JOEL B. BURWELL, D.O., P.A.

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

JOEL B. BURWELL, D.O., P.A. 401K PROFIT SHARING PLAN AND TRUST

2009

640840068

2010-10-15

JOEL B. BURWELL, D.O., P.A.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2003-02-04
Business code	621111
Sponsor’s telephone number	2288630500
Plan sponsor’s address	9344 THREE RIVERS ROAD, GULFPORT, MS, 395034268

Plan administrator’s name and address

Administrator’s EIN	640840068
Plan administrator’s name	JOEL B. BURWELL, D.O., P.A.
Plan administrator’s address	9344 THREE RIVERS ROAD, GULFPORT, MS, 395034268
Administrator’s telephone number	2288630500

Signature of

Role	Plan administrator
Date	2010-10-15
Name of individual signing	JOEL BURWELL
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2010-10-15
Name of individual signing	JOEL BURWELL
Valid signature	Filed with authorized/valid electronic signature

Name	Role	Address
JOEL B BURWELL	Agent	18 COLONELWINK DRIVE, GULFPORT, MS 39507

Name	Role	Address
G TODD BURWELL	Incorporator	120 N CONGRESS ST #1000, P O DRAWER 22989, JACKSON, MS 39225
JOEL B BURWELL	Incorporator	18 COLONELWINK DRIVE, GULFPORT, MS 39507

Type	Status	Filed Date	Description
Admin Dissolution	Filed	1995-11-17	Admin Dissolution
Notice to Dissolve/Revoke	Filed	1995-09-18	Notice to Dissolve/Revoke
Notice to Dissolve/Revoke	Filed	1995-09-14	Notice to Dissolve/Revoke
Name Reservation Form	Filed	1994-01-14	Name Reservation

Date of last update: 23 Dec 2024