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  5. GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A.

GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A.

Company Details

Name: GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 02 Jan 1990 (35 years ago)
Business ID: 568809
ZIP code: 39501
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 4502 OLD PASS ROADGULFPORT, MS 39501-7197

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GULFPORT OB-GYN CLINIC, P.A. 401(K) PLAN 2021 640781270 2022-11-07 GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A. 30
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2288639977
Plan sponsor’s address 4502 OLD PASS ROAD, GULFPORT, MS, 39501
GULFPORT OB-GYN CLINIC, P.A. 401(K) PLAN 2021 640781270 2022-07-28 GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A. 42
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2288639977
Plan sponsor’s address 4502 OLD PASS ROAD, GULFPORT, MS, 39501
GULFPORT OB-GYN CLINIC, P.A. 401(K) PLAN 2020 640781270 2022-07-28 GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A. 41
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2288639977
Plan sponsor’s address 4502 OLD PASS ROAD, GULFPORT, MS, 39501
GULFPORT OB-GYN CLINIC, P.A. 401(K) PLAN 2020 640781270 2021-10-15 GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A. 41
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2288639977
Plan sponsor’s address 4502 OLD PASS ROAD, GULFPORT, MS, 39501
GULFPORT OB-GYN CLINIC, P.A. 401(K) PLAN 2019 640781270 2020-10-15 GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A. 39
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2288639977
Plan sponsor’s address 4502 OLD PASS ROAD, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing MARGARET KAHLE
Valid signature Filed with authorized/valid electronic signature
GULFPORT OB-GYN CLINIC, P.A. 401(K) PLAN 2018 640781270 2019-10-10 GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A. 31
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2288639977
Plan sponsor’s address 4502 OLD PASS ROAD, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing MARGARET KAHLE
Valid signature Filed with authorized/valid electronic signature
GULFPORT OB-GYN CLINIC, P.A. 401(K) PLAN 2017 640781270 2018-09-20 GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A. 27
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2288639977
Plan sponsor’s address 4502 OLD PASS ROAD, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2018-09-20
Name of individual signing MARGARET KAHLE
Valid signature Filed with authorized/valid electronic signature
GULFPORT OB-GYN CLINIC, P.A. 401(K) PLAN 2016 640781270 2017-05-30 GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A. 28
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2288639977
Plan sponsor’s address 4502 OLD PASS RD, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2017-05-30
Name of individual signing MARGARET KAHLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-30
Name of individual signing MARGARET KAHLE
Valid signature Filed with authorized/valid electronic signature
GULFPORT OB-GYN CLINIC, P. A. 401(K) PLAN 2015 640781270 2016-05-27 GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A. 38
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2288639977
Plan sponsor’s address 4502 15TH STREET, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2016-05-27
Name of individual signing MARGARET KAHLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-27
Name of individual signing MARGARET KAHLE
Valid signature Filed with authorized/valid electronic signature
GULFPORT OB-GYN CLINIC, P. A. & FAMILY HEALTH 2015 640781270 2016-05-12 GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A. 38
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2288639977
Plan sponsor’s address 4502 15TH STREET, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2016-05-09
Name of individual signing MARGARET KAHLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-09
Name of individual signing MARGARET KAHLE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/14/20150714090133P040090845959001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2288639977
Plan sponsor’s address 4502 15TH STREET, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2015-07-14
Name of individual signing MARGARET KAHLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-14
Name of individual signing MARGARET KAHLE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/07/20140507145807P040334697875001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2288639977
Plan sponsor’s address 4502 15TH STREET, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2014-05-07
Name of individual signing CATHY LARKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/11/20130711094507P040107628869001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2288639977
Plan sponsor’s address 4502 15TH STREET, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2013-07-11
Name of individual signing CATHY LARKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-11
Name of individual signing CATHY LARKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/14/20120614154701P040037512626001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2288639977
Plan sponsor’s address 4502 15TH STREET, GULFPORT, MS, 39501

Plan administrator’s name and address
Administrator’s EIN 640781270
Plan administrator’s name GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A.
Plan administrator’s address 4502 15TH STREET, GULFPORT, MS, 39501
Administrator’s telephone number 2288639977

Signature of
Role Plan administrator
Date 2012-06-14
Name of individual signing CATHY RAYFORD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/27/20110727111329P040104317217001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2288639977
Plan sponsor’s address 4502 15TH STREET, GULFPORT, MS, 39501

Plan administrator’s name and address
Administrator’s EIN 640781270
Plan administrator’s name GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A.
Plan administrator’s address 4502 15TH STREET, GULFPORT, MS, 39501
Administrator’s telephone number 2288639977

Signature of
Role Plan administrator
Date 2011-07-27
Name of individual signing SHELLEY PRINGLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-27
Name of individual signing SHELLEY PRINGLE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JAMES H GADDY JR Agent 4502 OLD PASS ROAD, GULFPORT, MS 39501

Incorporator

Name Role Address
Donald K Gaddy Incorporator 4502 Old Pass Road, Gulfport, MS 39501
James H Gaddy Jr Incorporator 4502 Old Pass Road, Gulfport, MS 39501

Vice President

Name Role Address
Charles Lee Robinson Vice President 4502 Old Pass Road, Gulfport, MS 39501

Director

Name Role Address
Donald K Gaddy MD Director 4502 Old Pass Road, Gulfport, MS 39501

Treasurer

Name Role Address
Donald K Gaddy MD Treasurer 4502 Old Pass Road, Gulfport, MS 39501

Secretary

Name Role Address
David Provosty Taylor Secretary 4502 Old Pass Road, Gulfport, MS 39501

Filings

Type Status Filed Date Description
Annual Report Filed 2024-01-31 Annual Report For GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A.
Annual Report Filed 2023-02-08 Annual Report For GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A.
Annual Report Filed 2022-04-14 Annual Report For GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A.
Annual Report Filed 2021-01-04 Annual Report For GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A.
Annual Report Filed 2020-01-06 Annual Report For GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A.
Annual Report Filed 2019-04-15 Annual Report For GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A.
Annual Report Filed 2018-05-25 Annual Report For GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A.
Amendment Form Filed 2017-05-18 Amendment For GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A.
Annual Report Filed 2017-04-15 Annual Report For GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A.
Amendment Form Filed 2016-05-11 Amendment For GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, P.A.

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James H Gaddy Jr

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Related by address

No related companies by address

Date of last update: 21 Dec 2024

Sources: Mississippi Secretary of State

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