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  5. BROOKHAVEN OB-GYN ASSOCIATES, P.A.

BROOKHAVEN OB-GYN ASSOCIATES, P.A.

Company Details

Name: BROOKHAVEN OB-GYN ASSOCIATES, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 07 Jun 1988 (37 years ago)
Business ID: 554119
ZIP code: 39601
County: Lincoln
State of Incorporation: MISSISSIPPI
Principal Office Address: 1012 D.A. BIGLANE DRIVEBROOKHAVEN, MS 39601

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BROOKHAVEN OB-GYN ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2023 640758621 2024-06-21 BROOKHAVEN OB-GYN ASSOCIATES, P.A. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 6018338157
Plan sponsor’s address 1012 D.A. BIGLANE DRIVE, BROOKHAVEN, MS, 39601
BROOKHAVEN OB-GYN ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2022 640758621 2023-10-11 BROOKHAVEN OB-GYN ASSOCIATES, P.A. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 6018338157
Plan sponsor’s address 1012 D.A. BIGLANE DRIVE, BROOKHAVEN, MS, 39601
BROOKHAVEN OB-GYN ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2021 640758621 2022-07-27 BROOKHAVEN OB-GYN ASSOCIATES, P.A. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 6018338157
Plan sponsor’s address 1012 D.A. BIGLANE DRIVE, BROOKHAVEN, MS, 39601
BROOKHAVEN OB-GYN ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2020 640758621 2021-09-02 BROOKHAVEN OB-GYN ASSOCIATES, P.A. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 6018338157
Plan sponsor’s address 1012 D.A. BIGLANE DRIVE, BROOKHAVEN, MS, 39601
BROOKHAVEN OB-GYN ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2019 640758621 2020-10-05 BROOKHAVEN OB-GYN ASSOCIATES, P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 6018338157
Plan sponsor’s address 1012 D.A. BIGLANE DRIVE, BROOKHAVEN, MS, 39601
BROOKHAVEN OB-GYN ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2018 640758621 2019-10-09 BROOKHAVEN OB-GYN ASSOCIATES, P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 6018338157
Plan sponsor’s address 1012 BIGLANE DRIVE, BROOKHAVEN, MS, 39601
BROOKHAVEN OB-GYN ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2017 640758621 2018-07-16 BROOKHAVEN OB-GYN ASSOCIATES, P.A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 6018338157
Plan sponsor’s address 1012 D.A. BIGLANE DRIVE, BROOKHAVEN, MS, 39601
BROOKHAVEN OB-GYN ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2016 640758621 2017-07-25 BROOKHAVEN OB-GYN ASSOCIATES, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 6018338157
Plan sponsor’s address 1012 D.A. BIGLANE DRIVE, BROOKHAVEN, MS, 39601
BROOKHAVEN OB-GYN ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2015 640758621 2016-07-22 BROOKHAVEN OB-GYN ASSOCIATES, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 6018338157
Plan sponsor’s address 1012 D.A. BIGLANE DRIVE, BROOKHAVEN, MS, 39601
BROOKHAVEN OB-GYN ASSOCIATES, P.A. 401(K) PROFIT SHARING PLAN 2014 640758621 2015-09-01 BROOKHAVEN OB-GYN ASSOCIATES, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 6018338157
Plan sponsor’s address 1012 D.A. BIGLANE DRIVE, BROOKHAVEN, MS, 39601
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/09/10/20140910155353P030040951007001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 6018338157
Plan sponsor’s address 1012 BIGLANE DRIVE, BROOKHAVEN, MS, 39601
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/10/20131010092419P030001584754001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 6018338157
Plan sponsor’s address 1012 BIGLANE DRIVE, BROOKHAVEN, MS, 39601

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing STEPHEN J. MILLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-10
Name of individual signing STEPHEN J. MILLS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/15/20120515081643P030000854678001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 6018338157
Plan sponsor’s address 1012 BIGLANE DRIVE, BROOKHAVEN, MS, 39601

Plan administrator’s name and address
Administrator’s EIN 640758621
Plan administrator’s name BROOKHAVEN OB-GYN ASSOCIATES, P.A.
Plan administrator’s address 1012 BIGLANE DRIVE, BROOKHAVEN, MS, 39601
Administrator’s telephone number 6018338157

Signature of
Role Plan administrator
Date 2012-05-15
Name of individual signing STEPHEN J. MILLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-15
Name of individual signing STEPHEN J. MILLS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/15/20110715081317P040096604241001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 6018338157
Plan sponsor’s address 1012 BIGLANE DRIVE, BROOKHAVEN, MS, 39601

