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  5. WESTRIDGE FAMILY CLINIC, P.A.

WESTRIDGE FAMILY CLINIC, P.A.

Company Details

Name: WESTRIDGE FAMILY CLINIC, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 03 Jan 1994 (31 years ago)
Business ID: 603690
ZIP code: 39440
County: Jones
State of Incorporation: MISSISSIPPI
Principal Office Address: 307 S. 13th Avenu, 307 S. 13th AvenuLaurel, MS 39440

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WESTRIDGE FAMILY CLINIC PA 401K PROFIT SHARING PLAN 2023 640839010 2024-10-02 WESTRIDGE FAMILY CLINIC, P.A 22
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1997-07-01
Business code 621111
Sponsor’s telephone number 6016497600
Plan sponsor’s address 307 SOUTH 13TH AVENUE, LAUREL, MS, 39440

Signature of
Role Plan administrator
Date 2024-10-02
Name of individual signing CHRISTOPHER MAULDIN
Valid signature Filed with authorized/valid electronic signature
WESTRIDGE FAMILY CLINIC PA 401K PROFIT SHARING PLAN 2022 640839010 2023-09-21 WESTRIDGE FAMILY CLINIC, P.A 21
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1997-07-01
Business code 621111
Sponsor’s telephone number 6016497600
Plan sponsor’s address 307 SOUTH 13TH AVENUE, LAUREL, MS, 39440

Signature of
Role Plan administrator
Date 2023-09-21
Name of individual signing CHRISTOPHER MAULDIN
Valid signature Filed with authorized/valid electronic signature
WESTRIDGE FAMILY CLINIC, P.A. PROFIT SHARING PLAN 2014 640839010 2015-07-22 WESTRIDGE FAMILY CLINIC, P.A. 18
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6016497600
Plan sponsor’s address 307 SOUTH 13TH AVENUE, LAUREL, MS, 39440

Signature of
Role Plan administrator
Date 2015-07-22
Name of individual signing JULIAN GRAFTON
Valid signature Filed with authorized/valid electronic signature
WESTRIDGE FAMILY CLINIC, P.A. PROFIT SHARING PLAN 2013 640839010 2014-03-19 WESTRIDGE FAMILY CLINIC, P.A. 16
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6016497600
Plan sponsor’s address 307 SOUTH 13TH AVENUE, LAUREL, MS, 39440

Signature of
Role Plan administrator
Date 2014-03-19
Name of individual signing JULIAN GRAFTON
Valid signature Filed with authorized/valid electronic signature
WESTRIDGE FAMILY CLINIC, P.A. PROFIT SHARING PLAN 2012 640839010 2013-04-10 WESTRIDGE FAMILY CLINIC, P.A. 19
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6016497600
Plan sponsor’s address 307 SOUTH 13TH AVENUE, LAUREL, MS, 39440

Signature of
Role Plan administrator
Date 2013-04-10
Name of individual signing JULIAN GRAFTON
Valid signature Filed with authorized/valid electronic signature
WESTRIDGE FAMILY CLINIC, P.A. PROFIT SHARING PLAN 2011 640839010 2012-04-12 WESTRIDGE FAMILY CLINIC, P.A. 19
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6016497600
Plan sponsor’s address 307 SOUTH 13TH AVENUE, LAUREL, MS, 39440

Plan administrator’s name and address
Administrator’s EIN 640839010
Plan administrator’s name WESTRIDGE FAMILY CLINIC, P.A.
Plan administrator’s address 307 SOUTH 13TH AVENUE, LAUREL, MS, 39440
Administrator’s telephone number 6016497600

Signature of
Role Plan administrator
Date 2012-04-12
Name of individual signing JULIAN GRAFTON
Valid signature Filed with authorized/valid electronic signature
WESTRIDGE FAMILY CLINIC, P.A. PROFIT SHARING PLAN 2010 640839010 2011-03-30 WESTRIDGE FAMILY CLINIC, P.A. 21
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6016497600
Plan sponsor’s address 307 SOUTH 13TH AVENUE, LAUREL, MS, 39440

Plan administrator’s name and address
Administrator’s EIN 640839010
Plan administrator’s name WESTRIDGE FAMILY CLINIC, P.A.
Plan administrator’s address 307 SOUTH 13TH AVENUE, LAUREL, MS, 39440
Administrator’s telephone number 6016497600

