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  5. RUSH MEDICAL GROUP, P.A.

RUSH MEDICAL GROUP, P.A.

Headquarter

Company Details

Name: RUSH MEDICAL GROUP, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Effective Date: 28 Dec 1972 (52 years ago)
Business ID: 204834
ZIP code: 39301
County: Lauderdale
State of Incorporation: MISSISSIPPI
Principal Office Address: 1800 TWELTH STMERIDIAN, MS 39301

Links between entities

Type Company Name Company Number State
Headquarter of RUSH MEDICAL GROUP, P.A., ALABAMA 000-862-030 ALABAMA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RUSH MEDICAL GROUP, P.A. 401(K) PLAN 2019 640524545 2020-07-08 RUSH MEDICAL GROUP, P.A. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6017039946
Plan sponsor’s address 1314 19TH AVENUE, MERIDIAN, MS, 39301

Signature of
Role Plan administrator
Date 2020-07-08
Name of individual signing SCOTT VINCENT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-08
Name of individual signing SCOTT VINCENT
Valid signature Filed with authorized/valid electronic signature
RUSH MEDICAL GROUP, P.A. 401(K) PLAN 2018 640524545 2019-10-16 RUSH MEDICAL GROUP, P.A. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6017039946
Plan sponsor’s address 1314 19TH AVENUE, MERIDIAN, MS, 39301

Signature of
Role Plan administrator
Date 2019-10-16
Name of individual signing SCOTT VINCENT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-16
Name of individual signing SCOTT VINCENT
Valid signature Filed with authorized/valid electronic signature
RUSH MEDICAL GROUP, P.A. 401(K) PLAN 2017 640524545 2018-05-16 RUSH MEDICAL GROUP, P.A. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6017039946
Plan sponsor’s address 1314 19TH AVENUE, MERIDIAN, MS, 39301

Signature of
Role Plan administrator
Date 2018-05-16
Name of individual signing SCOTT VINCENT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-16
Name of individual signing SCOTT VINCENT
Valid signature Filed with authorized/valid electronic signature
RUSH MEDICAL GROUP, P.A. 401(K) PLAN 2016 640524545 2017-07-21 RUSH MEDICAL GROUP, P.A. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6017039946
Plan sponsor’s address 1314 19TH AVENUE, MERIDIAN, MS, 39301

Signature of
Role Plan administrator
Date 2017-07-21
Name of individual signing DONALD SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-21
Name of individual signing DONALD SMITH
Valid signature Filed with authorized/valid electronic signature
RUSH MEDICAL GROUP, P.A. 401(K) PLAN 2015 640524545 2016-10-14 RUSH MEDICAL GROUP, P.A. 18
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6017039946
Plan sponsor’s address 1314 19TH AVENUE, MERIDIAN, MS, 39301

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing DONALD SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-14
Name of individual signing DONALD SMITH
Valid signature Filed with authorized/valid electronic signature
RUSH MEDICAL GROUP, P.A. 401(K) PLAN 2014 640524545 2015-10-14 RUSH MEDICAL GROUP, P.A. 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6017039946
Plan sponsor’s address 1314 19TH AVENUE, MERIDIAN, MS, 39301

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing DONALD SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-14
Name of individual signing DONALD SMITH
Valid signature Filed with authorized/valid electronic signature
RUSH MEDICAL GROUP, P.A. 401(K) PLAN 2013 640524545 2014-10-13 RUSH MEDICAL GROUP, P.A. 8
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6017039946
Plan sponsor’s address 1314 19TH AVENUE, MERIDIAN, MS, 39301

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing DONALD SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-13
Name of individual signing DONALD SMITH
Valid signature Filed with authorized/valid electronic signature
RUSH MEDICAL GROUP, P.A. 401(K) PLAN 2012 640524545 2013-10-15 RUSH MEDICAL GROUP, P.A. 68
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6017039946
Plan sponsor’s address 1314 19TH AVENUE, MERIDIAN, MS, 39301

