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  5. EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A.

EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A.

Company Details

Name: EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 11 May 1979 (46 years ago)
Business ID: 403827
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 107 MILLSAPS DRIVEHATTIESBURG, MS 39402

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, 2021 640622401 2022-12-16 EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-06-01
Business code 621111
Sponsor’s telephone number 6017051102
Plan sponsor’s address 107 MILLSAPS DRIVE, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2022-12-16
Name of individual signing CURT CHILDRESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-12-16
Name of individual signing CURT CHILDRESS
Valid signature Filed with authorized/valid electronic signature
EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A. PROFIT SHARING 401(K) PLAN 2021 640622401 2022-07-18 EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-06-01
Business code 621111
Sponsor’s telephone number 6017051102
Plan sponsor’s address 107 MILLSAPS DRIVE, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2022-07-18
Name of individual signing CURT CHILDRESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-18
Name of individual signing CURT CHILDRESS
Valid signature Filed with authorized/valid electronic signature
EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A. PROFIT SHARING 401(K) PLAN 2020 640622401 2021-10-25 EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-06-01
Business code 621111
Sponsor’s telephone number 6017051102
Plan sponsor’s address 107 MILLSAPS DRIVE, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2021-10-25
Name of individual signing CURT CHILDRESS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-25
Name of individual signing CURT CHILDRESS
Valid signature Filed with authorized/valid electronic signature
EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A. PROFIT SHARING 401(K) PLAN 2019 640622401 2020-09-04 EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-06-01
Business code 621111
Sponsor’s telephone number 6017051102
Plan sponsor’s address 107 MILLSAPS DRIVE, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2020-09-04
Name of individual signing REBECCA NODURFT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-04
Name of individual signing REBECCA NODURFT
Valid signature Filed with authorized/valid electronic signature
EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A. PROFIT SHARING 401(K) PLAN 2018 640622401 2019-09-23 EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-06-01
Business code 621111
Sponsor’s telephone number 6017051102
Plan sponsor’s address 107 MILLSAPS DRIVE, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2019-09-23
Name of individual signing REBECCA NODURFT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-23
Name of individual signing REBECCA NODURFT
Valid signature Filed with authorized/valid electronic signature
EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A. PROFIT SHARING 401(K) PLAN 2017 640622401 2018-10-12 EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-06-01
Business code 621111
Sponsor’s telephone number 6017051102
Plan sponsor’s address 107 MILLSAPS DRIVE, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing CHARLOTTE FRANSTED
Valid signature Filed with authorized/valid electronic signature
EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A. PROFIT SHARING 401(K) PLAN 2016 640622401 2017-10-11 EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1980-06-01
Business code 621111
Sponsor’s telephone number 6017051102
Plan sponsor’s address 107 MILLSAPS DRIVE, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2017-10-11
Name of individual signing C. E. GUICE III
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Guice, C E, III Agent 107 Millsaps Drive;P O Box 17829, Hattiesburg, MS 39404-7829

Director

Name Role Address
C E Guice III Director 107 Millsaps Drive, Hattiesburg, MS 39402
J Robert Coltharp Director 107 Millsaps Drive, Hattiesburg, MS 39402
Curtis Childress Director 107 Millsaps Drive, Hattiesburg, MS 39402

President

Name Role Address
C E Guice III President 107 Millsaps Drive, Hattiesburg, MS 39402

Vice President

Name Role Address
J Robert Coltharp Vice President 107 Millsaps Drive, Hattiesburg, MS 39402

Secretary

Name Role Address
Curtis Childress Secretary 107 Millsaps Drive, Hattiesburg, MS 39402

Treasurer

Name Role Address
Curtis Childress Treasurer 107 Millsaps Drive, Hattiesburg, MS 39402

Filings

Type Status Filed Date Description
Dissolution Filed 2020-12-21 Dissolution For EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A.
Annual Report Filed 2020-03-17 Annual Report For EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A.
Reinstatement Filed 2019-08-21 Reinstatement For EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A.
Admin Dissolution Filed 2018-12-10 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Annual Report Filed 2017-04-11 Annual Report For EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A.
Annual Report Filed 2016-03-24 Annual Report For EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A.
Annual Report Filed 2015-04-08 Annual Report For EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A.
Annual Report Filed 2014-10-17 Annual Report For EAR, NOSE & THROAT AND FACIAL PLASTIC SURGERY, P.A.
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke

Related by officers

J Robert Coltharp

HEAD & NECK SURGERY CENTER, LLC

Related by address

107 MILLSAPS DRIVEHATTIESBURG, MS 39402

CEG III, LLC ENT Properties, LLC

Date of last update: 14 Dec 2024

Sources: Mississippi Secretary of State

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