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UNIVERSITY PEDIATRIC ASSOCIATES, PLLC

Company Details

Name: UNIVERSITY PEDIATRIC ASSOCIATES, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 05 Jul 1995 (30 years ago)
Business ID: 619848
State of Incorporation: MISSISSIPPI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
UNIVERSITY PEDIATRIC ASSOCIATES, PLLC PROFIT SHARING PLAN 2009 640860622 2010-07-22 UNIVERSITY PEDIATRIC ASSOCIATES, PLLC 139
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Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 621111
Sponsor’s telephone number 6019845214
Plan sponsor’s mailing address 2500 NORTH STATE STREET, JACKSON, MS, 39216
Plan sponsor’s address UMC DEPT. OF PEDIATRICS, JACKSON, MS, 39216

Plan administrator’s name and address

Administrator’s EIN 640860622
Plan administrator’s name UNIVERSITY PEDIATRIC ASSOCIATES, PLLC
Plan administrator’s address 2500 NORTH STATE STREET, JACKSON, MS, 39216
Administrator’s telephone number 6019845214

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2010-07-22
Name of individual signing OWEN EVANS, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
OWEN B. EVANS, M.D. Agent 2500 NORTH STATE STREET, JACKSON, MS 39216

Member

Name Role Address
OWEN B EVANS Member 2500 N STATE ST, JACKSON, MS 39216
HOLMES S ADAMS Member 248 E CAPITOL ST #1400, JACKSON, MS 39201

Filings

Type Status Filed Date Description
Failure to File AR Filed 2011-12-05 Failure to File AR
See File Filed 2002-01-29 See File
Name Reservation Form Filed 1995-07-05 Name Reservation

Date of last update: 23 Dec 2024

Sources: Mississippi Secretary of State