, III, M.D., P.A.

Company Details

Name: ROBERT F. COOPER, III, M.D., P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 03 Apr 1978 (47 years ago)
Business ID: 204277
ZIP code: 38655
County: Lafayette
State of Incorporation: MISSISSIPPI
Principal Office Address: 2200 S LAMAR # BOXFORD, MS 38655

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ROBERT F. COOPER, III, M. D. , P. A. PROFIT SHARING PLAN 2014 640609261 2015-11-18 ROBERT F. COOPER, III, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-04-03
Business code 621111
Sponsor’s telephone number 6626099467
Plan sponsor’s address #12 COUNTY ROAD 3070, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2015-11-18
Name of individual signing ROBERT F. COOPER, III, MD
Valid signature Filed with authorized/valid electronic signature
ROBERT F. COOPER, III, M. D. , P. A. PROFIT SHARING PLAN 2014 640609261 2015-12-17 ROBERT F. COOPER, III, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-04-03
Business code 621111
Sponsor’s telephone number 6626099467
Plan sponsor’s address #12 COUNTY ROAD 3070, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2015-12-17
Name of individual signing ROBERT F. COOPER, III, MD
Valid signature Filed with authorized/valid electronic signature
ROBERT F. COOPER, III, M.D., P.A. PROFIT SHARING PLAN 2013 640609261 2014-12-30 ROBERT F. COOPER, III, M.D., P.A. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-04-03
Business code 621111
Sponsor’s telephone number 6622341121
Plan sponsor’s address 2200 SOUTH LAMAR BOULEVARD, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2014-12-30
Name of individual signing ROBERT F.COOPER, III, MD
Valid signature Filed with authorized/valid electronic signature
ROBERT F. COOPER, III, M.D., P.A. PROFIT SHARING PLAN 2013 640609261 2014-09-29 ROBERT F. COOPER, III, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-04-03
Business code 621111
Sponsor’s telephone number 6622341121
Plan sponsor’s address 2200 SOUTH LAMAR BOULEVARD, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2014-09-29
Name of individual signing ROBERT F.COOPER, III, MD
Valid signature Filed with authorized/valid electronic signature
ROBERT F. COOPER, III, M.D., P.A. PROFIT SHARING PLAN 2012 640609261 2013-08-20 ROBERT F. COOPER, III, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-04-03
Business code 621111
Sponsor’s telephone number 6622341121
Plan sponsor’s address 2200 SOUTH LAMAR BOULEVARD, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2013-08-20
Name of individual signing ROBERT F.COOPER, III, MD
Valid signature Filed with authorized/valid electronic signature
ROBERT F. COOPER, III, M.D., P.A. PROFIT SHARING PLAN 2011 640609261 2012-11-26 ROBERT F. COOPER, III, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-04-03
Business code 621111
Sponsor’s telephone number 6622341121
Plan sponsor’s address 2200 SOUTH LAMAR BOULEVARD, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 640609261
Plan administrator’s name ROBERT F. COOPER, III, M.D., P.A.
Plan administrator’s address 2200 SOUTH LAMAR BOULEVARD, OXFORD, MS, 38655
Administrator’s telephone number 6622341121

Signature of
Role Plan administrator
Date 2012-11-26
Name of individual signing ROBERT F.COOPER, III, MD
Valid signature Filed with authorized/valid electronic signature
ROBERT F. COOPER, III, M.D., P.A. PROFIT SHARING PLAN 2010 640609261 2011-12-19 ROBERT F. COOPER, III, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-04-03
Business code 621111
Sponsor’s telephone number 6622341121
Plan sponsor’s address 2200 SOUTH LAMAR BOULEVARD, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 640609261
Plan administrator’s name ROBERT F. COOPER, III, M.D., P.A.
Plan administrator’s address 2200 SOUTH LAMAR BOULEVARD, OXFORD, MS, 38655
Administrator’s telephone number 6622341121

