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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.

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 Dec 2024

Sources: Mississippi Secretary of State

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