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CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A.

Company Details

Name: CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 27 Oct 1995 (29 years ago)
Business ID: 623208
ZIP code: 38801
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: 499 Gloster Creek Village Suite A2Tupelo, MS 38801

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A. 401(K) PLAN 2012 640868337 2013-10-11 CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A. 145
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6623772950
Plan sponsor’s mailing address 499 GLOSTER CREEK VILLAGE, SUITE A-2, TUPELO, MS, 38801
Plan sponsor’s address 499 GLOSTER CREEK VILLAGE, SUITE A-2, TUPELO, MS, 38801

Plan administrator’s name and address

Administrator’s EIN 640868337
Plan administrator’s name CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A.
Plan administrator’s address 499 GLOSTER CREEK VILLAGE, SUITE A-2, TUPELO, MS, 38801
Administrator’s telephone number 6623772950

Number of participants as of the end of the plan year

Active participants 138
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 8
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 134
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 3

Signature of

Role Plan administrator
Date 2013-10-10
Name of individual signing EDDIE BARBER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-10
Name of individual signing EDDIE BARBER
Valid signature Filed with authorized/valid electronic signature
CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A. 401(K) PLAN 2011 640868337 2012-09-27 CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A. 147
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6623772950
Plan sponsor’s mailing address 499 GLOSTER CREEK VILLAGE, SUITE A-2, TUPELO, MS, 38801
Plan sponsor’s address 499 GLOSTER CREEK VILLAGE, SUITE A-2, TUPELO, MS, 38801

Plan administrator’s name and address

Administrator’s EIN 640868337
Plan administrator’s name CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A.
Plan administrator’s address 499 GLOSTER CREEK VILLAGE, SUITE A-2, TUPELO, MS, 38801
Administrator’s telephone number 6623772950

Number of participants as of the end of the plan year

Active participants 145
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 132
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 3

Signature of

Role Plan administrator
Date 2012-09-27
Name of individual signing EDDIE BARBER
Valid signature Filed with authorized/valid electronic signature
CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A. 401(K) PLAN 2010 640868337 2011-10-13 CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A. 123
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6623772950
Plan sponsor’s mailing address 499 GLOSTER CREEK VILLAGE, SUITE A-2, TUPELO, MS, 38801
Plan sponsor’s address 499 GLOSTER CREEK VILLAGE, SUITE A-2, TUPELO, MS, 38801

Plan administrator’s name and address

Administrator’s EIN 640868337
Plan administrator’s name CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A.
Plan administrator’s address 499 GLOSTER CREEK VILLAGE, SUITE A-2, TUPELO, MS, 38801
Administrator’s telephone number 6623772950

Number of participants as of the end of the plan year

Active participants 132
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 15
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 141
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 5

Signature of

Role Plan administrator
Date 2011-10-13
Name of individual signing EDDIE BARBER
Valid signature Filed with authorized/valid electronic signature
CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A. 401(K) PLAN 2009 640868337 2010-09-22 CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A. 121
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6623772950
Plan sponsor’s mailing address 499 GLOSTER CREEK VILLAGE, SUITE A-2, TUPELO, MS, 38801
Plan sponsor’s address 499 GLOSTER CREEK VILLAGE, SUITE A-2, TUPELO, MS, 38801

Plan administrator’s name and address

Administrator’s EIN 640868337
Plan administrator’s name CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A.
Plan administrator’s address 499 GLOSTER CREEK VILLAGE, SUITE A-2, TUPELO, MS, 38801
Administrator’s telephone number 6623772950

Number of participants as of the end of the plan year

Active participants 114
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 9
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 121
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of

Role Plan administrator
Date 2010-09-22
Name of individual signing EDDIE BARBER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WENDY CHISHOLM Agent 499 GLOSTER CREEK VILLAGE SUITE A-2, TUPELO, MS 38801

Incorporator

Name Role Address
Robert K Upchurch Incorporator 322 Jefferson St, Tupelo, MS 10000

President

Name Role Address
Roger Williams President 830 S Gloster, Tupelo, MS 38801

Director

Name Role Address
Barry Bertolet Director 830 South Gloster, Tupelo, MS 38801

Secretary

Name Role Address
Barry Bertolet Secretary 830 South Gloster, Tupelo, MS 38801

Filings

Type Status Filed Date Description
Annual Report Filed 2024-04-03 Annual Report For CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A.
Annual Report Filed 2023-04-14 Annual Report For CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A.
Annual Report Filed 2022-04-07 Annual Report For CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A.
Amendment Form Filed 2021-11-12 Amendment For CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A.
Annual Report Filed 2021-07-26 Annual Report For CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A.
Annual Report Filed 2020-05-12 Annual Report For CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A.
Annual Report Filed 2019-04-11 Annual Report For CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A.
Annual Report Filed 2018-04-12 Annual Report For CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A.
Annual Report Filed 2017-04-11 Annual Report For CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A.
Annual Report Filed 2016-04-14 Annual Report For CARDIOLOGY ASSOCIATES OF NORTH MISSISSIPPI, P.A.

Date of last update: 16 Mar 2025

Sources: Mississippi Secretary of State