| Name: | PCA HEALTH PLANS OF MISSISSIPPI, INC. |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Profit Corporation |
| Status: | Dissolved |
| Effective Date: | 16 Aug 1994 (30 years ago) |
| Business ID: | 609927 |
| ZIP code: | 39201 |
| County: | Hinds |
| State of Incorporation: | MISSISSIPPI |
| Principal Office Address: | 118 N CONGRESS STJACKSON, MS 39201 |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 118 NORTH CONGRESS STREET, JACKSON, MS 39205 |
| Name | Role | Address |
|---|---|---|
| GLEN R JOHNSON MD | Director | 5835 BLUE LAGOON DR, MIAMI, FL 33126 |
| PETER E. KILISSANLY | Director | 5835 BLUE LAGOON DR, MIAMI, FL 33126 |
| PETER B KILLISSANLY | Director | 5835 BLUE LAGOON DRIVE, MIAMI, FL 33126 |
| CLIFFORD W DONNELLY | Director | 5835 BLUE LAGOON DR, MIAMI, FL 33126 |
| E STANLEY KARDATZKE MD | Director | 5835 BLUE LAGOON DR, MIAMI, FL 33126 |
| Name | Role | Address |
|---|---|---|
| GLEN R JOHNSON MD | Vice President | 5835 BLUE LAGOON DR, MIAMI, FL 33126 |
| Name | Role | Address |
|---|---|---|
| JOHN A. HAGEMAN | Secretary | 5835 BLUE LAGOON DRIVE, MIAMI, FL 33126 |
| Name | Role | Address |
|---|---|---|
| PETER B KILLISSANLY | President | 5835 BLUE LAGOON DRIVE, MIAMI, FL 33126 |
| Name | Role | Address |
|---|---|---|
| CLIFFORD W DONNELLY | Treasurer | 5835 BLUE LAGOON DR, MIAMI, FL 33126 |
| Name | Role | Address |
|---|---|---|
| PETER B KILLISSANLY | Incorporator | 5835 BLUE LAGOON DRIVE, MIAMI, FL 33126 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Dissolution | Filed | 1997-01-16 | Dissolution |
| Annual Report | Filed | 1996-08-09 | Annual Report |
| Annual Report | Filed | 1995-07-11 | Annual Report |
| Name Reservation Form | Filed | 1994-08-16 | Name Reservation |
Date of last update: 06 Feb 2025
Sources: Mississippi Secretary of State