Signature of
Role Plan administrator
Date 2011-12-19
Name of individual signing ROBERT F.COOPER, III, MD
Valid signature Filed with authorized/valid electronic signature
ROBERT F. COOPER, III, M.D., P.A. PROFIT SHARING PLAN 2009 640609261 2010-12-03 ROBERT F. COOPER, III, M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1978-04-03
Business code 621111
Sponsor’s telephone number 6622341121
Plan sponsor’s address 2200 SOUTH LAMAR BOULEVARD, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 640609261
Plan administrator’s name ROBERT F. COOPER, III, M.D., P.A.
Plan administrator’s address 2200 SOUTH LAMAR BOULEVARD, OXFORD, MS, 38655
Administrator’s telephone number 6622341121

Signature of
Role Plan administrator
Date 2010-12-03
Name of individual signing ROBERT F COOPER, III, M.D. P.A.
Valid signature Filed with authorized/valid electronic signature
ROBERT F. COOPER, III, M.D., P.A. PROFIT SHARING PLAN 2009 640609261 2010-11-24 ROBERT F. COOPER, III, M.D., P.A. 5
Three-digit plan number (PN) 001
Effective date of plan 1978-04-03
Business code 621111
Sponsor’s telephone number 6622341121
Plan sponsor’s address 2200 SOUTH LAMAR BOULEVARD, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 640609261
Plan administrator’s name ROBERT F. COOPER, III, M.D., P.A.
Plan administrator’s address 2200 SOUTH LAMAR BOULEVARD, OXFORD, MS, 38655
Administrator’s telephone number 6622341121

Signature of
Role Plan administrator
Date 2010-11-23
Name of individual signing ROBERT F COOPER, III, M.D. P.A.
Valid signature Filed with incorrect/unrecognized electronic signature
ROBERT F. COOPER, III, M.D., P.A. PROFIT SHARING PLAN 2009 640609261 2010-12-01 ROBERT F. COOPER, III, M.D., P.A. 5
Three-digit plan number (PN) 001
Effective date of plan 1978-04-03
Business code 621111
Sponsor’s telephone number 6622341121
Plan sponsor’s address 2200 SOUTH LAMAR BOULEVARD, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 640609261
Plan administrator’s name ROBERT F. COOPER, III, M.D., P.A.
Plan administrator’s address 2200 SOUTH LAMAR BOULEVARD, OXFORD, MS, 38655
Administrator’s telephone number 6622341121

Signature of
Role Plan administrator
Date 2010-11-29
Name of individual signing ROBERT F COOPER, III, M.D. P.A.
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
ROBERT F COOPER III Agent 2200 SOUTH LAMAR, OXFORD, MS 38655

Director

Name Role Address
L G HOPKINS Director 2200 SOUTH LAMAR, , MS
ROSELLA H COOPER Director 2200 SOUTH LAMAR, , MS
ROBERT F COOPER III Director 2200 SOUTH LAMAR, OXFORD, MS 38655

Secretary

Name Role Address
L G HOPKINS Secretary 2200 SOUTH LAMAR, , MS
ROSELLA H COOPER Secretary 2200 SOUTH LAMAR, , MS

Treasurer

Name Role Address
L G HOPKINS Treasurer 2200 SOUTH LAMAR, , MS
ROSELLA H COOPER Treasurer 2200 SOUTH LAMAR, , MS

Vice President

Name Role Address
ROSELLA H COOPER Vice President 2200 SOUTH LAMAR, , MS

President

Name Role Address
ROBERT F COOPER III President 2200 SOUTH LAMAR, OXFORD, MS 38655

Filings

Type Status Filed Date Description
Admin Dissolution Filed 1991-12-11 Admin Dissolution
Notice to Dissolve/Revoke Filed 1991-09-22 Notice to Dissolve/Revoke
Annual Report Filed 1991-01-18 Annual Report
Notice to Dissolve/Revoke Filed 1990-11-07 Notice to Dissolve/Revoke
Annual Report Filed 1989-04-03 Annual Report
Name Reservation Form Filed 1978-04-03 Name Reservation

Related by officers

ROBERT F COOPER III

L.G. HOPKINS, M.D., P.A.

L G HOPKINS

L.G. HOPKINS, M.D., P.A.

Related by address

No related companies by address

Date of last update: 31 Jan 2025

Sources: Mississippi Secretary of State

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