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  5. JACKSON ANESTHESIA ASSOCIATES, P. A.

JACKSON ANESTHESIA ASSOCIATES, P. A.

Company Details

Name: JACKSON ANESTHESIA ASSOCIATES, P. A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 08 Dec 1989 (35 years ago)
Business ID: 567994
ZIP code: 39202
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 1151 North State Street, Suite 311Jackson, MS 39202

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSON ANESTHESIA ASSOCIATES, P.A. PROFIT SHARING PLAN 2023 621412440 2024-05-15 JACKSON ANESTHESIA ASSOCIATES, P.A. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 6019691171
Plan sponsor’s address 1151 NORTH STATE STREET, SUITE 311, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2024-05-15
Name of individual signing CHRISTOPHER LOWRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-05-15
Name of individual signing CHRISTOPHER LOWRY
Valid signature Filed with authorized/valid electronic signature
JACKSON ANESTHESIA ASSOCIATES, P.A. PROFIT SHARING PLAN 2022 621412440 2023-10-16 JACKSON ANESTHESIA ASSOCIATES, P.A. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 6019691171
Plan sponsor’s address 1151 NORTH STATE STREET, SUITE 311, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing CHRISTOPHER LOWRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-16
Name of individual signing CHRISTOPHER LOWRY
Valid signature Filed with authorized/valid electronic signature
JACKSON ANESTHESIA ASSOCIATES, P.A. PROFIT SHARING PLAN 2021 621412440 2022-10-12 JACKSON ANESTHESIA ASSOCIATES, P.A. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 6019691171
Plan sponsor’s address 1151 NORTH STATE STREET, SUITE 311, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing CHRISTOPHER LOWRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-12
Name of individual signing CHRISTOPHER LOWRY
Valid signature Filed with authorized/valid electronic signature
JACKSON ANESTHESIA ASSOCIATES, P.A. PROFIT SHARING PLAN 2020 621412440 2021-10-13 JACKSON ANESTHESIA ASSOCIATES, P.A. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 6019691171
Plan sponsor’s address 1151 NORTH STATE STREET, SUITE 311, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing CHRISTOPHER LOWRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing CHRISTOPHER LOWRY
Valid signature Filed with authorized/valid electronic signature
JACKSON ANESTHESIA ASSOCIATES, P.A. PROFIT SHARING PLAN 2019 621412440 2020-10-13 JACKSON ANESTHESIA ASSOCIATES, P.A. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 6019691171
Plan sponsor’s address 1151 NORTH STATE STREET, SUITE 311, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing CHRISTOPHER LOWRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-13
Name of individual signing CHRISTOPHER LOWRY
Valid signature Filed with authorized/valid electronic signature
JACKSON ANESTHESIA ASSOCIATES, P.A. PROFIT SHARING PLAN 2018 621412440 2019-10-15 JACKSON ANESTHESIA ASSOCIATES, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 6019691171
Plan sponsor’s address 1151 NORTH STATE STREET, SUITE 311, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing CHRISTOPHER LOWRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-15
Name of individual signing CHRISTOPHER LOWRY
Valid signature Filed with authorized/valid electronic signature
JACKSON ANESTHESIA ASSOCIATES, P.A. PROFIT SHARING PLAN 2017 621412440 2018-07-03 JACKSON ANESTHESIA ASSOCIATES, P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-01-01
Business code 621111
Sponsor’s telephone number 6019691171
Plan sponsor’s address 1151 NORTH STATE STREET, SUITE 311, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2018-07-02
Name of individual signing CHRISTOPHER LOWRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-02
Name of individual signing CHRISTOPHER LOWRY
Valid signature Filed with authorized/valid electronic signature
JACKSON ANESTHESIA ASSOCIATES, P.A. PROFIT SHARING PLAN 2016 621412440 2017-06-22 JACKSON ANESTHESIA ASSOCIATES, P.A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 6019691171
Plan sponsor’s address 1151 NORTH STATE STREET, SUITE 311, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2017-06-22
Name of individual signing CHRIS LOWRY, CPA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-22
Name of individual signing JACKSON ANESTHESIA ASSOCIATES
Valid signature Filed with authorized/valid electronic signature
JACKSON ANESTHESIA ASSOCIATES, P.A. PROFIT SHARING PLAN 2015 621412440 2016-06-28 JACKSON ANESTHESIA ASSOCIATES, P.A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 6019691171
Plan sponsor’s address 1151 NORTH STATE STREET, SUITE 311, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing CHRIS LOWRY, CPA
Valid signature Filed with authorized/valid electronic signature
JACKSON ANESTHESIA ASSOCIATES, P.A. PROFIT SHARING PLAN 2014 621412440 2015-07-02 JACKSON ANESTHESIA ASSOCIATES, P.A. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 6019691171
Plan sponsor’s address 1151 NORTH STATE STREET, SUITE 311, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2015-07-02
Name of individual signing CHRIS LOWRY, CPA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/16/20140516141517P040053370791001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 6019691171
Plan sponsor’s address 1151 NORTH STATE STREET, SUITE 311, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2014-05-15
Name of individual signing CHRIS LOWRY, CPA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/31/20130731093454P040043572007001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 6019691171
Plan sponsor’s address 1151 NORTH STATE STREET, SUITE 311, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2013-07-31
Name of individual signing CHRIS LOWRY, CPA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/27/20120727153131P040015634034001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 6019691171
Plan sponsor’s address 1151 NORTH STATE STREET, SUITE 311, JACKSON, MS, 39202

