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  5. DR. DANNY W. JACKSON, P.A.

DR. DANNY W. JACKSON, P.A.

Company Details

Name: DR. DANNY W. JACKSON, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 06 Nov 1981 (44 years ago)
Business ID: 500770
ZIP code: 39159
County: Sharkey
State of Incorporation: MISSISSIPPI
Principal Office Address: 102 S FOURTH STROLLING FORK, MS 39159-2612

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DR. DANNY W. JACKSON, P.A. 401(K) PROFIT SHARING PLAN 2017 640657290 2018-07-26 DR. DANNY W. JACKSON, P.A. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6628734361
Plan sponsor’s address P.O. BOX 520, ROLLING FORK, MS, 39159

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing DANNY JACKSON
Valid signature Filed with authorized/valid electronic signature
DR. DANNY W. JACKSON, P.A. 401K PROFIT SHARING PLAN 2017 640657290 2018-07-25 DR. DANNY W. JACKSON, P.A. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6628734361
Plan sponsor’s address P.O. BOX 520, ROLLING FORK, MS, 39159

Signature of
Role Plan administrator
Date 2018-07-25
Name of individual signing DANNY JACKSON
Valid signature Filed with authorized/valid electronic signature
DR. DANNY W. JACKSON, P.A. 401K PROFIT SHARING PLAN 2016 640657290 2017-06-27 DR. DANNY W. JACKSON, P.A. 20
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6628734361
Plan sponsor’s address P.O. BOX 520, ROLLING FORK, MS, 39159

Signature of
Role Plan administrator
Date 2017-06-27
Name of individual signing DANNY JACKSON
Valid signature Filed with authorized/valid electronic signature
DR. DANNY W. JACKSON, P.A. 401K PROFIT SHARING PLAN 2015 640657290 2016-07-22 DR. DANNY W. JACKSON, P.A. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6628734361
Plan sponsor’s address P.O. BOX 520, ROLLING FORK, MS, 39159

Signature of
Role Plan administrator
Date 2016-07-22
Name of individual signing DANNY JACKSON
Valid signature Filed with authorized/valid electronic signature
DR. DANNY W. JACKSON, P.A. 401K PROFIT SHARING PLAN 2014 640657290 2015-10-07 DR. DANNY W. JACKSON, P.A. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6628734361
Plan sponsor’s address P.O. BOX 520, ROLLING FORK, MS, 39159

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing DANNY JACKSON
Valid signature Filed with authorized/valid electronic signature
DR. DANNY W. JACKSON, P.A. 401K PROFIT SHARIN PLA 2013 640657290 2014-10-12 DR. DANNY W. JACKSON, P.A. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6628734361
Plan sponsor’s address P.O. BOX 520, ROLLING FORK, MS, 39159

Signature of
Role Plan administrator
Date 2014-10-12
Name of individual signing DR. DANNY W. JACKSON
Valid signature Filed with authorized/valid electronic signature
DR. DANNY W. JACKSON, P.A. 401K PROFIT SHARIN PLA 2012 640657290 2013-07-07 DR. DANNY W. JACKSON, P.A. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6628734361
Plan sponsor’s address P.O. BOX 520, ROLLING FORK, MS, 39159

Signature of
Role Plan administrator
Date 2013-07-07
Name of individual signing DR. DANNY W. JACKSON
Valid signature Filed with authorized/valid electronic signature
DR. DANNY W. JACKSON, P.A. 401K PROFIT SHARIN PLA 2011 640657290 2012-09-26 DR. DANNY W. JACKSON, P.A. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6628734361
Plan sponsor’s address P.O. BOX 520, ROLLING FORK, MS, 39159

Plan administrator’s name and address
Administrator’s EIN 640657290
Plan administrator’s name DR. DANNY W. JACKSON, P.A.
Plan administrator’s address P.O. BOX 520, ROLLING FORK, MS, 39159
Administrator’s telephone number 6628734361

Signature of
Role Plan administrator
Date 2012-09-26
Name of individual signing DR. DANNY W. JACKSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-26
Name of individual signing DR. DANNY W. JACKSON, P. A.
Valid signature Filed with authorized/valid electronic signature
DR. DANNY W. JACKSON, P.A. 401K PROFIT SHARIN PLA 2010 640657290 2011-07-27 DR. DANNY W. JACKSON, P.A. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6628734361
Plan sponsor’s address P.O. BOX 520, ROLLING FORK, MS, 39159

Plan administrator’s name and address
Administrator’s EIN 640657290
Plan administrator’s name DR. DANNY W. JACKSON, P.A.
Plan administrator’s address P.O. BOX 520, ROLLING FORK, MS, 39159
Administrator’s telephone number 6628734361

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing DR. DANNY W. JACKSON
Valid signature Filed with authorized/valid electronic signature
DR. DANNY W. JACKSON, P.A. 401K PROFIT SHARIN PLA 2009 640657290 2010-06-30 DR. DANNY W. JACKSON, P.A. 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1990-01-01
Business code 621111
Sponsor’s telephone number 6628734361
Plan sponsor’s address P.O. BOX 520, ROLLING FORK, MS, 39159

Plan administrator’s name and address
Administrator’s EIN 640657290
Plan administrator’s name DR. DANNY W. JACKSON, P.A.
Plan administrator’s address P.O. BOX 520, ROLLING FORK, MS, 39159
Administrator’s telephone number 6628734361

Signature of
Role Plan administrator
Date 2010-06-30
Name of individual signing DR. DANNY W. JACKSON
Valid signature Filed with authorized/valid electronic signature

Director

Name Role Address
SANDRA V JACKSON Director No data
DANNY W JACKSON Director 102 S FOURTH ST, ROLLING FORK, MS 39159

Secretary

Name Role
SANDRA V JACKSON Secretary

Treasurer

Name Role
SANDRA V JACKSON Treasurer

President

Name Role Address
DANNY W JACKSON President 102 S FOURTH ST, ROLLING FORK, MS 39159

Agent

Name Role Address
DANNY W JACKSON Agent 29 S Fourth St;PO Box 520, Rolling Fork, MS 39159

Filings

Type Status Filed Date Description
Admin Dissolution Filed 1989-05-01 Admin Dissolution
Notice to Dissolve/Revoke Filed 1989-01-17 Notice to Dissolve/Revoke
Notice to Dissolve/Revoke Filed 1988-08-12 Notice to Dissolve/Revoke
Notice to Dissolve/Revoke Filed 1987-12-01 Notice to Dissolve/Revoke
Name Reservation Form Filed 1981-11-06 Name Reservation

Related by officers

DANNY W JACKSON

ON CALL MEDICAL EQUIPMENT, INC. GREENVILLE RESIDENTIAL CARE CLINIC, P.A.

Related by address

No related companies by address

Date of last update: 19 Apr 2025

Sources: Mississippi Secretary of State

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