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  5. SURGICAL ANESTHESIA ASSOCIATES, P.A.

SURGICAL ANESTHESIA ASSOCIATES, P.A.

Company Details

Name: SURGICAL ANESTHESIA ASSOCIATES, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 24 Jun 1993 (32 years ago)
Business ID: 598477
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 348 Long Cove DriveMadison, MS 39110

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SURGICAL ANESTHESIA ASSOCIATES, P. A. 2015 640831946 2016-12-09 SURGICAL ANESTHESIA ASSOCIATES, P.A 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6013761848
Plan sponsor’s address P.O. BOX 7539, JACKSON, MS, 39284

Signature of
Role Plan administrator
Date 2016-12-09
Name of individual signing DAVID BARNETT, M.D.
Valid signature Filed with authorized/valid electronic signature
SURGICAL ANESTHESIA ASSOCIATES, P.A. 401(K) RETIREMENT PLAN 2015 640831946 2016-10-07 SURGICAL ANESTHESIA ASSOCIATES, 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 6013761848
Plan sponsor’s address P.O. BOX 7539, JACKSON, MS, 39284

Signature of
Role Plan administrator
Date 2016-10-07
Name of individual signing DAVID BARNETT, M.D.
Valid signature Filed with authorized/valid electronic signature
SURGICAL ANESTHESIA ASSOCIATES, P.A. 401(K) RETIREMENT PLAN 2014 640831946 2015-09-02 SURGICAL ANESTHESIA ASSOCIATES, P.A 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6013761848
Plan sponsor’s address P.O. BOX 7539, JACKSON, MS, 39284

Signature of
Role Plan administrator
Date 2015-09-02
Name of individual signing AUBREY WILLIAMSON, M.D.
Valid signature Filed with authorized/valid electronic signature
SURGICAL ANESTHESIA ASSOCIATES, P.A. 401(K) RETIREMENT PLAN 2013 640831946 2014-10-03 SURGICAL ANESTHESIA ASSOCIATES, P.A 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6013761848
Plan sponsor’s address P.O. BOX 7539, JACKSON, MS, 39284

Signature of
Role Plan administrator
Date 2014-10-03
Name of individual signing AUBREY WILLIAMSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-03
Name of individual signing AUBREY WILLIAMSON, M.D.
Valid signature Filed with authorized/valid electronic signature
SURGICAL ANESTHESIA ASSOCIATES, P.A. 401(K) RETIREMENT PLAN 2012 640831946 2013-06-25 SURGICAL ANESTHESIA ASSOCIATES, P.A 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6013761848
Plan sponsor’s address P.O. BOX 7539, JACKSON, MS, 39284

Signature of
Role Plan administrator
Date 2013-06-25
Name of individual signing AUBREY WILLIAMSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-25
Name of individual signing AUBREY WILLIAMSON, M.D.
Valid signature Filed with authorized/valid electronic signature
SURGICAL ANESTHESIA ASSOCIATES, P.A. 401(K) RETIREMENT PLAN 2011 640831946 2012-08-29 SURGICAL ANESTHESIA ASSOCIATES, 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 6013761848
Plan sponsor’s address P.O. BOX 7539, JACKSON, MS, 39284

Plan administrator’s name and address
Administrator’s EIN 640831946
Plan administrator’s name SURGICAL ANESTHESIA ASSOCIATES, P.A
Plan administrator’s address P.O. BOX 7539, JACKSON, MS, 39284
Administrator’s telephone number 6013761848

Signature of
Role Plan administrator
Date 2012-08-29
Name of individual signing AUBREY WILLIAMSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-29
Name of individual signing AUBREY WILLIAMSON, M.D.
Valid signature Filed with authorized/valid electronic signature
SURGICAL ANESTHESIA ASSOCIATES, P.A. 401(K) RETIREMENT PLAN 2010 640831946 2011-05-13 SURGICAL ANESTHESIA ASSOCIATES, P.A 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6013761848
Plan sponsor’s address P.O. BOX 7539, JACKSON, MS, 39284

