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  5. LAKELAND RADIOLOGISTS, P.A.

LAKELAND RADIOLOGISTS, P.A.

Company Details

Name: LAKELAND RADIOLOGISTS, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 31 Jul 1974 (50 years ago)
Business ID: 212566
ZIP code: 39216
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 969 Lakeland DriveJackson, MS 39216
Historical names: LAKELAND RADIOLOGIST, P.A.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKELAND RADIOLOGISTS CASH BALANCE PLAN 2023 640548144 2024-09-30 LAKELAND RADIOLOGISTS, P.A. 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 6012006162
Plan sponsor’s address P. O. BOX 55769, JACKSON, MS, 392965769

Signature of
Role Plan administrator
Date 2024-09-30
Name of individual signing GEORGE EHRHARDT
Valid signature Filed with authorized/valid electronic signature
LAKELAND RADIOLOGISTS 401(K) RETIREMENT PLAN 2023 640548144 2024-09-30 LAKELAND RADIOLOGISTS, P.A. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 6012006162
Plan sponsor’s address P. O. BOX 55769, JACKSON, MS, 392965769

Signature of
Role Plan administrator
Date 2024-09-30
Name of individual signing GEORGE EHRHARDT
Valid signature Filed with authorized/valid electronic signature
LAKELAND RADIOLOGISTS CASH BALANCE PLAN 2022 640548144 2023-10-13 LAKELAND RADIOLOGISTS, P.A. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 6012006162
Plan sponsor’s address P. O. BOX 55769, JACKSON, MS, 392965769

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing GEORGE EHRHARDT
Valid signature Filed with authorized/valid electronic signature
LAKELAND RADIOLOGISTS 401(K) RETIREMENT PLAN 2022 640548144 2023-10-13 LAKELAND RADIOLOGISTS, P.A. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 6012006162
Plan sponsor’s address P. O. BOX 55769, JACKSON, MS, 392965769

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing GEORGE EHRHARDT
Valid signature Filed with authorized/valid electronic signature
LAKELAND RADIOLOGISTS 401(K) RETIREMENT PLAN 2021 640548144 2022-09-01 LAKELAND RADIOLOGISTS, P.A. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 6012006162
Plan sponsor’s address P. O. BOX 55769, JACKSON, MS, 392965769

Signature of
Role Plan administrator
Date 2022-09-01
Name of individual signing GEORGE EHRHARDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-01
Name of individual signing GEORGE EHRHARDT
Valid signature Filed with authorized/valid electronic signature
LAKELAND RADIOLOGISTS CASH BALANCE PLAN 2021 640548144 2022-10-17 LAKELAND RADIOLOGISTS, P.A. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 6012006162
Plan sponsor’s address P. O. BOX 55769, JACKSON, MS, 392965769

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing GEORGE EHRHARDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-17
Name of individual signing GEORGE EHRHARDT
Valid signature Filed with authorized/valid electronic signature
LAKELAND RADIOLOGISTS 401(K) RETIREMENT PLAN 2020 640548144 2021-10-04 LAKELAND RADIOLOGISTS, P.A. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 6012006162
Plan sponsor’s address P. O. BOX 55769, JACKSON, MS, 392965769

Signature of
Role Plan administrator
Date 2021-10-04
Name of individual signing GEORGE EHRHARDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-04
Name of individual signing GEORGE EHRHARDT
Valid signature Filed with authorized/valid electronic signature
LAKELAND RADIOLOGISTS, P.A. 401(K) PROFIT SHARING PLAN 2016 640548144 2017-10-10 LAKELAND RADIOLOGISTS, P.A. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-11-19
Business code 621111
Sponsor’s telephone number 6019362194
Plan sponsor’s address P. O. BOX 55769, JACKSON, MS, 392965769

Signature of
Role Plan administrator
Date 2017-10-10
Name of individual signing GEORGE EHRHARDT
Valid signature Filed with authorized/valid electronic signature
LAKELAND RADIOLOGISTS, P.A. 401(K) PROFIT SHARING PLAN 2016 640548144 2017-07-28 LAKELAND RADIOLOGISTS, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-11-19
Business code 621111
Sponsor’s telephone number 6019362194
Plan sponsor’s address P. O. BOX 55769, JACKSON, MS, 392965769

Signature of
Role Plan administrator
Date 2017-07-28
Name of individual signing GEORGE EHRHARDT
Valid signature Filed with authorized/valid electronic signature
LAKELAND RADIOLOGISTS, P.A. 401(K) PROFIT SHARING PLAN 2015 640548144 2016-10-13 LAKELAND RADIOLOGISTS, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1974-11-19
Business code 621111
Sponsor’s telephone number 6019362194
Plan sponsor’s address P. O. BOX 55769, JACKSON, MS, 392965769

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing ANTHONY FERTITTA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/13/20151013113945P030045466865003.pdf
Three-digit plan number (PN) 001
Effective date of plan 1974-11-19
Business code 621111
Sponsor’s telephone number 6019362194
Plan sponsor’s address P. O. BOX 55769, JACKSON, MS, 392965769

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing ANTHONY FERTITTA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/10/30/20171030095725P030247942897001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1974-11-19
Business code 621111
Sponsor’s telephone number 6019362194
Plan sponsor’s address P. O. BOX 55769, JACKSON, MS, 392965769

