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SOUTHERN MISSISSIPPI NEONATOLOGY, P.A.

Company Details

Name: SOUTHERN MISSISSIPPI NEONATOLOGY, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 13 Sep 1993 (31 years ago)
Business ID: 600514
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 1108 OAKLEIGH DRHATTIESBURG, MS 39402

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2023 640835262 2024-02-21 SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6012883440
Plan sponsor’s address 1108 OAKLEIGH DRIVE, HATTIESBURG, MS, 394023068

Signature of

Role Plan administrator
Date 2024-02-21
Name of individual signing CLINT WHITE
Valid signature Filed with authorized/valid electronic signature
SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2022 640835262 2023-05-13 SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6012883440
Plan sponsor’s address 1108 OAKLEIGH DRIVE, HATTIESBURG, MS, 394023068

Signature of

Role Plan administrator
Date 2023-05-13
Name of individual signing CLINT WHITE
Valid signature Filed with authorized/valid electronic signature
SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2021 640835262 2022-04-05 SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6012883440
Plan sponsor’s address 1108 OAKLEIGH DRIVE, HATTIESBURG, MS, 394023068

Signature of

Role Plan administrator
Date 2022-04-05
Name of individual signing CLINTON WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-04-05
Name of individual signing CLINTON WHITE
Valid signature Filed with authorized/valid electronic signature
SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2020 640835262 2021-03-25 SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6012883440
Plan sponsor’s address 1108 OAKLEIGH DRIVE, HATTIESBURG, MS, 394023068

Signature of

Role Plan administrator
Date 2021-03-25
Name of individual signing CLINT WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-25
Name of individual signing CLINT WHITE
Valid signature Filed with authorized/valid electronic signature
SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2019 640835262 2020-03-27 SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6012883440
Plan sponsor’s address 1108 OAKLEIGH DRIVE, HATTIESBURG, MS, 394023068

Signature of

Role Plan administrator
Date 2020-03-27
Name of individual signing CLINT WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-27
Name of individual signing CLINT WHITE
Valid signature Filed with authorized/valid electronic signature
SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2018 640835262 2019-07-19 SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6012883440
Plan sponsor’s address 1108 OAKLEIGH DRIVE, HATTIESBURG, MS, 394023068

Signature of

Role Plan administrator
Date 2019-07-19
Name of individual signing CLINTON WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-19
Name of individual signing CLINTON WHITE
Valid signature Filed with authorized/valid electronic signature
SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2017 640835262 2018-06-25 SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 11
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6012883440
Plan sponsor’s address 1108 OAKLEIGH DRIVE, HATTIESBURG, MS, 394023068

Signature of

Role Plan administrator
Date 2018-06-25
Name of individual signing CLINTON WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-25
Name of individual signing CLINTON WHITE
Valid signature Filed with authorized/valid electronic signature
SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2016 640835262 2017-06-14 SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6012883440
Plan sponsor’s address 1108 OAKLEIGH DRIVE, HATTIESBURG, MS, 394023068

Signature of

Role Plan administrator
Date 2017-06-14
Name of individual signing CLINTON WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-14
Name of individual signing CLINTON WHITE
Valid signature Filed with authorized/valid electronic signature
SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2015 640835262 2016-09-30 SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6012883440
Plan sponsor’s address 1108 OAKLEIGH DRIVE, HATTIESBURG, MS, 394023068

Signature of

Role Plan administrator
Date 2016-09-30
Name of individual signing CLINTON WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-30
Name of individual signing CLINTON WHITE
Valid signature Filed with authorized/valid electronic signature
SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 401(K) PROFIT SHARING PLAN 2014 640835262 2015-07-24 SOUTHERN MISSISSIPPI NEONATOLOGY, P.A. 10
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6012883440
Plan sponsor’s address 1108 OAKLEIGH DRIVE, HATTIESBURG, MS, 394023068

Signature of

Role Plan administrator
Date 2015-07-24
Name of individual signing CLINT WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-24
Name of individual signing CLINT WHITE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/14/20141014151806P040019263951001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6012883440
Plan sponsor’s address 1108 OAKLEIGH DRIVE, HATTIESBURG, MS, 394023068

Signature of

Role Plan administrator
Date 2014-10-14
Name of individual signing CLINT WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-14
Name of individual signing CLINT WHITE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/02/20130502150934P040071947429001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6012883440
Plan sponsor’s address 1108 OAKLEIGH DRIVE, HATTIESBURG, MS, 394023068

