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  5. JAMES E. ROBERTS, M.D., P.A.

JAMES E. ROBERTS, M.D., P.A.

Company Details

Name: JAMES E. ROBERTS, M.D., P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 26 May 1995 (30 years ago)
Business ID: 618412
ZIP code: 39601
County: Lincoln
State of Incorporation: MISSISSIPPI
Principal Office Address: 527 Silver Cross DriveBrookhaven, MS 39601

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JAMES E. ROBERTS, M.D., P.A. 401(K) PLAN 2016 640846456 2017-04-05 JAMES E. ROBERTS, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-01
Business code 621111
Sponsor’s telephone number 6018332222
Plan sponsor’s address 408 MCNAIR AVENUE, BROOKHAVEN, MS, 39601
JAMES E. ROBERTS, M.D., P.A. 401(K) PLAN 2016 640846456 2017-04-05 JAMES E. ROBERTS, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-01
Business code 621111
Sponsor’s telephone number 6018332222
Plan sponsor’s address 408 MCNAIR AVENUE, BROOKHAVEN, MS, 39601
JAMES E. ROBERTS, M.D., P.A. 401(K) PLAN 2015 640846456 2016-10-12 JAMES E. ROBERTS, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-01
Business code 621111
Sponsor’s telephone number 6018332222
Plan sponsor’s address 624 HWY 51 N., BROOKHAVEN, MS, 396020379
JAMES E. ROBERTS, M.D., P.A. 401(K) PLAN 2014 640846456 2015-04-16 JAMES E. ROBERTS, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-01
Business code 621111
Sponsor’s telephone number 6018332222
Plan sponsor’s address 624 HWY 51 N., BROOKHAVEN, MS, 396020379
JAMES E. ROBERTS, M.D., P.A. 401(K) PLAN 2013 640846456 2014-10-08 JAMES E. ROBERTS, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-01
Business code 621111
Sponsor’s telephone number 6018332222
Plan sponsor’s address 624 HWY 51 N., BROOKHAVEN, MS, 396020379
JAMES E. ROBERTS, M.D., P.A. 401(K) PLAN 2012 640846456 2013-08-16 JAMES E. ROBERTS, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-01
Business code 621111
Sponsor’s telephone number 6018332222
Plan sponsor’s address 624 HWY 51 N., BROOKHAVEN, MS, 396020379

Signature of
Role Plan administrator
Date 2013-08-16
Name of individual signing PATRICIA ROBERTS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-16
Name of individual signing PATRICIA ROBERTS
Valid signature Filed with authorized/valid electronic signature
JAMES E. ROBERTS, M.D., P.A. 401(K) PLAN 2011 640846456 2012-09-25 JAMES E. ROBERTS, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-01
Business code 621111
Sponsor’s telephone number 6018332222
Plan sponsor’s address 439 NORTH JACKSON STREET, BROOKHAVEN, MS, 39601

Plan administrator’s name and address
Administrator’s EIN 640846456
Plan administrator’s name JAMES E. ROBERTS, M.D., P.A.
Plan administrator’s address 439 NORTH JACKSON STREET, BROOKHAVEN, MS, 39601
Administrator’s telephone number 6018332222

Signature of
Role Plan administrator
Date 2012-09-25
Name of individual signing PAT ROBERTS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-25
Name of individual signing PAT ROBERTS
Valid signature Filed with authorized/valid electronic signature
JAMES E. ROBERTS, M.D., P.A. 401(K) PLAN 2010 640846456 2011-04-12 JAMES E. ROBERTS, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-01
Business code 621111
Sponsor’s telephone number 6018332222
Plan sponsor’s address 439 NORTH JACKSON STREET, BROOKHAVEN, MS, 396020379

Plan administrator’s name and address
Administrator’s EIN 640846456
Plan administrator’s name JAMES E. ROBERTS, M.D., P.A.
Plan administrator’s address 439 NORTH JACKSON STREET, BROOKHAVEN, MS, 396020379
Administrator’s telephone number 6018332222

Signature of
Role Plan administrator
Date 2011-04-12
Name of individual signing PATRICIA ROBERTS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-12
Name of individual signing PATRICIA ROBERTS
Valid signature Filed with authorized/valid electronic signature
JAMES E. ROBERTS, M.D., P.A. 401(K) PLAN 2009 640846456 2010-08-13 JAMES E. ROBERTS, M.D., P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-11-01
Business code 621111
Sponsor’s telephone number 6018332222
Plan sponsor’s address 439 NORTH JACKSON STREET, BROOKHAVEN, MS, 396020379

Plan administrator’s name and address
Administrator’s EIN 640846456
Plan administrator’s name JAMES E. ROBERTS, M.D., P.A.
Plan administrator’s address 439 NORTH JACKSON STREET, BROOKHAVEN, MS, 396020379
Administrator’s telephone number 6018332222

Signature of
Role Plan administrator
Date 2010-08-13
Name of individual signing PAT ROBERTS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-13
Name of individual signing PAT ROBERTS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JAMES E ROBERTS Agent 439 N Jackson St - Ste D;PO Box 379, Brookhaven, MS 39602-0379

Incorporator

Name Role Address
Barbara S Harrell Incorporator 506 S President St, Jackson, MS 39201
Charles A Brewer Incorporator 506 S President, Jackson, MS 39201

Director

Name Role Address
James E Roberts Director PO Box379, Brookhaven, MS 39602
Patricia A Roberts Director PO Box 379, Brookhaven, MS 39602

President

Name Role Address
James E Roberts President PO Box379, Brookhaven, MS 39602

Secretary

Name Role Address
Patricia A Roberts Secretary PO Box 379, Brookhaven, MS 39602

Treasurer

Name Role Address
Patricia A Roberts Treasurer PO Box 379, Brookhaven, MS 39602

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2016-11-30 Admin Dissolution
Notice to Dissolve/Revoke Filed 2016-09-06 Notice to Dissolve/Revoke
Annual Report Filed 2015-04-08 Annual Report For JAMES E. ROBERTS, M.D., P.A.
Annual Report Filed 2014-03-20 Annual Report
Annual Report Filed 2013-03-08 Annual Report
Annual Report Filed 2012-09-19 Annual Report
Notice to Dissolve/Revoke Filed 2012-09-13 Notice to Dissolve/Revoke
Annual Report Filed 2011-04-12 Annual Report
Annual Report Filed 2010-07-31 Annual Report
Problem Report Filed 2010-03-26 Problem Report

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James E Roberts

Home Improvement Specialists Inc

Patricia A Roberts

MID-MISSISSIPPI ABSTRACT CO., LLC

Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Mississippi Secretary of State

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