Plan administrator’s name and address
Administrator’s EIN 621412440
Plan administrator’s name JACKSON ANESTHESIA ASSOCIATES, P.A.
Plan administrator’s address 1151 NORTH STATE STREET, SUITE 311, JACKSON, MS, 39202
Administrator’s telephone number 6019691171

Signature of
Role Plan administrator
Date 2012-07-27
Name of individual signing CHRIS LOWRY, CPA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/29/20110929210135P030045768023001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1980-01-01
Business code 621111
Sponsor’s telephone number 6019691171
Plan sponsor’s address 1151 NORTH STATE STREET, SUITE 311, JACKSON, MS, 39202

Plan administrator’s name and address
Administrator’s EIN 621412440
Plan administrator’s name JACKSON ANESTHESIA ASSOCIATES, P.A.
Plan administrator’s address 1151 NORTH STATE STREET, SUITE 311, JACKSON, MS, 39202
Administrator’s telephone number 6019691171

Signature of
Role Plan administrator
Date 2011-09-29
Name of individual signing SHAPARD H. PRYOR, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
H CLARK ETHRIDGE JR Agent 1151 N STATE ST #508, JACKSON, MS 39202

Incorporator

Name Role Address
Orin F Guidry Incorporator 1151 North State St, Jackson, MS 39202

Director

Name Role Address
Joe Golden MD Director 1151 N. State St, Ste 311, Jackson, MS 39202
Douglas A Evans MD Director 1151 N. State St, Ste 311, Jackson, MS 39210
Marion W Towery MD Director 1151 N State Street, Suite 311, Jackson, MS 39202
Charles C Upton MD Director 1151 N State Street, Suite 311, Jackson, MS 39202
Keith L Carter MD Director 1151 N State Street, Suite 311, Jackson, MS 39202

President

Name Role Address
Joe Golden MD President 1151 N. State St, Ste 311, Jackson, MS 39202

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2024-12-01 Action of Intent to Dissolve: Tax: JACKSON ANESTHESIA ASSOCIATES, P. A.
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: Tax: JACKSON ANESTHESIA ASSOCIATES, P. A.
Annual Report Filed 2024-05-17 Annual Report For JACKSON ANESTHESIA ASSOCIATES, P. A.
Annual Report Filed 2023-05-16 Annual Report For JACKSON ANESTHESIA ASSOCIATES, P. A.
Annual Report Filed 2022-05-04 Annual Report For JACKSON ANESTHESIA ASSOCIATES, P. A.
Annual Report Filed 2021-10-08 Annual Report For JACKSON ANESTHESIA ASSOCIATES, P. A.
Notice to Dissolve/Revoke Filed 2021-09-07 Notice of Intent to Dissolve: AR: JACKSON ANESTHESIA ASSOCIATES, P. A.
Annual Report Filed 2020-09-15 Annual Report For JACKSON ANESTHESIA ASSOCIATES, P. A.
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report Filed 2019-09-04 Annual Report For JACKSON ANESTHESIA ASSOCIATES, P. A.

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Related by address

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Date of last update: 21 Dec 2024

Sources: Mississippi Secretary of State

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