Signature of

Role Plan administrator
Date 2013-05-02
Name of individual signing CLINTON WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-02
Name of individual signing CLINTON WHITE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/15/20121015142032P030017515714001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6012883440
Plan sponsor’s address 1108 OAKLEIGH DRIVE, HATTIESBURG, MS, 394023068

Plan administrator’s name and address

Administrator’s EIN 640835262
Plan administrator’s name SOUTHERN MISSISSIPPI NEONATOLOGY, P.A.
Plan administrator’s address 1108 OAKLEIGH DRIVE, HATTIESBURG, MS, 394023068
Administrator’s telephone number 6012883440

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing CLINTON WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing CLINTON WHITE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/23/20110823133601P040120573889001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6012883440
Plan sponsor’s address 1108 OAKLEIGH DRIVE, HATTIESBURG, MS, 394023068

Plan administrator’s name and address

Administrator’s EIN 640835262
Plan administrator’s name SOUTHERN MISSISSIPPI NEONATOLOGY, P.A.
Plan administrator’s address 1108 OAKLEIGH DRIVE, HATTIESBURG, MS, 394023068
Administrator’s telephone number 6012883440

Signature of

Role Plan administrator
Date 2011-08-23
Name of individual signing CLINTON WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-23
Name of individual signing CLINTON WHITE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/19/20100819133528P070021099713001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6012883440
Plan sponsor’s address 1108 OAKLEIGH DRIVE, HATTIESBURG, MS, 394023068

Plan administrator’s name and address

Administrator’s EIN 640835262
Plan administrator’s name SOUTHERN MISSISSIPPI NEONATOLOGY, P.A.
Plan administrator’s address 1108 OAKLEIGH DRIVE, HATTIESBURG, MS, 394023068
Administrator’s telephone number 6012883440

Signature of

Role Plan administrator
Date 2010-08-19
Name of individual signing CLINTON WHITE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-19
Name of individual signing CLINTON WHITE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CLINTON B WHITE Agent 1108 OAKLEIGH DRIVE, HATTIESBURG, MS 39402

Incorporator

Name Role Address
Dr Clinton B White Incorporator 1108 Oakleigh Drive, Hattiesburg, MS 39402

Director

Name Role Address
Clinton B White Director 1108 Oakleigh Drive, Hattiesburg, MS 39402
David M. Kuhlmann,md Director 1108 Oakleigh Drive, Hattiesburg, MS 39402
Everett R Henderson Director 1108 Oakleigh Dr, Hattiesburg, MS 39402
Dr Kerry D Stewart Director 1108 Oakleigh Dr, Hattiesburg, MS 39042

President

Name Role Address
Clinton B White President 1108 Oakleigh Drive, Hattiesburg, MS 39402

Vice President

Name Role Address
David M. Kuhlmann,md Vice President 1108 Oakleigh Drive, Hattiesburg, MS 39402

Treasurer

Name Role Address
Everett R Henderson Treasurer 1108 Oakleigh Dr, Hattiesburg, MS 39402

Secretary

Name Role Address
Dr Kerry D Stewart Secretary 1108 Oakleigh Dr, Hattiesburg, MS 39042

Filings

Type Status Filed Date Description
Annual Report Filed 2024-05-10 Annual Report For SOUTHERN MISSISSIPPI NEONATOLOGY, P.A.
Annual Report Filed 2023-03-10 Annual Report For SOUTHERN MISSISSIPPI NEONATOLOGY, P.A.
Annual Report Filed 2022-03-10 Annual Report For SOUTHERN MISSISSIPPI NEONATOLOGY, P.A.
Annual Report Filed 2021-03-17 Annual Report For SOUTHERN MISSISSIPPI NEONATOLOGY, P.A.
Annual Report Filed 2020-03-11 Annual Report For SOUTHERN MISSISSIPPI NEONATOLOGY, P.A.
Annual Report Filed 2019-02-03 Annual Report For SOUTHERN MISSISSIPPI NEONATOLOGY, P.A.
Annual Report Filed 2018-04-04 Annual Report For SOUTHERN MISSISSIPPI NEONATOLOGY, P.A.
Annual Report Filed 2017-03-22 Annual Report For SOUTHERN MISSISSIPPI NEONATOLOGY, P.A.
Annual Report Filed 2016-04-09 Annual Report For SOUTHERN MISSISSIPPI NEONATOLOGY, P.A.
Annual Report Filed 2015-04-07 Annual Report For SOUTHERN MISSISSIPPI NEONATOLOGY, P.A.

Date of last update: 22 Dec 2024

Sources: Mississippi Secretary of State