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TILLMAN MEDICAL GROUP, P.A.

Company Details

Name: TILLMAN MEDICAL GROUP, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 04 Jan 1982 (43 years ago)
Business ID: 507808
State of Incorporation: MISSISSIPPI
Principal Office Address: 107 Front StreetVidalia, LA 71373

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TILLMAN MEDICAL GROUP, P.A. MONEY PURCHASE PENSIO 2015 640657102 2016-03-06 TILLMAN MEDICAL GROUP, P.A. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 6014427141
Plan sponsor’s address 314 N RANKIN STREET, NATCHEZ, MS, 39201

Signature of
Role Plan administrator
Date 2016-03-06
Name of individual signing RANDY TILLMAN
Valid signature Filed with authorized/valid electronic signature
TILLMAN MEDICAL GROUP, P.A. MONEY PURCHASE PENSIO 2014 640657102 2015-12-17 TILLMAN MEDICAL GROUP, P.A. 1
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 6014427141
Plan sponsor’s address 314 N RANKIN STREET, NATCHEZ, MS, 39201

Signature of
Role Plan administrator
Date 2015-12-17
Name of individual signing RANDY TILLMAN
Valid signature Filed with authorized/valid electronic signature
TILLMAN MEDICAL GROUP, P.A. MONEY PURCHASE PENSIO 2013 640657102 2015-12-17 TILLMAN MEDICAL GROUP, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 6014427141
Plan sponsor’s address 314 N RANKIN STREET, NATCHEZ, MS, 39201

Signature of
Role Plan administrator
Date 2015-12-17
Name of individual signing RANDY TILLMAN
Valid signature Filed with authorized/valid electronic signature
TILLMAN MEDICAL GROUP, P.A. MONEY PURCHASE PENSIO 2012 640657102 2015-12-17 TILLMAN MEDICAL GROUP, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 6014427141
Plan sponsor’s address 314 N RANKIN STREET, NATCHEZ, MS, 39201

Signature of
Role Plan administrator
Date 2015-12-17
Name of individual signing RANDY TILLMAN
Valid signature Filed with authorized/valid electronic signature
TILLMAN MEDICAL GROUP, P.A. MONEY PURCHASE PENSIO 2011 640657102 2012-10-09 TILLMAN MEDICAL GROUP, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 6014427141
Plan sponsor’s address 314 N RANKIN STREET, NATCHEZ, MS, 39201

Plan administrator’s name and address
Administrator’s EIN 640657102
Plan administrator’s name TILLMAN MEDICAL GROUP, P.A.
Plan administrator’s address 314 N RANKIN STREET, NATCHEZ, MS, 39201
Administrator’s telephone number 6014427141

Signature of
Role Plan administrator
Date 2012-10-09
Name of individual signing RANDY TILLMAN
Valid signature Filed with authorized/valid electronic signature
TILLMAN MEDICAL GROUP, P.A. MONEY PURCHASE PENSIO 2010 640657102 2011-07-28 TILLMAN MEDICAL GROUP, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 6014427141
Plan sponsor’s address 314 N RANKIN STREET, NATCHEZ, MS, 39201

Plan administrator’s name and address
Administrator’s EIN 640657102
Plan administrator’s name TILLMAN MEDICAL GROUP, P.A.
Plan administrator’s address 314 N RANKIN STREET, NATCHEZ, MS, 39201
Administrator’s telephone number 6014427141

Signature of
Role Plan administrator
Date 2011-07-28
Name of individual signing RANDY TILLMAN
Valid signature Filed with authorized/valid electronic signature
TILLMAN MEDICAL GROUP, P.A. MONEY PURCHASE PENSIO 2009 640657102 2010-10-12 TILLMAN MEDICAL GROUP, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-01-01
Business code 621111
Sponsor’s telephone number 6014427141
Plan sponsor’s address 314 N RANKIN STREET, NATCHEZ, MS, 39201

Plan administrator’s name and address
Administrator’s EIN 640657102
Plan administrator’s name TILLMAN MEDICAL GROUP, P.A.
Plan administrator’s address 314 N RANKIN STREET, NATCHEZ, MS, 39201
Administrator’s telephone number 6014427141

Signature of
Role Plan administrator
Date 2010-10-12
Name of individual signing RANDY TILLMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
C Randolph Tillman Agent 321 Main Street, Natchez, MS 39120

Director

Name Role Address
C Randolph Tillman MD Director 321 Main Street, Natchez, MS 39120

President

Name Role Address
C Randolph Tillman MD President 321 Main Street, Natchez, MS 39120

Secretary

Name Role Address
C Randolph Tillman MD Secretary 321 Main Street, Natchez, MS 39120

Treasurer

Name Role Address
C Randolph Tillman MD Treasurer 321 Main Street, Natchez, MS 39120

Filings

Type Status Filed Date Description
Annual Report Filed 2024-05-14 Annual Report For TILLMAN MEDICAL GROUP, P.A.
Annual Report Filed 2023-07-24 Annual Report For TILLMAN MEDICAL GROUP, P.A.
Annual Report Filed 2022-02-17 Annual Report For TILLMAN MEDICAL GROUP, P.A.
Amendment Form Filed 2022-02-17 Amendment For TILLMAN MEDICAL GROUP, P.A.
Annual Report Filed 2021-08-03 Annual Report For TILLMAN MEDICAL GROUP, P.A.
Amendment Form Filed 2020-12-23 Amendment For TILLMAN MEDICAL GROUP, P.A.
Annual Report Filed 2020-05-27 Annual Report For TILLMAN MEDICAL GROUP, P.A.
Annual Report Filed 2019-07-27 Annual Report For TILLMAN MEDICAL GROUP, P.A.
Annual Report Filed 2018-09-24 Annual Report For TILLMAN MEDICAL GROUP, P.A.
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke

Related by officers

C Randolph Tillman

MADKIN FARMS, INC. TILLMAN AUTOMOTIVE GROUP, INC. CARE MANAGEMENT GROUP, INC. MOBILE DIAGNOSTICS, INC. LEXINGTON MANOR, INC. C.R. TILLMAN MEDICAL SERVICES, LTD. TWIN OAKS HOLDING, LLC CADUCEUS FARMS, LLC M&T HARVESTING, LLC COGNOS CONSULTANTS, LLC

C Randolph Tillman MD

TILLMAN AUTOMOTIVE GROUP, INC. CARE MANAGEMENT GROUP, INC. LEXINGTON MANOR, INC. TILLMAN RECREATION, INC. C.R. TILLMAN MEDICAL SERVICES, LTD. GREAT RIVER REAL ESTATE, LLC MAGNOLIA NURSING CENTER, LLC LEXINGTON MANOR NURSING CENTER, LLC GREAT RIVER NISSAN, LLC COGNOS ANCILLARY SERVICES, LLC

Related by address

No related companies by address

Date of last update: 19 Dec 2024

Sources: Mississippi Secretary of State

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