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  5. SUN COAST ANESTHESIA, P.A.

SUN COAST ANESTHESIA, P.A.

Company Details

Name: SUN COAST ANESTHESIA, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 06 Sep 1995 (29 years ago)
Business ID: 621845
ZIP code: 39540
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 5421 Whetstone RoadDiberville, MS 39540

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUN COAST ANESTHESIA, P.A. 401(K) PROFIT SHARING PLAN 2016 640866092 2017-02-28 SUN COAST ANESTHESIA, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2283282093
Plan sponsor’s address 1720B MEDICAL PARK DRIVE, BILOXI, MS, 395322131

Plan administrator’s name and address
Administrator’s EIN 640866092
Plan administrator’s name SUN COAST ANESTHESIA, P.A.
Plan administrator’s address 1720B MEDICAL PARK DR, BILOXI, MS, 395322131
Administrator’s telephone number 2283282093

Signature of
Role Plan administrator
Date 2017-02-28
Name of individual signing PRESLEY MALLETT
Valid signature Filed with authorized/valid electronic signature
SUN COAST ANESTHESIA, P.A. 401(K) PROFIT SHARING PLAN 2016 640866092 2017-05-30 SUN COAST ANESTHESIA, P.A. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2283282093
Plan sponsor’s address 1720B MEDICAL PARK DRIVE, BILOXI, MS, 395322131

Signature of
Role Plan administrator
Date 2017-05-30
Name of individual signing PRESLEY MALLETT
Valid signature Filed with authorized/valid electronic signature
SUN COAST ANESTHESIA, P.A. 401(K) PROFIT SHARING PLAN 2015 640866092 2016-03-31 SUN COAST ANESTHESIA, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2283282093
Plan sponsor’s address 1720B MEDICAL PARK DRIVE, BILOXI, MS, 395322131

Plan administrator’s name and address
Administrator’s EIN 640866092
Plan administrator’s name SUN COAST ANESTHESIA, P.A.
Plan administrator’s address 1720B MEDICAL PARK DR, BILOXI, MS, 395322131
Administrator’s telephone number 2283282093

Signature of
Role Plan administrator
Date 2016-03-31
Name of individual signing PRESLEY MALLETT
Valid signature Filed with authorized/valid electronic signature
SUN COAST ANESTHESIA, P.A. 401(K) PROFIT SHARING PLAN 2014 640866092 2015-07-06 SUN COAST ANESTHESIA, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2283282093
Plan sponsor’s address 1720B MEDICAL PARK DRIVE, BILOXI, MS, 395322131

Plan administrator’s name and address
Administrator’s EIN 640866092
Plan administrator’s name SUN COAST ANESTHESIA, P.A.
Plan administrator’s address 1720B MEDICAL PARK DR, BILOXI, MS, 395322131
Administrator’s telephone number 2283282093

Signature of
Role Plan administrator
Date 2015-07-06
Name of individual signing PRESLEY MALLETT
Valid signature Filed with authorized/valid electronic signature
SUN COAST ANESTHESIA, P.A. 401(K) PROFIT SHARING PLAN 2013 640866092 2014-03-27 SUN COAST ANESTHESIA, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2283282093
Plan sponsor’s address 1720B MEDICAL PARK DR, BILOXI, MS, 395322131

Plan administrator’s name and address
Administrator’s EIN 640866092
Plan administrator’s name SUN COAST ANESTHESIA, P.A.
Plan administrator’s address 1720B MEDICAL PARK DR, BILOXI, MS, 395322131
Administrator’s telephone number 2283282093

Signature of
Role Plan administrator
Date 2014-03-27
Name of individual signing PATSY ACKLEN
Valid signature Filed with authorized/valid electronic signature
SUN COAST ANESTHESIA, P.A. 401(K) PROFIT SHARING PLAN 2012 640866092 2013-05-31 SUN COAST ANESTHESIA, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2283282093
Plan sponsor’s address 1720B MEDICAL PARK DR, BILOXI, MS, 395322131

