| Name: | Richland Primary Care Center, P.A. |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Profit Corporation |
| Status: | Dissolved |
| Effective Date: | 31 Jan 1979 (46 years ago) |
| Business ID: | 624197 |
| ZIP code: | 39218 |
| County: | Rankin |
| State of Incorporation: | MISSISSIPPI |
| Principal Office Address: | 1201 Hwy 49 South Ste 4, 1201 Hwy 49 South Ste 4Richland, MS 39218 |
| Historical names: |
BAPTIST/RICHLAND PRIMARY CARE CENTER, P.A. |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHLAND PRIMARY CARE CENTER, P.A. 401(K) PROFIT SHARING PLAN | 2011 | 640620861 | 2012-07-18 | RICHLAND PRIMARY CARE CENTER, P.A. | 30 | |||||||||||||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 640620861 |
| Plan administrator’s name | RICHLAND PRIMARY CARE CENTER, P.A. |
| Plan administrator’s address | P. O. BOX 180367, 1201 HWY 49 SOUTH, SUITE 4, RICHLAND, MS, 392180367 |
| Administrator’s telephone number | 6019326400 |
Signature of
| Role | Plan administrator |
| Date | 2012-07-18 |
| Name of individual signing | WAYNE C. JOHNSON JR MD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-07-18 |
| Name of individual signing | WAYNE C. JOHNSON JR MD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6019326400 |
| Plan sponsor’s address | P. O. BOX 180367, 120 SCARBROUGH DRIVE, RICHLAND, MS, 392180367 |
Plan administrator’s name and address
| Administrator’s EIN | 640620861 |
| Plan administrator’s name | RICHLAND PRIMARY CARE CENTER, P.A. |
| Plan administrator’s address | P. O. BOX 180367, 120 SCARBROUGH DRIVE, RICHLAND, MS, 392180367 |
| Administrator’s telephone number | 6019326400 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-06 |
| Name of individual signing | WAYNE C. JOHNSON JR MD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-10-06 |
| Name of individual signing | WAYNE C. JOHNSON JR MD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6019326400 |
| Plan sponsor’s address | P. O. BOX 180367, 120 SCARBROUGH DRIVE, RICHLAND, MS, 392180367 |
Plan administrator’s name and address
| Administrator’s EIN | 640620861 |
| Plan administrator’s name | RICHLAND PRIMARY CARE CENTER, P.A. |
| Plan administrator’s address | P. O. BOX 180367, 120 SCARBROUGH DRIVE, RICHLAND, MS, 392180367 |
| Administrator’s telephone number | 6019326400 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-12 |
| Name of individual signing | WAYNE C. JOHNSON JR MD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-10-12 |
| Name of individual signing | WAYNE C. JOHNSON JR MD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Wayne C Johnson Junior | Agent | 1201 Hwy 49 S., Suite 4, Richland, MS 39218 |
| Name | Role | Address |
|---|---|---|
| Wayne C. Johnson, Jr. | Director | 1201 Hwy 49 South, Suite 4, Richland, MS 39218 |
| Name | Role | Address |
|---|---|---|
| Wayne C. Johnson, Jr. | President | 1201 Hwy 49 South, Suite 4, Richland, MS 39218 |
| Name | Role | Address |
|---|---|---|
| Wayne C. Johnson, Jr. | Secretary | 1201 Hwy 49 South, Suite 4, Richland, MS 39218 |
| Name | Role | Address |
|---|---|---|
| Wayne C. Johnson, Jr. | Treasurer | 1201 Hwy 49 South, Suite 4, Richland, MS 39218 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Admin Dissolution | Filed | 2021-11-29 | Action of Intent to Dissolve: AR: Richland Primary Care Center, P.A. |
| Notice to Dissolve/Revoke | Filed | 2021-09-07 | Notice of Intent to Dissolve: AR: Richland Primary Care Center, P.A. |
| Annual Report | Filed | 2020-06-19 | Annual Report For Richland Primary Care Center, P.A. |
| Annual Report | Filed | 2019-04-15 | Annual Report For Richland Primary Care Center, P.A. |
| Annual Report | Filed | 2018-04-04 | Annual Report For Richland Primary Care Center, P.A. |
| Annual Report | Filed | 2017-04-07 | Annual Report For Richland Primary Care Center, P.A. |
| Admin Dissolution | Filed | 2016-11-30 | Admin Dissolution |
| Amendment Form | Filed | 2016-10-25 | Amendment For Richland Primary Care Center, P.A. |
| Notice to Dissolve/Revoke | Filed | 2016-09-06 | Notice to Dissolve/Revoke |
| Agent Resignation | Filed | 2016-04-27 | Agent Resignation For Mendenhall, William S |
Date of last update: 23 Dec 2024
Sources: Mississippi Secretary of State
