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  5. JACKSON PULMONARY ASSOCIATES, P.A.

JACKSON PULMONARY ASSOCIATES, P.A.

Company Details

Name: JACKSON PULMONARY ASSOCIATES, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 03 Nov 1986 (38 years ago)
Business ID: 533173
ZIP code: 39216
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 971 LAKELAND DR # 1052JACKSON, MS 39216

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSON PULMONARY ASSOCIATES, P.A. PROFIT SHARING 401(K) PLAN AND TRUST 2023 640735747 2024-09-20 JACKSON PULMONARY ASSOCIATES, P.A. 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-11-03
Business code 621111
Sponsor’s telephone number 6019819503
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1052, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2024-09-20
Name of individual signing ROBERT MCGEE
Valid signature Filed with authorized/valid electronic signature
JACKSON PULMONARY ASSOCIATES, P.A. PROFIT SHARING 401(K) PLAN AND TRUST 2022 640735747 2023-07-03 JACKSON PULMONARY ASSOCIATES, P.A. 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-11-03
Business code 621111
Sponsor’s telephone number 6019819503
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1052, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2023-07-03
Name of individual signing ROBERT MCGEE
Valid signature Filed with authorized/valid electronic signature
JACKSON PULMONARY ASSOCIATES, P.A. PROFIT SHARING 401(K) PLAN AND TRUST 2021 640735747 2022-09-15 JACKSON PULMONARY ASSOCIATES, P.A. 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-11-03
Business code 621111
Sponsor’s telephone number 6019819503
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1052, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2022-09-15
Name of individual signing ROBERT MCGEE
Valid signature Filed with authorized/valid electronic signature
JACKSON PULMONARY ASSOCIATES, P.A. PROFIT SHARING 401(K) PLAN AND TRUST 2020 640735747 2021-07-07 JACKSON PULMONARY ASSOCIATES, P.A. 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-11-03
Business code 621111
Sponsor’s telephone number 6019819503
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1052, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2021-07-07
Name of individual signing ROBERT MCGEE
Valid signature Filed with authorized/valid electronic signature
JACKSON PULMONARY ASSOCIATES, P.A. PROFIT SHARING 401(K) PLAN AND TRUST 2019 640735747 2020-06-24 JACKSON PULMONARY ASSOCIATES, P.A. 78
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-11-03
Business code 621111
Sponsor’s telephone number 6019819503
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1052, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2020-06-24
Name of individual signing ROBERT MCGEE
Valid signature Filed with authorized/valid electronic signature
JACKSON PULMONARY ASSOCIATES, P.A. PROFIT SHARING 401(K) PLAN AND TRUST 2018 640735747 2019-10-11 JACKSON PULMONARY ASSOCIATES, P.A. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-11-03
Business code 621111
Sponsor’s telephone number 6019819503
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1052, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing ROBERT MCGEE
Valid signature Filed with authorized/valid electronic signature
JACKSON PULMONARY ASSOCIATES, P.A. PROFIT SHARING 401(K) PLAN AND TRUST 2017 640735747 2018-10-12 JACKSON PULMONARY ASSOCIATES, P.A. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-11-03
Business code 621111
Sponsor’s telephone number 6019819503
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1052, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing ROBERT MCGEE
Valid signature Filed with authorized/valid electronic signature
JACKSON PULMONARY ASSOCIATES, P.A. PROFIT SHARING 401(K) PLAN AND TRUST 2016 640735747 2017-09-19 JACKSON PULMONARY ASSOCIATES, P.A. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-11-03
Business code 621111
Sponsor’s telephone number 6019819503
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1052, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2017-09-19
Name of individual signing ROBERT MCGEE
Valid signature Filed with authorized/valid electronic signature
JACKSON PULMONARY ASSOCIATES, P.A. PROFIT SHARING 401(K) PLAN AND TRUST 2015 640735747 2016-10-13 JACKSON PULMONARY ASSOCIATES, P.A. 54
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-11-03
Business code 621111
Sponsor’s telephone number 6019819503
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1052, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2016-10-13
Name of individual signing BRIAN E. HUDSON
Valid signature Filed with authorized/valid electronic signature
JACKSON PULMONARY ASSOCIATES, P.A. PROFIT SHARING 401(K) PLAN AND TRUST 2014 640735747 2015-09-22 JACKSON PULMONARY ASSOCIATES, P.A. 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-11-03
Business code 621111
Sponsor’s telephone number 6019819503
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1052, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2015-09-22
Name of individual signing BRIAN E. HUDSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/08/26/20140826141037P040032588623001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1986-11-03
Business code 621111
Sponsor’s telephone number 6019819503
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1052, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2014-08-26
Name of individual signing ROBERT MCGEE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/02/20131002150605P040016623475001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1986-11-03
Business code 621111
Sponsor’s telephone number 6019819503
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1052, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing ROBERT MCGEE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/02/07/20120207110356P040009594135001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1986-11-03
Business code 621111
Sponsor’s telephone number 6019819503
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1052, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 640735747
Plan administrator’s name JACKSON PULMONARY ASSOCIATES, P.A.
Plan administrator’s address 971 LAKELAND DRIVE, SUITE 1052, JACKSON, MS, 39216
Administrator’s telephone number 6019819503

