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SOUTH MISSISSIPPI SURGEONS, P.A.

Company Details

Name: SOUTH MISSISSIPPI SURGEONS, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 23 Aug 1995 (29 years ago)
Business ID: 621488
State of Incorporation: MISSISSIPPI
Principal Office Address: 2525 TELEPHONE ROADPASCAGOULA, MS 38581

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SMS SURGEONS 401(K) PROFIT SHARING PLAN 2023 640865345 2024-10-04 SOUTH MISSISSIPPI SURGEONS, P. A. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-11-01
Business code 621111
Sponsor’s telephone number 2282491529
Plan sponsor’s address POST OFFICE BOX 1740, OCEAN SPRINGS, MS, 39566

Signature of

Role Plan administrator
Date 2024-10-04
Name of individual signing MONICA WOODWORTH
Valid signature Filed with authorized/valid electronic signature
SMS SURGEONS 401(K) PROFIT SHARING PLAN 2022 640865345 2023-10-11 SOUTH MISSISSIPPI SURGEONS, P. A. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-11-01
Business code 621111
Sponsor’s telephone number 2282491529
Plan sponsor’s address POST OFFICE BOX 1740, OCEAN SPRINGS, MS, 39566

Signature of

Role Plan administrator
Date 2023-10-11
Name of individual signing JOHN BAILEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-11
Name of individual signing JOHN BAILEY
Valid signature Filed with authorized/valid electronic signature
SMS SURGEONS 401(K) PROFIT SHARING PLAN 2021 640865345 2022-08-15 SOUTH MISSISSIPPI SURGEONS, P. A. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-11-01
Business code 621111
Sponsor’s telephone number 2282491529
Plan sponsor’s address POST OFFICE BOX 1740, OCEAN SPRINGS, MS, 39566

Signature of

Role Plan administrator
Date 2022-08-10
Name of individual signing JOHN BAILEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Jason A Payne Agent 2525 Telephone Road, Pascagoula, MS 39581

Incorporator

Name Role Address
David L Spencer Incorporator 2525 Telephone Rd, Pascagoula, MS 39567
Fuad M Ramadan Incorporator No data

President

Name Role Address
John Bailey MD President 2525 Telephone Road, Pascagoula, MS 38581

Director

Name Role Address
William Avara III MD Director 2525 Telephone Road, Pascagoula, MS 38581
Edward Dvorak MD Director 2525 Telephone Road, Pascagoula, MS 39581
John Bailey MD Director 2525 Telephone Road, Pascagoula, MS 38581

Vice President

Name Role Address
William Avara III MD Vice President 2525 Telephone Road, Pascagoula, MS 38581

Secretary

Name Role Address
Edward Dvorak MD Secretary 2525 Telephone Road, Pascagoula, MS 39581

Member

Name Role Address
Jason Payne MD Member 2525 Telephone Rd, Pascagoula, MS 39567
Jeremy Simpler MD Member 2525 Telephone Rd, Pascagoula, MS 39567
Nicholas Fayard MD Member 2525 Telephone Rd, Pascagoula, MS 39567

Filings

Type Status Filed Date Description
Amendment Form Filed 2024-11-25 Amendment For SOUTH MISSISSIPPI SURGEONS, P.A.
Annual Report Filed 2024-03-14 Annual Report For SOUTH MISSISSIPPI SURGEONS, P.A.
Annual Report Filed 2023-02-14 Annual Report For SOUTH MISSISSIPPI SURGEONS, P.A.
Annual Report Filed 2022-02-09 Annual Report For SOUTH MISSISSIPPI SURGEONS, P.A.
Annual Report Filed 2021-04-15 Annual Report For SOUTH MISSISSIPPI SURGEONS, P.A.
Annual Report Filed 2020-02-06 Annual Report For SOUTH MISSISSIPPI SURGEONS, P.A.
Amendment Form Filed 2019-08-28 Amendment For SOUTH MISSISSIPPI SURGEONS, P.A.
Annual Report Filed 2019-03-20 Annual Report For SOUTH MISSISSIPPI SURGEONS, P.A.
Annual Report Filed 2018-01-29 Annual Report For SOUTH MISSISSIPPI SURGEONS, P.A.
Annual Report Filed 2017-01-30 Annual Report For SOUTH MISSISSIPPI SURGEONS, P.A.

Date of last update: 23 Dec 2024

Sources: Mississippi Secretary of State