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SMB RADIOLOGY, P.A.

Company Details

Name: SMB RADIOLOGY, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 29 Jun 1995 (30 years ago)
Business ID: 619768
ZIP code: 39503
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 9490 Three Rivers RoadGULFPORT, MS 39503

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SMB RADIOLOGY, P.A. 401(K) PLAN 2023 640863698 2024-09-24 SMB RADIOLOGY, P.A. 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2288644392
Plan sponsor’s address PO BOX 1330, GULFPORT, MS, 39502
SMB RADIOLOGY, P.A. CASH BALANCE PLAN 2023 640863698 2024-10-15 SMB RADIOLOGY, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2288644392
Plan sponsor’s address 14231 SEAWAY ROAD, SUITE 5003, SUITE 5003, GULFPORT, MS, 39503
SMB RADIOLOGY, P.A. CASH BALANCE PLAN 2022 640863698 2023-09-13 SMB RADIOLOGY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2288644392
Plan sponsor’s address 14231 SEAWAY ROAD, SUITE 5003, SUITE 5003, GULFPORT, MS, 39503
SMB RADIOLOGY, P.A. 401(K) PLAN 2022 640863698 2023-07-10 SMB RADIOLOGY, P.A. 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2288644392
Plan sponsor’s address PO BOX 1330, GULFPORT, MS, 39502
SMB RADIOLOGY, P.A. CASH BALANCE PLAN 2021 640863698 2022-10-17 SMB RADIOLOGY, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2288644392
Plan sponsor’s address 14231 SEAWAY ROAD, SUITE 5003, GULFPORT, MS, 39503
SMB RADIOLOGY, P.A. 401(K) PLAN 2021 640863698 2022-10-10 SMB RADIOLOGY, P.A. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2288644392
Plan sponsor’s address 14231 SEAWAY ROAD, SUITE 5003, GULFPORT, MS, 39503
SMB RADIOLOGY, P.A. 401(K) PLAN 2020 640863698 2021-06-29 SMB RADIOLOGY, P.A. 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2288644392
Plan sponsor’s address 14231 SEAWAY ROAD, SUITE 5003, GULFPORT, MS, 39503
SMB RADIOLOGY, P.A. CASH BALANCE PLAN 2020 640863698 2021-09-14 SMB RADIOLOGY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2288644392
Plan sponsor’s address 14231 SEAWAY ROAD, SUITE 5003, GULFPORT, MS, 39503
SMB RADIOLOGY, P.A. 401(K) PLAN 2019 640863698 2020-10-10 SMB RADIOLOGY, P.A. 12
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2288644392
Plan sponsor’s address 14231 SEAWAY ROAD, SUITE 5003, SUITE 5003, GULFPORT, MS, 39503
SMB RADIOLOGY, P.A. CASH BALANCE PLAN 2019 640863698 2020-10-10 SMB RADIOLOGY, P.A. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2288644392
Plan sponsor’s address 14231 SEAWAY ROAD SUITE 5003, SUITE 5003, GULFPORT, MS, 39503
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/06/05/20200605154001NAL0012855587001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2288644392
Plan sponsor’s address 14231 SEAWAY ROAD SUITE 5003, SUITE 5003, GULFPORT, MS, 39503
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2288644392
Plan sponsor’s address 14231 SEAWAY ROAD SUITE 5003, SUITE 5003, GULFPORT, MS, 39503
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/16/20190916082745P030017713111001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2288644392
Plan sponsor’s address 14231 SEAWAY ROAD, SUITE 5003, SUITE 5003, GULFPORT, MS, 39503
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/01/20181001123712P030213842439001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2288644392
Plan sponsor’s address 14231 SEAWAY ROAD, SUITE 5003, GULFPORT, MS, 39503
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/01/20181001123838P030213846167001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2288644392
Plan sponsor’s address 14231 SEAWAY ROAD, SUITE 5003, SUITE 5003, GULFPORT, MS, 39503
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/05/20/20170520082324P030035862273001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2288644392
Plan sponsor’s address P.O. BOX 1330, GULFPORT, MS, 39502

Signature of

Role Plan administrator
Date 2017-05-20
Name of individual signing ERIC DAVID LAWSON, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/13/20160713181527P030025799965001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2288644392
Plan sponsor’s address P.O. BOX 1330, GULFPORT, MS, 39502

Signature of

Role Plan administrator
Date 2016-07-13
Name of individual signing ERIC DAVID LAWSON, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Russell E. Allman Agent 9490 Three Rivers Road, GULFPORT, MS 39503

Incorporator

Name Role Address
David W Crane Incorporator One Hancock Plaza Ste 1209, Gulfport, MS 39501

Director

Name Role Address
Leena Pande MD Director 9490 Three Rivers Road, Gulfport, MS 39503
Russell E. Allman, M.D. Director 9490 Three Rivers Road, Gulfport, MS 39503
Eric Lawson, M.D. Director 9490 Three Rivers Road, Gulfport, MS 39503
MICHAEL J DIAZ MD Director 9490 Three Rivers Road, Gulfport, MS 39503
Jonathan B Mullins MD Director 9490 Three Rivers Road, Gulfport, MS 39503
Clifton T Leatherbury, M.D. MD Director 9490 Three Rivers Road, Gulfport, MS 39503
Daniel E Adams MD Director 9490 Three Rivers Road, Gulfport, MS 39503
Jim P Gray MD Director 9490 Three Rivers Road, Gulfport, MS 39503
John A Banahan MD Director 9490 Three Rivers Road, Gulfport, MS 39503
Roland J Mestayer MD Director 9490 Three Rivers Road, Gulfport, MS 39503

Vice President

Name Role Address
Leena Pande MD Vice President 9490 Three Rivers Road, Gulfport, MS 39503

Treasurer

Name Role Address
Russell E. Allman, M.D. Treasurer 9490 Three Rivers Road, Gulfport, MS 39503

Secretary

Name Role Address
Eric Lawson, M.D. Secretary 9490 Three Rivers Road, Gulfport, MS 39503
John A Banahan MD Secretary 9490 Three Rivers Road, Gulfport, MS 39503

Filings

Type Status Filed Date Description
Amendment Form Filed 2024-05-15 Amendment For SMB RADIOLOGY, P.A.
Annual Report Filed 2024-05-15 Annual Report For SMB RADIOLOGY, P.A.
Annual Report Filed 2023-03-15 Annual Report For SMB RADIOLOGY, P.A.
Amendment Form Filed 2022-12-30 Amendment For SMB RADIOLOGY, P.A.
Annual Report Filed 2022-03-14 Annual Report For SMB RADIOLOGY, P.A.
Annual Report Filed 2021-03-11 Annual Report For SMB RADIOLOGY, P.A.
Annual Report Filed 2020-03-23 Annual Report For SMB RADIOLOGY, P.A.
Annual Report Filed 2019-04-03 Annual Report For SMB RADIOLOGY, P.A.
Annual Report Filed 2018-03-12 Annual Report For SMB RADIOLOGY, P.A.
Annual Report Filed 2017-02-16 Annual Report For SMB RADIOLOGY, P.A.

Date of last update: 23 Dec 2024

Sources: Mississippi Secretary of State