Signature of
Role Plan administrator
Date 2017-10-30
Name of individual signing GEORGE EHRHARDT
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1974-11-19
Business code 621111
Sponsor’s telephone number 6019362194
Plan sponsor’s address P. O. BOX 55769, JACKSON, MS, 392965769

Signature of
Role Plan administrator
Date 2014-10-08
Name of individual signing ANTHONY FERTITTA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-08
Name of individual signing ANTHONY FERTITTA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/04/20131004084102P040024299329001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1974-11-19
Business code 621111
Sponsor’s telephone number 6019362194
Plan sponsor’s address P. O. BOX 55769, JACKSON, MS, 392965769

Signature of
Role Plan administrator
Date 2013-10-04
Name of individual signing SCOTT MCPHERSON MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-01
Name of individual signing SCOTT MCPHERSON MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/08/20121008100948P040000693686001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1974-11-19
Business code 621111
Sponsor’s telephone number 6019362194
Plan sponsor’s address P. O. BOX 55769, JACKSON, MS, 392965769

Plan administrator’s name and address
Administrator’s EIN 640548144
Plan administrator’s name LAKELAND RADIOLOGISTS, P.A.
Plan administrator’s address P. O. BOX 55769, JACKSON, MS, 392965769
Administrator’s telephone number 6019362194

Signature of
Role Plan administrator
Date 2012-10-08
Name of individual signing SCOTT MCPHERSON MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-08
Name of individual signing SCOTT MCPHERSON MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/10/20111010172735P040022417650001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1974-11-19
Business code 621111
Sponsor’s telephone number 6019362194
Plan sponsor’s address P. O. BOX 55769, JACKSON, MS, 392965769

Plan administrator’s name and address
Administrator’s EIN 640548144
Plan administrator’s name LAKELAND RADIOLOGISTS, P.A.
Plan administrator’s address P. O. BOX 55769, JACKSON, MS, 392965769
Administrator’s telephone number 6019362194

Signature of
Role Plan administrator
Date 2011-10-10
Name of individual signing SCOTT MCPHERSON MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/04/20101004131949P070002256776001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1974-11-19
Business code 621111
Sponsor’s telephone number 6019362194
Plan sponsor’s address P. O. BOX 55769, JACKSON, MS, 392965769

Plan administrator’s name and address
Administrator’s EIN 640548144
Plan administrator’s name LAKELAND RADIOLOGISTS, P.A.
Plan administrator’s address P. O. BOX 55769, JACKSON, MS, 392965769
Administrator’s telephone number 6019362194

Signature of
Role Plan administrator
Date 2010-10-04
Name of individual signing SCOTT MCPHERSON MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Kirkland, Thomas L, Jr Agent 300 Concourse, Ridgeland, MS 39157

Director

Name Role Address
Scott McPherson MD Director 969 Lakeland Drive, Jackson, MS 39216
Joseph Gatlin MD Director 969 Lakeland Drive, Jackson, MS 39216
Kathryn Nicholas MD Director 969 Lakeland Drive, Jackson, MS 39216

President

Name Role Address
Scott McPherson MD President 969 Lakeland Drive, Jackson, MS 39216

Treasurer

Name Role Address
Joseph Gatlin MD Treasurer 969 Lakeland Drive, Jackson, MS 39216

Secretary

Name Role Address
Kathryn Nicholas MD Secretary 969 Lakeland Drive, Jackson, MS 39216

Filings

Type Status Filed Date Description
Registered Agent Change of Address Filed 2024-07-10 Agent Address Change For Kirkland, Thomas L, Jr
Annual Report Filed 2024-06-27 Annual Report For LAKELAND RADIOLOGISTS, P.A.
Annual Report Filed 2023-04-05 Annual Report For LAKELAND RADIOLOGISTS, P.A.
Registered Agent Change of Address Filed 2022-08-15 Agent Address Change For Kirkland, Thomas L, Jr
Reinstatement Filed 2022-02-18 Reinstatement For LAKELAND RADIOLOGISTS, P.A.
Admin Dissolution Filed 2021-11-29 Action of Intent to Dissolve: AR: LAKELAND RADIOLOGISTS, P.A.
Notice to Dissolve/Revoke Filed 2021-09-07 Notice of Intent to Dissolve: AR: LAKELAND RADIOLOGISTS, P.A.
Annual Report Filed 2020-09-21 Annual Report For LAKELAND RADIOLOGISTS, P.A.
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report Filed 2019-10-15 Annual Report For LAKELAND RADIOLOGIST, P.A.

Related by officers

Kirkland, Thomas L, Jr

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Related by address

969 Lakeland DriveJackson, MS 39216

ST. DOMINIC-JACKSON MEMORIAL HOSPITAL ST. DOMINIC HEALTH SERVICES, INC. FIRST INTERMED CORPORATION St. Dominic Health Services Foundation, Inc. HIGHLAND MEDICAL ARTS, LLC St. Dominic Madison Health Services, Inc. St. Dominic Medical Associates, LLC St. Dominic Integrated Services, Inc. Pathology Associates of Central Mississippi LLC

Date of last update: 12 Dec 2024

Sources: Mississippi Secretary of State

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