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  5. JACKSON EAR CLINIC, P.A.

JACKSON EAR CLINIC, P.A.

Company Details

Name: JACKSON EAR CLINIC, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 03 Dec 1992 (32 years ago)
Business ID: 592954
ZIP code: 39232
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 290 East LayfairFlowood, MS 39232
Historical names: Fyzical of Jackson

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSON EAR CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2023 640824189 2024-10-09 JACKSON EAR CLINIC, P.A. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6019812825
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 854, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2024-10-09
Name of individual signing JAMES R HOUSE III
Valid signature Filed with authorized/valid electronic signature
JACKSON EAR CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2022 640824189 2023-10-11 JACKSON EAR CLINIC, P.A. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6019812825
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 854, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing JAMES R HOUSE III
Valid signature Filed with authorized/valid electronic signature
JACKSON EAR CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2021 640824189 2022-10-12 JACKSON EAR CLINIC, P.A. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6019812825
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 854, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2022-10-12
Name of individual signing JAMES R HOUSE III
Valid signature Filed with authorized/valid electronic signature
JACKSON EAR CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2020 640824189 2021-10-15 JACKSON EAR CLINIC, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6019812825
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 854, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2021-10-15
Name of individual signing JAMES R HOUSE III
Valid signature Filed with authorized/valid electronic signature
JACKSON EAR CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2019 640824189 2020-10-15 JACKSON EAR CLINIC, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6019812825
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 854, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing JAMES R HOUSE III
Valid signature Filed with authorized/valid electronic signature
JACKSON EAR CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2018 640824189 2019-10-15 JACKSON EAR CLINIC, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6019812825
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 854, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing JAMES R HOUSE III
Valid signature Filed with authorized/valid electronic signature
JACKSON EAR CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2017 640824189 2018-10-12 JACKSON EAR CLINIC, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6019812825
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 854, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing JAMES R HOUSE III
Valid signature Filed with authorized/valid electronic signature
JACKSON EAR CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2016 640824189 2017-10-05 JACKSON EAR CLINIC, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6019812825
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 854, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2017-10-05
Name of individual signing JAMES R HOUSE III
Valid signature Filed with authorized/valid electronic signature
JACKSON EAR CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2015 640824189 2016-10-14 JACKSON EAR CLINIC, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6019812825
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 854, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing JAMES R HOUSE III
Valid signature Filed with authorized/valid electronic signature
JACKSON EAR CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2014 640824189 2015-10-15 JACKSON EAR CLINIC, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6019812825
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 854, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing JAMES R HOUSE III
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/19/20140519080306P030115569125001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6019812825
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 854, JACKSON, MS, 39216
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/14/20131014143853P030037056211001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6019812825
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 854, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2013-10-14
Name of individual signing JAMES R. HOUSE, III
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-14
Name of individual signing JAMES R. HOUSE, III
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/16/20120416145019P040069321073001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6019812825
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 854, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 640824189
Plan administrator’s name JACKSON EAR CLINIC, P.A.
Plan administrator’s address 971 LAKELAND DRIVE, SUITE 854, JACKSON, MS, 39216
Administrator’s telephone number 6019812825

Signature of
Role Plan administrator
Date 2012-04-16
Name of individual signing JAMES R. HOUSE, III
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-16
Name of individual signing JAMES R. HOUSE, III
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/26/20110726092634P030014748898001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6019812825
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 854, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 640824189
Plan administrator’s name JACKSON EAR CLINIC, P.A.
Plan administrator’s address 971 LAKELAND DRIVE, SUITE 854, JACKSON, MS, 39216
Administrator’s telephone number 6019812825

Signature of
Role Plan administrator
Date 2011-07-26
Name of individual signing JAMES R. HOUSE, III
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-26
Name of individual signing JAMES R. HOUSE, III
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/19/20100819095759P040447536897001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6019812825
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 854, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 640824189
Plan administrator’s name JACKSON EAR CLINIC, P.A.
Plan administrator’s address 971 LAKELAND DRIVE, SUITE 854, JACKSON, MS, 39216
Administrator’s telephone number 6019812825

Signature of
Role Plan administrator
Date 2010-08-19
Name of individual signing JAMES R. HOUSE, III
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-19
Name of individual signing JAMES R. HOUSE, III
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JAMES R HOUSE III Agent 4756 East Massena Drive, Jackson, MS 39211

Incorporator

Name Role Address
James R House Iii Incorporator 2225 E Northside Drive, Jackson, MS 39211

Director

Name Role Address
James R House III Director 290 East Layfair, Flowood, MS 39232
Janet G House Director 290 East Layfair, Flowood, MS 39232

President

Name Role Address
James R House III President 290 East Layfair, Flowood, MS 39232

Secretary

Name Role Address
Janet G House Secretary 290 East Layfair, Flowood, MS 39232

Treasurer

Name Role Address
Janet G House Treasurer 290 East Layfair, Flowood, MS 39232

Filings

Type Status Filed Date Description
Annual Report Filed 2024-01-24 Annual Report For JACKSON EAR CLINIC, P.A.
Annual Report Filed 2023-01-27 Annual Report For JACKSON EAR CLINIC, P.A.
Annual Report Filed 2022-01-17 Annual Report For JACKSON EAR CLINIC, P.A.
Annual Report Filed 2021-01-29 Annual Report For JACKSON EAR CLINIC, P.A.
Annual Report Filed 2020-01-28 Annual Report For JACKSON EAR CLINIC, P.A.
Annual Report Filed 2019-08-20 Annual Report For JACKSON EAR CLINIC, P.A.
Fictitious Name Registration Filed 2018-11-27 Fictitious Name Registration For JACKSON EAR CLINIC, P.A.
Annual Report Filed 2018-01-18 Annual Report For JACKSON EAR CLINIC, P.A.
Annual Report Filed 2017-02-01 Annual Report For JACKSON EAR CLINIC, P.A.
Annual Report Filed 2016-03-23 Annual Report For JACKSON EAR CLINIC, P.A.

Related by officers

James R House III

Sharpsburg Timber LLC

Janet G House

Sharpsburg Timber LLC

Related by address

No related companies by address

Date of last update: 22 Dec 2024

Sources: Mississippi Secretary of State

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