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  5. LAUREL CLINIC FOR WOMEN, P.A.

LAUREL CLINIC FOR WOMEN, P.A.

Company Details

Name: LAUREL CLINIC FOR WOMEN, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 04 Jan 1972 (53 years ago)
Business ID: 212893
ZIP code: 39440
County: Jones
State of Incorporation: MISSISSIPPI
Principal Office Address: 115 MAGNOLIA STLAUREL, MS 39440-4431

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAUREL CLINIC FOR WOMEN, P.A. PROFIT SHARING PLAN 2011 640511601 2012-12-26 LAUREL CLINIC FOR WOMEN, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-03-20
Business code 621111
Sponsor’s telephone number 6014287221
Plan sponsor’s address 3435 OLD BAY SPRINGS ROAD, LAUREL, MS, 39440

Plan administrator’s name and address
Administrator’s EIN 640511601
Plan administrator’s name LAUREL CLINIC FOR WOMEN, P.A.
Plan administrator’s address 3435 OLD BAY SPRINGS ROAD, LAUREL, MS, 39440
Administrator’s telephone number 6014287221

Signature of
Role Plan administrator
Date 2012-12-26
Name of individual signing CHARLTON VINCENT, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-12-26
Name of individual signing CHARLTON VINCENT, MD
Valid signature Filed with authorized/valid electronic signature
LAUREL CLINIC FOR WOMEN, P.A. PROFIT SHARING PLAN 2011 640511601 2012-05-07 LAUREL CLINIC FOR WOMEN, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-03-20
Business code 621111
Sponsor’s telephone number 6014287221
Plan sponsor’s address 115 SOUTH MAGNOLIA STREET, LAUREL, MS, 39440

Plan administrator’s name and address
Administrator’s EIN 640511601
Plan administrator’s name LAUREL CLINIC FOR WOMEN, P.A.
Plan administrator’s address 115 SOUTH MAGNOLIA STREET, LAUREL, MS, 39440
Administrator’s telephone number 6014287221

Signature of
Role Plan administrator
Date 2012-05-07
Name of individual signing CHARLTON VINCENT, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-07
Name of individual signing CHARLTON VINCENT, MD
Valid signature Filed with authorized/valid electronic signature
LAUREL CLINIC FOR WOMEN, P.A. PROFIT SHARING PLAN 2010 640511601 2011-09-30 LAUREL CLINIC FOR WOMEN, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-03-20
Business code 621111
Sponsor’s telephone number 6014287221
Plan sponsor’s address 115 SOUTH MAGNOLIA STREET, LAUREL, MS, 39440

Plan administrator’s name and address
Administrator’s EIN 640511601
Plan administrator’s name LAUREL CLINIC FOR WOMEN, P.A.
Plan administrator’s address 115 SOUTH MAGNOLIA STREET, LAUREL, MS, 39440
Administrator’s telephone number 6014287221

Signature of
Role Plan administrator
Date 2011-09-30
Name of individual signing CHARLTON VINCENT, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-30
Name of individual signing CHARLTON VINCENT, MD
Valid signature Filed with authorized/valid electronic signature
LAUREL CLINIC FOR WOMEN, P.A. PROFIT SHARING PLAN 2009 640511601 2010-09-10 LAUREL CLINIC FOR WOMEN, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1972-03-20
Business code 621111
Sponsor’s telephone number 6014287221
Plan sponsor’s address 115 SOUTH MAGNOLIA STREET, LAUREL, MS, 39440

Plan administrator’s name and address
Administrator’s EIN 640511601
Plan administrator’s name LAUREL CLINIC FOR WOMEN, P.A.
Plan administrator’s address 115 SOUTH MAGNOLIA STREET, LAUREL, MS, 39440
Administrator’s telephone number 6014287221

Signature of
Role Plan administrator
Date 2010-09-10
Name of individual signing CHARLTON VINCENT, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-10
Name of individual signing CHARLTON VINCENT, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CHARLTON R VINCENT Agent 115 S MAGNOLIA ST, LAUREL, MS 39440

Director

Name Role Address
Dr Charlton R Vincent Director 115 Magnolia St, Laurel, MS 39440
Kaye Holifield Director 1060 Summerland Road, Taylorsville, MS 39168

President

Name Role Address
Dr Charlton R Vincent President 115 Magnolia St, Laurel, MS 39440

Vice President

Name Role Address
Kaye Holifield Vice President 1060 Summerland Road, Taylorsville, MS 39168

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2013-10-01 Admin Dissolution
Notice to Dissolve/Revoke Filed 2013-07-01 Notice to Dissolve/Revoke
Annual Report Filed 2012-10-01 Annual Report
Notice to Dissolve/Revoke Filed 2012-09-13 Notice to Dissolve/Revoke
Annual Report Filed 2011-03-30 Annual Report
Annual Report Filed 2010-03-17 Annual Report
Annual Report Filed 2009-04-02 Annual Report
Annual Report Filed 2008-06-26 Annual Report
Annual Report Filed 2007-05-15 Annual Report
Annual Report Filed 2006-06-22 Annual Report

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 31 Jan 2025

Sources: Mississippi Secretary of State

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