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  5. WOMAN'S CLINIC OF GULFPORT, P.A.

WOMAN'S CLINIC OF GULFPORT, P.A.

Company Details

Name: WOMAN'S CLINIC OF GULFPORT, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 31 Jul 1975 (49 years ago)
Business ID: 407043
ZIP code: 39501
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 4577 13TH STGULFPORT, MS 39501

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WOMAN'S CLINIC OF GULFPORT, P.A. EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2023 640574590 2024-07-01 WOMAN'S CLINIC OF GULFPORT, P.A. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 2288642752
Plan sponsor’s address 4577 13TH STREET, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2024-07-01
Name of individual signing LUCY EMMONS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-01
Name of individual signing LUCY EMMONS
Valid signature Filed with authorized/valid electronic signature
WOMAN'S CLINIC OF GULFPORT, P.A. EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2022 640574590 2023-08-11 WOMAN'S CLINIC OF GULFPORT, P.A. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 2288642752
Plan sponsor’s address 4577 13TH STREET, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2023-08-11
Name of individual signing LUCY EMMONS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-08-11
Name of individual signing LUCY EMMONS
Valid signature Filed with authorized/valid electronic signature
WOMAN'S CLINIC OF GULFPORT, P.A. EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2021 640574590 2022-07-18 WOMAN'S CLINIC OF GULFPORT, P.A. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 2288642752
Plan sponsor’s address 4577 13TH STREET, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2022-07-18
Name of individual signing LUCY EMMONS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-18
Name of individual signing LUCY EMMONS
Valid signature Filed with authorized/valid electronic signature
WOMAN'S CLINIC OF GULFPORT, P.A. EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2020 640574590 2021-06-23 WOMAN'S CLINIC OF GULFPORT, P.A. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 2288642752
Plan sponsor’s address 4577 13TH STREET, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2021-06-23
Name of individual signing LUCY EMMONS
Valid signature Filed with authorized/valid electronic signature
WOMAN'S CLINIC OF GULFPORT, P.A. EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2019 640574590 2020-07-08 WOMAN'S CLINIC OF GULFPORT, P.A. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 2288642752
Plan sponsor’s address 4577 13TH STREET, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2020-07-08
Name of individual signing JILL CHAMPAGNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-08
Name of individual signing JILL CHAMPAGNE
Valid signature Filed with authorized/valid electronic signature
WOMAN'S CLINIC OF GULFPORT, P.A. EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2018 640574590 2019-04-29 WOMAN'S CLINIC OF GULFPORT, P.A. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 2288642752
Plan sponsor’s address 4577 13TH STREET, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2019-04-29
Name of individual signing JILL CHAMPAGNE
Valid signature Filed with authorized/valid electronic signature
WOMAN'S CLINIC OF GULFPORT, P.A. EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2017 640574590 2018-05-24 WOMAN'S CLINIC OF GULFPORT, P.A. 25
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 2288642752
Plan sponsor’s address 4577 13TH STREET, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2018-05-24
Name of individual signing JILL CHAMPAGNE
Valid signature Filed with authorized/valid electronic signature
WOMAN'S CLINIC OF GULFPORT, P.A. EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2016 640574590 2017-05-17 WOMAN'S CLINIC OF GULFPORT, P.A. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 2288642752
Plan sponsor’s address 4577 13TH STREET, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2017-05-17
Name of individual signing JILL CHAMPAGNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-17
Name of individual signing JILL CHAMPAGNE
Valid signature Filed with authorized/valid electronic signature
WOMAN'S CLINIC OF GULFPORT, P.A. EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2015 640574590 2016-05-02 WOMAN'S CLINIC OF GULFPORT, P.A. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 2288642752
Plan sponsor’s address 4577 13TH STREET, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2016-05-02
Name of individual signing JILL CHAMPAGNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-02
Name of individual signing JILL CHAMPAGNE
Valid signature Filed with authorized/valid electronic signature
WOMAN'S CLINIC OF GULFPORT, P.A. EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2014 640574590 2015-06-01 WOMAN'S CLINIC OF GULFPORT, P.A. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 2288642752
Plan sponsor’s address 4577 13TH STREET, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2015-06-01
Name of individual signing JILL CHAMPAGNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-01
Name of individual signing JILL CHAMPAGNE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/21/20140521154725P030116715749001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 2288642752
Plan sponsor’s address 4577 13TH STREET, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2014-05-21
Name of individual signing JILL CHAMPAGNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-21
Name of individual signing JILL CHAMPAGNE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/27/20130627110021P040277776179001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 2288642752
Plan sponsor’s address 4577 13TH STREET, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2013-06-27
Name of individual signing JILL CHAMPAGNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-27
Name of individual signing JILL CHAMPAGNE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/31/20120531102214P030002212374001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1975-08-01
Business code 621111
Sponsor’s telephone number 2288642752
Plan sponsor’s address 4577 13TH STREET, GULFPORT, MS, 39501

Plan administrator’s name and address
Administrator’s EIN 640574590
Plan administrator’s name WOMAN'S CLINIC OF GULFPORT, P.A.
Plan administrator’s address 4577 13TH STREET, GULFPORT, MS, 39501
Administrator’s telephone number 2288642752

Signature of
Role Plan administrator
Date 2012-05-31
Name of individual signing JILL CHAMPAGNE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Lehman, Thomas W. Agent 4577 13Th St., Gulfport, MS 39501-2598

President

Name Role Address
Thomas W. Lehman, M.d. President 4577 13th St, Gulfport, MS 39501

Vice President

Name Role Address
John F. Pappas, M.d. Vice President 4577 13th St, Gulfport, MS 39501

Treasurer

Name Role Address
Joanna M Trus MD Treasurer 4577 13th St., Gulfport, MS 39501

Secretary

Name Role Address
Alisha H. Ware, MD Secretary 4577 13th St, Gulfport, MS 39501

Filings

Type Status Filed Date Description
Annual Report Filed 2024-01-05 Annual Report For WOMAN'S CLINIC OF GULFPORT, P.A.
Annual Report Filed 2023-01-05 Annual Report For WOMAN'S CLINIC OF GULFPORT, P.A.
Annual Report Filed 2022-02-08 Annual Report For WOMAN'S CLINIC OF GULFPORT, P.A.
Annual Report Filed 2021-01-18 Annual Report For WOMAN'S CLINIC OF GULFPORT, P.A.
Annual Report Filed 2020-01-06 Annual Report For WOMAN'S CLINIC OF GULFPORT, P.A.
Annual Report Filed 2019-02-05 Annual Report For WOMAN'S CLINIC OF GULFPORT, P.A.
Annual Report Filed 2019-01-17 Annual Report For WOMAN'S CLINIC OF GULFPORT, P.A.
Annual Report Filed 2018-01-19 Annual Report For WOMAN'S CLINIC OF GULFPORT, P.A.
Annual Report Filed 2017-01-17 Annual Report For WOMAN'S CLINIC OF GULFPORT, P.A.
Annual Report Filed 2016-01-13 Annual Report For WOMAN'S CLINIC OF GULFPORT, P.A.

Related by officers

No related officers

Related by address

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Date of last update: 14 Dec 2024

Sources: Mississippi Secretary of State

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