Signature of
Role Plan administrator
Date 2012-02-07
Name of individual signing ROBERT MCGEE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/03/24/20110324155844P030144365984001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1986-11-03
Business code 621111
Sponsor’s telephone number 6019819503
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1052, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 640735747
Plan administrator’s name JACKSON PULMONARY ASSOCIATES, P.A.
Plan administrator’s address 971 LAKELAND DRIVE, SUITE 1052, JACKSON, MS, 39216
Administrator’s telephone number 6019819503

Signature of
Role Plan administrator
Date 2011-03-24
Name of individual signing ROBERT MCGEE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/23/20100823154006P030049432115001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1986-11-03
Business code 621111
Sponsor’s telephone number 6019819503
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1052, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 640735747
Plan administrator’s name JACKSON PULMONARY ASSOCIATES, P.A.
Plan administrator’s address 971 LAKELAND DRIVE, SUITE 1052, JACKSON, MS, 39216
Administrator’s telephone number 6019819503

Signature of
Role Plan administrator
Date 2010-08-23
Name of individual signing ROBERT MCGEE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Hudson, Brian E. Agent 971 Lakeland Drive Suite 1052, Jackson, MS 39216

Director

Name Role Address
Benedict Ewaleifoh Director 971 Lakeland Dr, Suite 1052, Jackson, MS 39216
Raymond Portis Director 971 Lakeland Dr, Suite 1052, Jackson, MS 39216
Charles Evans Director 971 Lakeland Dr, Suite 1052, Jackson, MS 39216
Maria G Rappai, MD Director 971 Lakeland Dr, Suite 1052, Jackson, MS 39216
Robert V McGee Director 971 Lakeland Dr, Suite 1052, Jackson, MS 39216
D Timothy Cannon M D Director 971 Lakeland Dr, Suite 1052, Jackson, MS 39216
Brandon Garriga Director 971 Lakeland Dr, Suite 1052, Jackson, MS 39216
William Denney Director 971 Lakeland Drive, Suite 1052, Jackson, MS 39216

President

Name Role Address
Benedict Ewaleifoh President 971 Lakeland Dr, Suite 1052, Jackson, MS 39216

Vice President

Name Role Address
Raymond Portis Vice President 971 Lakeland Dr, Suite 1052, Jackson, MS 39216

Secretary

Name Role Address
Charles Evans Secretary 971 Lakeland Dr, Suite 1052, Jackson, MS 39216

Chief Executive Officer

Name Role Address
Brian Hudson Chief Executive Officer 971 Lakeland Dr, Suite 1052, Jackson, MS 39216

Filings

Type Status Filed Date Description
Annual Report Filed 2024-01-27 Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.
Annual Report Filed 2023-04-06 Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.
Annual Report Filed 2022-02-07 Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.
Annual Report Filed 2021-03-15 Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.
Annual Report Filed 2020-05-14 Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.
Annual Report Filed 2019-03-09 Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.
Annual Report Filed 2018-04-18 Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.
Annual Report Filed 2017-03-06 Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.
Annual Report Filed 2016-02-05 Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.
Annual Report Filed 2015-03-24 Annual Report For JACKSON PULMONARY ASSOCIATES, P.A.

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
3935255006 Small Business Administration 59.012 - 7(A) LOAN GUARANTEES No data No data TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Recipient JACKSON PULMONARY ASSOCIATES, P.A.
Recipient Name Raw OBE LLC
Recipient UEI NNVYYEBXWFK7
Recipient DUNS 199810235
Recipient Address 971 LAKELAND DRIVE, JACKSON, HINDS, MISSISSIPPI, 39216-0000, UNITED STATES
Obligated Amount 0.00
Non-Federal Funding 0.00
Original Subsidy Cost 216.00
Face Value of Direct Loan 47000.00
Link View Page

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Brian Hudson

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Brandon Garriga

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William Denney

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Related by address

No related companies by address

Date of last update: 13 Mar 2025

Sources: Mississippi Secretary of State

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