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NORTH MISSISSIPPI PEDIATRICS, P.A.

Company Details

Name: NORTH MISSISSIPPI PEDIATRICS, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 13 Nov 1992 (32 years ago)
Business ID: 592529
ZIP code: 38801
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: 1573 MEDICAL PARK CIRCLETUPELO, MS 38801

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH MISSISSIPPI PEDIATRICS, P.A. 401(K) PLAN 2012 640821747 2013-06-07 NORTH MISSISSIPPI PEDIATRICS, P.A. 50
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 6628449885
Plan sponsor’s address 1573 MEDICAL PARK CIRCLE, TUPELO, MS, 38801

Signature of

Role Plan administrator
Date 2013-06-07
Name of individual signing MITZI PARSONS
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI PEDIATRICS, P.A. 401(K) PLAN 2011 640821747 2012-07-17 NORTH MISSISSIPPI PEDIATRICS, P.A. 51
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 6628449885
Plan sponsor’s address 1573 MEDICAL PARK CIRCLE, TUPELO, MS, 38801

Plan administrator’s name and address

Administrator’s EIN 640821747
Plan administrator’s name NORTH MISSISSIPPI PEDIATRICS, P.A.
Plan administrator’s address 1573 MEDICAL PARK CIRCLE, TUPELO, MS, 38801
Administrator’s telephone number 6628449885

Signature of

Role Plan administrator
Date 2012-07-17
Name of individual signing MITZI H PARSONS
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI PEDIATRICS, P.A. 401(K) PLAN 2010 640821747 2011-08-10 NORTH MISSISSIPPI PEDIATRICS, P.A. 44
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 6628449885
Plan sponsor’s address 1573 MEDICAL PARK CIRCLE, TUPELO, MS, 38801

Plan administrator’s name and address

Administrator’s EIN 640821747
Plan administrator’s name NORTH MISSISSIPPI PEDIATRICS, P.A.
Plan administrator’s address 1573 MEDICAL PARK CIRCLE, TUPELO, MS, 38801
Administrator’s telephone number 6628449885

Signature of

Role Plan administrator
Date 2011-08-10
Name of individual signing MITZI PARSONS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-10
Name of individual signing MITZI PARSONS
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI PEDIATRICS, P.A. 401(K) PLAN 2009 640821747 2010-07-15 NORTH MISSISSIPPI PEDIATRICS, P.A. 38
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2000-07-01
Business code 621111
Sponsor’s telephone number 6628449885
Plan sponsor’s address 1573 MEDICAL PARK CIRCLE, TUPELO, MS, 38801

Plan administrator’s name and address

Administrator’s EIN 640821747
Plan administrator’s name NORTH MISSISSIPPI PEDIATRICS, P.A.
Plan administrator’s address 1573 MEDICAL PARK CIRCLE, TUPELO, MS, 38801
Administrator’s telephone number 6628449885

Signature of

Role Plan administrator
Date 2010-07-15
Name of individual signing CHARLES ROBERTSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-15
Name of individual signing CHARLES ROBERTSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Gregory D Pirkle Agent 201 South Spring Street, Seventh Floor, Tupelo, MS 38804

Incorporator

Name Role Address
Albert G Delgadillo Incorporator 105 S Front St, P O Box 7120, Tupelo, MS 38802

Director

Name Role Address
Amy S Price Director 1573 Medical Park Circle, Tupelo, MS 38801
Thomas A Ireland Director 1573 Medical Park Circle, Tupelo, MS 38801
Van D Stone III Director 1573 Medical Park Circle, Tupelo, MS 38801
Jennifer Grisham Director 1573 Medical Park Circle, Tupelo, MS 38801
Maria Valdez Director 1573 Medical Park Circle, Tupelo, MS 38801
Eric L Street Director 1573 Medical Park Circle, Tupelo, MS 38801

President

Name Role Address
Amy S Price President 1573 Medical Park Circle, Tupelo, MS 38801

Vice President

Name Role Address
Thomas A Ireland Vice President 1573 Medical Park Circle, Tupelo, MS 38801
Jennifer Grisham Vice President 1573 Medical Park Circle, Tupelo, MS 38801
Maria Valdez Vice President 1573 Medical Park Circle, Tupelo, MS 38801
Eric L Street Vice President 1573 Medical Park Circle, Tupelo, MS 38801
Van D Stone III Vice President 1573 Medical Park Circle, Tupelo, MS 38801

Secretary

Name Role Address
Van D Stone III Secretary 1573 Medical Park Circle, Tupelo, MS 38801

Filings

Type Status Filed Date Description
Dissolution Filed 2018-03-06 Dissolution For NORTH MISSISSIPPI PEDIATRICS, P.A.
Annual Report Filed 2017-04-15 Annual Report For NORTH MISSISSIPPI PEDIATRICS, P.A.
Annual Report Filed 2016-06-24 Annual Report For NORTH MISSISSIPPI PEDIATRICS, P.A.
Annual Report Filed 2015-04-29 Annual Report For NORTH MISSISSIPPI PEDIATRICS, P.A.
Amendment Form Filed 2015-04-29 Amendment For NORTH MISSISSIPPI PEDIATRICS, P.A.
Annual Report Filed 2014-03-13 Annual Report
Annual Report Filed 2013-03-01 Annual Report
Annual Report Filed 2012-03-14 Annual Report
Annual Report Filed 2011-03-04 Annual Report
Annual Report Filed 2010-03-09 Annual Report

Date of last update: 22 Dec 2024

Sources: Mississippi Secretary of State