Plan administrator’s name and address
Administrator’s EIN 640831946
Plan administrator’s name SURGICAL ANESTHESIA ASSOCIATES, P.A
Plan administrator’s address P.O. BOX 7539, JACKSON, MS, 39284
Administrator’s telephone number 6013761848

Signature of
Role Plan administrator
Date 2011-05-13
Name of individual signing AUBREY WILLIAMSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-13
Name of individual signing AUBREY WILLIAMSON, M.D.
Valid signature Filed with authorized/valid electronic signature
SURGICAL ANESTHESIA ASSOCIATES, P.A. 401(K) RETIREMENT PLAN 2009 640831946 2010-09-14 SURGICAL ANESTHESIA ASSOCIATES, P.A 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6013761848
Plan sponsor’s address P.O. BOX 7539, JACKSON, MS, 39284

Plan administrator’s name and address
Administrator’s EIN 640831946
Plan administrator’s name SURGICAL ANESTHESIA ASSOCIATES, P.A
Plan administrator’s address P.O. BOX 7539, JACKSON, MS, 39284
Administrator’s telephone number 6013761848

Signature of
Role Plan administrator
Date 2010-09-14
Name of individual signing AUBREY WILLIAMSON, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-14
Name of individual signing AUBREY WILLIAMSON, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CHERYL J LEE Agent 1100 AMSOUTH PLAZA, P O DRAWER 12507, JACKSON, MS 39225

Incorporator

Name Role Address
Robert D Church Jr Incorporator 120 N Congress, #1120, Jackson, MS 39201

Director

Name Role Address
David Barnett Director PO Box 7539, Jackson, MS 39284
Donald Bonner Director PO Box 7539, Jackson, MS 39284
Larry Nixon Director PO Box 7539, Jackson, MS 39284
Sanja Raucher Director PO Box 7539, Jackson, MS 39284
Duane Williamson Director PO Box 7539, Jackson, MS 39284

President

Name Role Address
David Barnett President PO Box 7539, Jackson, MS 39284

Vice President

Name Role Address
Donald Bonner Vice President PO Box 7539, Jackson, MS 39284

Secretary

Name Role Address
Sanja Raucher Secretary PO Box 7539, Jackson, MS 39284

Treasurer

Name Role Address
Larry Nixon Treasurer PO Box 7539, Jackson, MS 39284

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2019-11-22 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2019-08-22 Notice to Dissolve/Revoke
Annual Report Filed 2018-04-17 Annual Report For SURGICAL ANESTHESIA ASSOCIATES, P.A.
Annual Report Filed 2017-01-20 Annual Report For SURGICAL ANESTHESIA ASSOCIATES, P.A.
Annual Report Filed 2016-02-18 Annual Report For SURGICAL ANESTHESIA ASSOCIATES, P.A.
Annual Report Filed 2015-03-02 Annual Report For SURGICAL ANESTHESIA ASSOCIATES, P.A.
Annual Report Filed 2014-03-10 Annual Report
Annual Report Filed 2013-03-04 Annual Report
Annual Report Filed 2012-02-21 Annual Report
Annual Report Filed 2011-08-16 Annual Report

Related by officers

Robert D Church Jr

BROOKHAVEN UROLOGY, P.A. BROOKHAVEN CHILDREN'S CLINIC, P.A. GRENADA FAMILY MEDICINE CLINIC CORPORATION Oxford Clinic for Women PLLC Rebel Computers, LLC Robert D. Church Jr, CPA, LLC Shippers Express Brokerage LLC HealthCare Forensics, LLC

David Barnett

American Vintage Beverage Inc DC BARNETT ENTERPRISES, L.L.C.

Donald Bonner

DC Bonner Enterprises, LLC

Larry Nixon

Ether Perioperative Services, LLC

Duane Williamson

Zoey Enterprises, LLC

Related by address

348 Long Cove DriveMadison, MS 39110

The Pain Clinic of Mississippi, PLLC Zoey Enterprises, LLC

Date of last update: 22 Dec 2024

Sources: Mississippi Secretary of State

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