Plan administrator’s name and address
Administrator’s EIN 640758621
Plan administrator’s name BROOKHAVEN OB-GYN ASSOCIATES, P.A.
Plan administrator’s address 1012 BIGLANE DRIVE, BROOKHAVEN, MS, 39601
Administrator’s telephone number 6018338157

Signature of
Role Plan administrator
Date 2011-07-15
Name of individual signing STEPHEN J. MILLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-15
Name of individual signing STEPHEN J. MILLS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/23/20100723090530P040126883250001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1988-07-01
Business code 621111
Sponsor’s telephone number 6018338157
Plan sponsor’s address 1012 BIGLANE DRIVE, BROOKHAVEN, MS, 39601

Plan administrator’s name and address
Administrator’s EIN 640758621
Plan administrator’s name BROOKHAVEN OB-GYN ASSOCIATES, P.A.
Plan administrator’s address 1012 BIGLANE DRIVE, BROOKHAVEN, MS, 39601
Administrator’s telephone number 6018338157

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing STEPHEN J. MILLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-23
Name of individual signing STEPHEN J. MILLS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
STEPHEN JENNINGS MILLS Agent 1012 BIGLANE DRIVE, BROOKHAVEN, MS 39601

Incorporator

Name Role Address
Joey Kim Sessums Incorporator 1012 D A Biglane Dr, Brookhaven, MS 39601
Stephen Jennings Mills Incorporator 1012 D A Biglane Dr, Brookhaven, MS 39601

Director

Name Role Address
Stephen Jennings Mills Director 1012 D A Biglane Dr, Brookhaven, MS 39601
William Richard Rushing Director 1012 D A Biglane Dr, Brookhaven, MS 39601
Joey Kim Sessums Director 1012 D A Biglane Dr, Brookhaven, MS 39601

President

Name Role Address
Stephen Jennings Mills President 1012 D A Biglane Dr, Brookhaven, MS 39601

Vice President

Name Role Address
William Richard Rushing Vice President 1012 D A Biglane Dr, Brookhaven, MS 39601

Treasurer

Name Role Address
Joey Kim Sessums Treasurer 1012 D A Biglane Dr, Brookhaven, MS 39601

Filings

Type Status Filed Date Description
Annual Report Filed 2024-05-16 Annual Report For BROOKHAVEN OB-GYN ASSOCIATES, P.A.
Annual Report Filed 2023-05-19 Annual Report For BROOKHAVEN OB-GYN ASSOCIATES, P.A.
Annual Report Filed 2022-04-11 Annual Report For BROOKHAVEN OB-GYN ASSOCIATES, P.A.
Annual Report Filed 2021-04-13 Annual Report For BROOKHAVEN OB-GYN ASSOCIATES, P.A.
Annual Report Filed 2020-04-08 Annual Report For BROOKHAVEN OB-GYN ASSOCIATES, P.A.
Annual Report Filed 2019-04-08 Annual Report For BROOKHAVEN OB-GYN ASSOCIATES, P.A.
Annual Report Filed 2018-04-16 Annual Report For BROOKHAVEN OB-GYN ASSOCIATES, P.A.
Annual Report Filed 2017-04-04 Annual Report For BROOKHAVEN OB-GYN ASSOCIATES, P.A.
Annual Report Filed 2016-05-02 Annual Report For BROOKHAVEN OB-GYN ASSOCIATES, P.A.
Annual Report Filed 2015-04-13 Annual Report For BROOKHAVEN OB-GYN ASSOCIATES, P.A.

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1913607105 2020-04-10 0470 PPP 1012 D A BIGLANE DR, BROOKHAVEN, MS, 39601-2331
Loan Status Date 2021-01-22
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 404000
Loan Approval Amount (current) 404000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39334
Servicing Lender Name Trustmark National Bank
Servicing Lender Address 248 E Capitol St, JACKSON, MS, 39201-2503
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address BROOKHAVEN, LINCOLN, MS, 39601-2331
Project Congressional District MS-03
Number of Employees 30
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 39334
Originating Lender Name Trustmark National Bank
Originating Lender Address JACKSON, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 406233.22
Forgiveness Paid Date 2020-11-12

Related by officers

STEPHEN JENNINGS MILLS

SJM, L.P. BANK OF BROOKHAVEN

Related by address

No related companies by address

Date of last update: 21 Apr 2025

Sources: Mississippi Secretary of State

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