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing DONALD SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing DONALD SMITH
Valid signature Filed with authorized/valid electronic signature
RUSH MEDICAL GROUP, P.A. 401(K) PLAN 2011 640524545 2012-10-05 RUSH MEDICAL GROUP, P.A. 71
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6017039946
Plan sponsor’s address 1314 19TH AVENUE, MERIDIAN, MS, 39301

Plan administrator’s name and address
Administrator’s EIN 640524545
Plan administrator’s name RUSH MEDICAL GROUP, P.A.
Plan administrator’s address 1314 19TH AVENUE, MERIDIAN, MS, 39301
Administrator’s telephone number 6017039946

Signature of
Role Plan administrator
Date 2012-10-05
Name of individual signing DONALD K. SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-05
Name of individual signing DONALD K. SMITH
Valid signature Filed with authorized/valid electronic signature
RUSH MEDICAL GROUP, P.A. 401(K) PLAN 2010 640524545 2011-07-29 RUSH MEDICAL GROUP, P.A. 74
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6017039946
Plan sponsor’s address 1314 19TH AVENUE, MERIDIAN, MS, 39301

Plan administrator’s name and address
Administrator’s EIN 640524545
Plan administrator’s name RUSH MEDICAL GROUP, P.A.
Plan administrator’s address 1314 19TH AVENUE, MERIDIAN, MS, 39301
Administrator’s telephone number 6017039946

Signature of
Role Plan administrator
Date 2011-07-29
Name of individual signing DONALD K. SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-29
Name of individual signing DONALD K. SMITH
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6017039946
Plan sponsor’s address 1314 19TH AVENUE, MERIDIAN, MS, 39301

Plan administrator’s name and address
Administrator’s EIN 640524545
Plan administrator’s name RUSH MEDICAL GROUP, P.A.
Plan administrator’s address 1314 19TH AVENUE, MERIDIAN, MS, 39301
Administrator’s telephone number 6017039946

Signature of
Role Plan administrator
Date 2011-07-29
Name of individual signing DONALD K.SMITH
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-07-29
Name of individual signing DONALD K.SMITH
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/02/20100802141759P070020312792001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6017039946
Plan sponsor’s address 1314 19TH AVENUE, MERIDIAN, MS, 39301

Plan administrator’s name and address
Administrator’s EIN 640524545
Plan administrator’s name RUSH MEDICAL GROUP, P.A.
Plan administrator’s address 1314 19TH AVENUE, MERIDIAN, MS, 39301
Administrator’s telephone number 6017039946

Signature of
Role Plan administrator
Date 2010-08-02
Name of individual signing DONNIE SMITH
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-02
Name of individual signing DONNIE SMITH
Valid signature Filed with authorized/valid electronic signature

Director

Name Role Address
G. G. GORDON Director 1800 12TH STREET, MERIDIAN, MS 39301
DAVID A. POMIERSKI Director 1800 12TH STREET, MERIDIAN, MS 39301
P Y VARELA Director No data
J R GLEAVES Director No data
G G GORDON Director No data
FRANCIS M. PHILLIIPPI Director No data
R S ABNEY Director No data
JAMES D CADY Director 1800 12TH STREET, MERIDIAN, MS 39301
P. Y. VARELA Director 1800 12TH STREET, MERIDIAN, MS 39301
RAY E MYATT Director No data

President

Name Role
FRANCIS M. PHILLIIPPI President

Vice President

Name Role
RAY E MYATT Vice President

Secretary

Name Role
GARY G. GORDON Secretary

Treasurer

Name Role
GARY G. GORDON Treasurer

Agent

Name Role Address
ARLIE RAMSEY Agent 1800 12TH ST, MERIDIAN, MS 39301 1800 12TH ST, MERIDIAN, MS 39301

Filings

Type Status Filed Date Description
Reinstatement Filed 2005-01-06 Reinstatement
Reinstatement Filed 2005-01-05 Reinstatement
Amendment Form Filed 2004-01-01 Amendment

Related by officers

DAVID A. POMIERSKI

Full Circle, LLC

Related by address

No related companies by address

Date of last update: 12 Dec 2024

Sources: Mississippi Secretary of State

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