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  5. SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A.

SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A.

Company Details

Name: SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 21 Oct 1992 (33 years ago)
Business ID: 591904
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 101 W. Canebrake BlvdHATTIESBURG, MS 39402

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2018 640661848 2019-09-12 SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 35
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6012882010
Plan sponsor’s mailing address POST OFFICE BOX 15218, HATTIESBURG, MS, 39404
Plan sponsor’s address 6051 HIGHWAY 49, HATTIESBURG, MS, 39401

Number of participants as of the end of the plan year
Active participants 42
Number of participants with account balances as of the end of the plan year 41

Signature of
Role Plan administrator
Date 2019-09-12
Name of individual signing JOHN NELSON
Valid signature Filed with authorized/valid electronic signature
SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2017 640661848 2018-10-10 SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6012882010
Plan sponsor’s mailing address POST OFFICE BOX 15218, HATTIESBURG, MS, 39404
Plan sponsor’s address 6051 HIGHWAY 49, HATTIESBURG, MS, 39401

Number of participants as of the end of the plan year
Active participants 35
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 34
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing JOHN NELSON
Valid signature Filed with authorized/valid electronic signature
SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2016 640661848 2017-08-25 SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 32
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6012882010
Plan sponsor’s mailing address POST OFFICE BOX 15218, HATTIESBURG, MS, 39404
Plan sponsor’s address 6051 HIGHWAY 49, HATTIESBURG, MS, 39401

Number of participants as of the end of the plan year
Active participants 32
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 19
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2017-08-25
Name of individual signing JOHN NELSON
Valid signature Filed with authorized/valid electronic signature
SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2015 640661848 2016-10-12 SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 35
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6012882100
Plan sponsor’s address POST OFFICE BOX 15218, 6051 HIGHWAY 49, HATTIESBURG, MS, 39402
SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2014 640661848 2015-07-15 SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 27
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6012882100
Plan sponsor’s address POST OFFICE BOX 15218, 6051 HIGHWAY 49, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing JOHN NELSON
Valid signature Filed with authorized/valid electronic signature
SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2013 640661848 2014-09-22 SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6012882100
Plan sponsor’s address POST OFFICE BOX 15218, 6051 HIGHWAY 49, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2014-09-22
Name of individual signing JOHN NELSON
Valid signature Filed with authorized/valid electronic signature
SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2012 640661848 2013-09-05 SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6012882100
Plan sponsor’s address POST OFFICE BOX 15218, 6051 HIGHWAY 49, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2013-09-05
Name of individual signing JOHN NELSON
Valid signature Filed with authorized/valid electronic signature
SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2011 640661848 2012-07-11 SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6012882100
Plan sponsor’s address POST OFFICE BOX 15218, 6051 HIGHWAY 49, HATTIESBURG, MS, 39402

Plan administrator’s name and address
Administrator’s EIN 640661848
Plan administrator’s name SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A.
Plan administrator’s address POST OFFICE BOX 15218, 6051 HIGHWAY 49, HATTIESBURG, MS, 39402
Administrator’s telephone number 6012882100

Signature of
Role Plan administrator
Date 2012-07-10
Name of individual signing JOHN NELSON
Valid signature Filed with authorized/valid electronic signature
SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2010 640661848 2011-07-29 SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6012882100
Plan sponsor’s address POST OFFICE BOX 15218, 6051 HIGHWAY 49, HATTIESBURG, MS, 39402

Plan administrator’s name and address
Administrator’s EIN 640661848
Plan administrator’s name SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A.
Plan administrator’s address POST OFFICE BOX 15218, 6051 HIGHWAY 49, HATTIESBURG, MS, 39402
Administrator’s telephone number 6012882100

Signature of
Role Plan administrator
Date 2011-07-29
Name of individual signing JOHN NELSON
Valid signature Filed with authorized/valid electronic signature
SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 401(K) PROFIT SHARING PLAN 2009 640661848 2010-05-06 SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 6012882010
Plan sponsor’s address POST OFFICE BOX 15218, 6051 HIGHWAY 49, HATTIESBURG, MS, 39404

Plan administrator’s name and address
Administrator’s EIN 640661848
Plan administrator’s name SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A.
Plan administrator’s address POST OFFICE BOX 15218, 6051 HIGHWAY 49, HATTIESBURG, MS, 39404
Administrator’s telephone number 6012882010

Signature of
Role Plan administrator
Date 2010-05-05
Name of individual signing JOHN NELSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOHN C NELSON Agent FORREST GENERAL HOSPITAL, P O BOX 15218, HATTIESBURG, MS 39404

Incorporator

Name Role Address
Robert T Jackson Incorporator 214 S 28th Avenue, Hattiesburg, MS 39401

Director

Name Role Address
John Nelson Director PO Box 15218, Hattiesburg, MS 39404
William E. Walker Director PO Box 15218, Hattiesburg, MS 39404
W.E. Walker Director PO Box 15218, Hattiesburg, MS 39404

President

Name Role Address
John Nelson President PO Box 15218, Hattiesburg, MS 39404

Treasurer

Name Role Address
William E. Walker Treasurer PO Box 15218, Hattiesburg, MS 39404

Secretary

Name Role Address
W.E. Walker Secretary PO Box 15218, Hattiesburg, MS 39404

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2024-12-01 Action of Intent to Dissolve: AR: SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A.
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: AR: SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A.
Annual Report Filed 2023-01-19 Annual Report For SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A.
Annual Report Filed 2022-02-14 Annual Report For SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A.
Annual Report Filed 2021-01-15 Annual Report For SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A.
Annual Report Filed 2020-02-18 Annual Report For SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A.
Annual Report Filed 2019-04-08 Annual Report For SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A.
Annual Report Filed 2018-04-05 Annual Report For SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A.
Annual Report Filed 2017-01-17 Annual Report For SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A.
Annual Report Filed 2016-01-29 Annual Report For SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A.

Related by officers

JOHN C NELSON

SOUTH MISSISSIPPI EMERGENCY PHYSICIANS, P.A. NELSON-WALKER, P.A. NELSON AND PETERS, PLLC NELSON AND WALKER, PLLC JOHN C. NELSON CONSTRUCTION LLC NORTHGATE INVESTMENTS, LLC NORTHGATE LAND AND TIMBER, LLC NORTHGATE RENTAL PROPERTIES, LLC

Robert T Jackson

DUNCAN F. MATHESON, D.D.S., P.A. FAMILY MEDICAL CLINIC, P.A. CUSTOM SERVICES CORPORATION NEAR EAST TECHNOLOGICAL SERVICES, INC. LEECO, INC. MCHENRY POLE AND PILING COMPANY, INC. TRASH HUNTERS, INC. MONTAGUE, PITTMAN & VARNADO, P.A. COMMERCIAL STATIONERY COMPANY, INC. BAY CITY CONTRACTORS, INC.

John Nelson

Union Volunteer Fire Department of Panola County Fire Pit, LLC Nelson Leasing LLC The Definition Transportation LLC Hamilton Long Distance Company Gulf Coast Sands LLC Nelson Transportation LLC Hamilton Relay, Inc.

William E. Walker

Highland Emergency Physicians, P.A.

Related by address

No related companies by address

Date of last update: 14 Mar 2025

Sources: Mississippi Secretary of State

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