Signature of
Role Plan administrator
Date 2011-03-30
Name of individual signing JULIAN GRAFTON
Valid signature Filed with authorized/valid electronic signature
WESTRIDGE FAMILY CLINIC, P.A. PROFIT SHARING PLAN 2010 640839010 2011-03-25 WESTRIDGE FAMILY CLINIC, P.A. 21
Three-digit plan number (PN) 005
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6016497600
Plan sponsor’s address 307 SOUTH 13TH AVENUE, LAUREL, MS, 39440

Plan administrator’s name and address
Administrator’s EIN 640839010
Plan administrator’s name WESTRIDGE FAMILY CLINIC, P.A.
Plan administrator’s address 307 SOUTH 13TH AVENUE, LAUREL, MS, 39440
Administrator’s telephone number 6016497600

Signature of
Role Plan administrator
Date 2011-03-25
Name of individual signing JULIAN GRAFTON
Valid signature Filed with authorized/valid electronic signature
WESTRIDGE FAMILY CLINIC, P.A. PROFIT SHARING PLAN 2009 640839010 2010-05-11 WESTRIDGE FAMILY CLINIC, P.A. 18
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1988-01-01
Business code 621111
Sponsor’s telephone number 6016497600
Plan sponsor’s address 307 SOUTH 13TH AVENUE, LAUREL, MS, 39440

Plan administrator’s name and address
Administrator’s EIN 640839010
Plan administrator’s name WESTRIDGE FAMILY CLINIC, P.A.
Plan administrator’s address 307 SOUTH 13TH AVENUE, LAUREL, MS, 39440
Administrator’s telephone number 6016497600

Signature of
Role Plan administrator
Date 2010-05-11
Name of individual signing JULIAN GRAFTON
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
Christopher L Christopher MD Agent Westridge Family Clinic, 307 S 13th Avenue, Laurel, MS 39440

Incorporator

Name Role Address
George R Bush Incorporator 815 Cherry Lane, Laurel, MS 39440
J Ken Grafton Incorporator 2068 Westwood Acres, Laurel, MS 39440
James C Waites Incorporator 307 S 13th Avenue, Laurel, MS 39440

Director

Name Role Address
Christopher L. Mauldin, M.D. Director 307 S 13th Ave, Laurel, MS 39440
Chris L Mauldin, M.d. Director 307 S 13th Ave, Laurel, MS 39440

President

Name Role Address
Christopher L. Mauldin, M.D. President 307 S 13th Ave, Laurel, MS 39440

Secretary

Name Role Address
Christopher L. Mauldin, M.D. Secretary 307 S 13th Ave, Laurel, MS 39440

Treasurer

Name Role Address
Chris L Mauldin, M.d. Treasurer 307 S 13th Ave, Laurel, MS 39440

Vice President

Name Role Address
Chris L Mauldin, M.d. Vice President 307 S 13th Ave, Laurel, MS 39440

Filings

Type Status Filed Date Description
Annual Report Filed 2024-02-15 Annual Report For WESTRIDGE FAMILY CLINIC, P.A.
Annual Report Filed 2023-03-10 Annual Report For WESTRIDGE FAMILY CLINIC, P.A.
Annual Report Filed 2022-04-13 Annual Report For WESTRIDGE FAMILY CLINIC, P.A.
Annual Report Filed 2021-03-08 Annual Report For WESTRIDGE FAMILY CLINIC, P.A.
Annual Report Filed 2020-03-09 Annual Report For WESTRIDGE FAMILY CLINIC, P.A.
Amendment Form Filed 2020-03-09 Amendment For WESTRIDGE FAMILY CLINIC, P.A.
Annual Report Filed 2019-04-12 Annual Report For WESTRIDGE FAMILY CLINIC, P.A.
Annual Report Filed 2018-04-13 Annual Report For WESTRIDGE FAMILY CLINIC, P.A.
Annual Report Filed 2017-03-22 Annual Report For WESTRIDGE FAMILY CLINIC, P.A.
Annual Report Filed 2016-04-19 Annual Report For WESTRIDGE FAMILY CLINIC, P.A.

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Mississippi Secretary of State

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