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  5. MISSISSIPPI EMERGENCY ASSOCIATION, P.A.

MISSISSIPPI EMERGENCY ASSOCIATION, P.A.

Company Details

Name: MISSISSIPPI EMERGENCY ASSOCIATION, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 05 Jan 1983 (42 years ago)
Business ID: 504164
ZIP code: 39157
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 308 CORPORATE DRRIDGELAND, MS 39157

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MISSISSIPPI EMERGENCY ASSOCIATION, P.A. 401(K) PROFIT SHARING PLAN 2012 640669301 2013-09-27 MISSISSIPPI EMERGENCY ASSOCIATION, P.A. 381
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-09-01
Business code 621111
Sponsor’s telephone number 6018987500
Plan sponsor’s mailing address 308 CORPORATE DRIVE, RIDGELAND, MS, 39157
Plan sponsor’s address 308 CORPORATE DRIVE, RIDGELAND, MS, 39157

Plan administrator’s name and address
Administrator’s EIN 640669301
Plan administrator’s name MISSISSIPPI EMERGENCY ASSOCIATION, P.A.
Plan administrator’s address 308 CORPORATE DRIVE, RIDGELAND, MS, 39157
Administrator’s telephone number 6018987500

Number of participants as of the end of the plan year
Active participants 343
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 44
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 3
Number of participants with account balances as of the end of the plan year 227
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-09-27
Name of individual signing RACHEL WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-27
Name of individual signing RACHEL WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI EMERGENCY ASSOCIATION, P.A. 401(K) PROFIT SHARING PLAN 2011 640669301 2012-10-14 MISSISSIPPI EMERGENCY ASSOCIATION, P.A. 361
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-09-01
Business code 621111
Sponsor’s telephone number 6018987500
Plan sponsor’s mailing address 308 CORPORATE DRIVE, RIDGELAND, MS, 39157
Plan sponsor’s address 308 CORPORATE DRIVE, RIDGELAND, MS, 39157

Plan administrator’s name and address
Administrator’s EIN 640669301
Plan administrator’s name MISSISSIPPI EMERGENCY ASSOCIATION, P.A.
Plan administrator’s address 308 CORPORATE DRIVE, RIDGELAND, MS, 39157
Administrator’s telephone number 6018987500

Number of participants as of the end of the plan year
Active participants 336
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 44
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 1
Number of participants with account balances as of the end of the plan year 224
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2012-10-14
Name of individual signing RACHEL WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI EMERGENCY ASSOCIATION, P.A. 401(K) / PROFIT SHARING PLAN 2010 640669301 2011-10-14 MISSISSIPPI EMERGENCY ASSOCIATION, P.A. 372
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-09-01
Business code 621111
Sponsor’s telephone number 6018987500
Plan sponsor’s mailing address 308 CORPORATE DRIVE, RIDGELAND, MS, 39157
Plan sponsor’s address 308 CORPORATE DRIVE, RIDGELAND, MS, 39157

Plan administrator’s name and address
Administrator’s EIN 640669301
Plan administrator’s name MISSISSIPPI EMERGENCY ASSOCIATION, P.A.
Plan administrator’s address 308 CORPORATE DRIVE, RIDGELAND, MS, 39157
Administrator’s telephone number 6018987500

Number of participants as of the end of the plan year
Active participants 312
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 49
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 230
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing RACHEL WILLIAMSON
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI EMERGENCY ASSOCIATION, P.A. 401(K) / PROFIT SHARING PLAN 2009 640669301 2010-10-13 MISSISSIPPI EMERGENCY ASSOCIATION, P.A. 363
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-09-01
Business code 621111
Sponsor’s telephone number 6018987500
Plan sponsor’s mailing address 308 CORPORATE DRIVE, RIDGELAND, MS, 39157
Plan sponsor’s address 308 CORPORATE DRIVE, RIDGELAND, MS, 39157

Plan administrator’s name and address
Administrator’s EIN 640669301
Plan administrator’s name MISSISSIPPI EMERGENCY ASSOCIATION, P.A.
Plan administrator’s address 308 CORPORATE DRIVE, RIDGELAND, MS, 39157
Administrator’s telephone number 6018987500

Number of participants as of the end of the plan year
Active participants 280
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 92
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 263
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing RACHEL WILLIAMSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Jennifer Mitchell Agent 308 Corporate Drive, Ridgeland, MS 39157

Incorporator

Name Role Address
C Edgar Grissom Incorporator 162 Highland Circle, Jackson, MS 39211
Joseph G Stribling Incorporator 1755 Lelia Drive #1400, Jackson, MS 39216
Ralph B Bell Incorporator 13849, Jackson, MS 39236

Director

Name Role Address
Joe W Terry Iii, MD Director 308 Corporate Dr, Ridgeland, MS 39157
Amy Hollman, MD Director 308 Corporate Dr, Ridgeland, MS 39157
John Brooks, MD Director 308 Corporate Dr, Ridgeland, MS 39157
James Dew, MD Director 308 Corporate Dr, Ridgeland, MS 39157
Bobbie West, MD Director 308 Corporate Drive, Ridgeland, MS 39157

President

Name Role Address
Joe W Terry Iii, MD President 308 Corporate Dr, Ridgeland, MS 39157

Vice President

Name Role Address
Amy Hollman, MD Vice President 308 Corporate Dr, Ridgeland, MS 39157

Treasurer

Name Role Address
John Brooks, MD Treasurer 308 Corporate Dr, Ridgeland, MS 39157

Secretary

Name Role Address
James Dew, MD Secretary 308 Corporate Dr, Ridgeland, MS 39157

Filings

Type Status Filed Date Description
Annual Report Filed 2024-02-12 Annual Report For MISSISSIPPI EMERGENCY ASSOCIATION, P.A.
Annual Report Filed 2023-02-20 Annual Report For MISSISSIPPI EMERGENCY ASSOCIATION, P.A.
Annual Report Filed 2022-02-18 Annual Report For MISSISSIPPI EMERGENCY ASSOCIATION, P.A.
Annual Report Filed 2021-03-01 Annual Report For MISSISSIPPI EMERGENCY ASSOCIATION, P.A.
Annual Report Filed 2020-01-26 Annual Report For MISSISSIPPI EMERGENCY ASSOCIATION, P.A.
Annual Report Filed 2019-02-07 Annual Report For MISSISSIPPI EMERGENCY ASSOCIATION, P.A.
Annual Report Filed 2018-03-05 Annual Report For MISSISSIPPI EMERGENCY ASSOCIATION, P.A.
Annual Report Filed 2017-01-20 Annual Report For MISSISSIPPI EMERGENCY ASSOCIATION, P.A.
Amendment Form Filed 2016-05-10 Amendment For MISSISSIPPI EMERGENCY ASSOCIATION, P.A.
Annual Report Filed 2016-03-24 Annual Report For MISSISSIPPI EMERGENCY ASSOCIATION, P.A.

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Jennifer Mitchell

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Amy Hollman, MD

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Related by address

308 CORPORATE DRRIDGELAND, MS 39157

FIRST INTERMED CORPORATION

Date of last update: 19 Dec 2024

Sources: Mississippi Secretary of State

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