Plan administrator’s name and address
Administrator’s EIN 640866092
Plan administrator’s name SUN COAST ANESTHESIA, P.A.
Plan administrator’s address 1720B MEDICAL PARK DR, BILOXI, MS, 395322131
Administrator’s telephone number 2283282093

Signature of
Role Plan administrator
Date 2013-05-31
Name of individual signing PATSY ACKLEN
Valid signature Filed with authorized/valid electronic signature
SUN COAST ANESTHESIA, P.A. 401(K) PROFIT SHARING PLAN 2011 640866092 2012-05-25 SUN COAST ANESTHESIA, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Plan sponsor’s address 1720B MEDICAL PARK DR, BILOXI, MS, 395322131

Plan administrator’s name and address
Administrator’s EIN 640866092
Plan administrator’s name SUN COAST ANESTHESIA, P.A.
Plan administrator’s address 1720B MEDICAL PARK DR, BILOXI, MS, 395322131
Administrator’s telephone number 2283282093

Signature of
Role Plan administrator
Date 2012-05-25
Name of individual signing PATSY ACKLEN
Valid signature Filed with authorized/valid electronic signature
SUN COAST ANESTHESIA, P.A. 401(K) PROFIT SHARING PLAN 2010 640866092 2011-06-02 SUN COAST ANESTHESIA, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2283969160
Plan sponsor’s address 1720B MEDICAL PARK DR, BILOXI, MS, 395322131

Plan administrator’s name and address
Administrator’s EIN 640866092
Plan administrator’s name SUN COAST ANESTHESIA, P.A.
Plan administrator’s address 1720B MEDICAL PARK DR, BILOXI, MS, 395322131
Administrator’s telephone number 2283969160

Signature of
Role Plan administrator
Date 2011-06-02
Name of individual signing PATSY ACKLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-02
Name of individual signing PATSY ACKLEN
Valid signature Filed with authorized/valid electronic signature
SUN COAST ANESTHESIA, P.A. 401(K) PROFIT SHARING PLAN 2009 640866092 2010-07-09 SUN COAST ANESTHESIA, P.A. 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2283282093
Plan sponsor’s address 1720B MEDICAL PARK DR, BILOXI, MS, 395322131

Plan administrator’s name and address
Administrator’s EIN 640866092
Plan administrator’s name SUN COAST ANESTHESIA, P.A.
Plan administrator’s address 1720B MEDICAL PARK DR, BILOXI, MS, 395322131
Administrator’s telephone number 2283282093

Signature of
Role Plan administrator
Date 2010-07-09
Name of individual signing PATSY ACKLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-09
Name of individual signing PATSY ACKLEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Presley D Mallett, M.D. Agent 5421 Whetstone Road, Diberville, MS 39540

Incorporator

Name Role Address
David M McAfee Incorporator 138 Linnet Dr, Ocean Springs, MS 39564

President

Name Role Address
Presley D Mallett, MD President 5421 Whetstone Road, diberville, MS 39540

Secretary

Name Role Address
Presley D Mallett, MD Secretary 5421 Whetstone Road, diberville, MS 39540

Treasurer

Name Role Address
Presley D Mallett, MD Treasurer 5421 Whetstone Road, diberville, MS 39540

Director

Name Role Address
Presley D Mallett, MD Director 5421 Whetstone Road, diberville, MS 39540

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2018-12-10 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Annual Report Filed 2017-10-08 Annual Report For SUN COAST ANESTHESIA, P.A.
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke
Amendment Form Filed 2016-11-16 Amendment For SUN COAST ANESTHESIA, P.A.
Reinstatement Filed 2016-05-17 Reinstatement For SUN COAST ANESTHESIA, P.A.
Admin Dissolution Filed 2014-12-20 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke
Annual Report Filed 2013-04-15 Annual Report
Annual Report Filed 2012-10-17 Annual Report

Related by officers

David M McAfee

SUN COAST HOLDINGS, P.A.

Related by address

5421 Whetstone RoadDiberville, MS 39540

White Plains Development, LLC

Date of last update: 23 Dec 2024

Sources: Mississippi Secretary of State

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