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  5. LAKELAND ANESTHESIA, PLLC

LAKELAND ANESTHESIA, PLLC

Company Details

Name: LAKELAND ANESTHESIA, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 01 Sep 1995 (30 years ago)
Business ID: 626596
ZIP code: 39232
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 3010 Lakeland Cove, Suite JFlowood, MS 39232

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAKELAND ANESTHESIA, PLLC 401(K) PLAN 2023 640865048 2024-10-10 LAKELAND ANESTHESIA, PLLC 14
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6015890146
Plan sponsor’s address P.O BOX 321360, FLOWOOD, MS, 39232

Signature of
Role Plan administrator
Date 2024-10-08
Name of individual signing DAVID CRASTO
Valid signature Filed with authorized/valid electronic signature
LAKELAND ANESTHESIA, PLLC 401(K) PLAN 2022 640865048 2023-09-18 LAKELAND ANESTHESIA, PLLC 13
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6015890146
Plan sponsor’s address P.O BOX 321360, 3900 LAKELAND DRIVE,SUITE 505C, FLOWOOD, MS, 39232

Signature of
Role Plan administrator
Date 2023-09-18
Name of individual signing DAVID CRASTO
Valid signature Filed with authorized/valid electronic signature
LAKELAND ANESTHESIA, PLLC 401(K) PLAN 2021 640865048 2022-07-28 LAKELAND ANESTHESIA, PLLC 8
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6019367770
Plan sponsor’s address 3010 LAKELAND COVE, SUITE J, JACKSON, MS, 39232

Signature of
Role Plan administrator
Date 2022-07-28
Name of individual signing DAVID W CRASTO MD
Valid signature Filed with authorized/valid electronic signature
LAKELAND ANESTHESIA, PLLC 401(K) PLAN 2020 640865048 2021-07-30 LAKELAND ANESTHESIA, PLLC 8
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6019367770
Plan sponsor’s address 3010 LAKELAND COVE, SUITE J, JACKSON, MS, 39232

Signature of
Role Plan administrator
Date 2021-07-30
Name of individual signing DAVID W CRASTO MD
Valid signature Filed with authorized/valid electronic signature
LAKELAND ANESTHESIA, PLLC 401(K) PLAN 2019 640865048 2020-07-31 LAKELAND ANESTHESIA, PLLC 8
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6019367770
Plan sponsor’s address 3010 LAKELAND COVE, SUITE J, JACKSON, MS, 39232

Signature of
Role Plan administrator
Date 2020-07-31
Name of individual signing DAVID W CRASTO MD
Valid signature Filed with authorized/valid electronic signature
LAKELAND ANESTHESIA, PLLC 401(K) PLAN 2018 640865048 2019-07-31 LAKELAND ANESTHESIA, PLLC 9
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6019367770
Plan sponsor’s address 3010 LAKELAND COVE, SUITE J, JACKSON, MS, 39232

Signature of
Role Plan administrator
Date 2019-07-31
Name of individual signing DAVID W CRASTO MD
Valid signature Filed with authorized/valid electronic signature
LAKELAND ANESTHESIA, PLLC 401(K) PLAN 2017 640865048 2018-07-08 LAKELAND ANESTHESIA, PLLC 9
Three-digit plan number (PN) 005
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6019367770
Plan sponsor’s address 3010 LAKELAND COVE, SUITE J, JACKSON, MS, 39232

Signature of
Role Plan administrator
Date 2018-07-07
Name of individual signing DAVID W CRASTO MD
Valid signature Filed with authorized/valid electronic signature
LAKELAND ANESTHESIA, PLLC 401(K) PLAN 2016 640865048 2017-10-24 LAKELAND ANESTHESIA, PLLC 8
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6019367770
Plan sponsor’s address 3010 LAKELAND COVE, SUITE J, JACKSON, MS, 39232

Signature of
Role Plan administrator
Date 2017-10-24
Name of individual signing DAVID W CRASTO MD
Valid signature Filed with authorized/valid electronic signature
LAKELAND ANESTHESIA, PLLC 401(K) PLAN 2015 640865048 2016-10-14 LAKELAND ANESTHESIA, PLLC 10
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6019367770
Plan sponsor’s address 3010 LAKELAND COVE, SUITE J, JACKSON, MS, 39232

Signature of
Role Plan administrator
Date 2016-10-14
Name of individual signing DAVID W CRASTO MD
Valid signature Filed with authorized/valid electronic signature
LAKELAND ANESTHESIA, PLLC 401(K) PLAN 2014 640865048 2015-10-15 LAKELAND ANESTHESIA, PLLC 10
File View Page
Three-digit plan number (PN) 005
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6019367770
Plan sponsor’s address 3010 LAKELAND COVE, SUITE J, JACKSON, MS, 39232

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing DAVID W. CRASTO, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/22/20140722155327P030051558471001.pdf
Three-digit plan number (PN) 005
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6019367770
Plan sponsor’s address 3010 LAKELAND COVE, SUITE J, JACKSON, MS, 39232

Signature of
Role Plan administrator
Date 2014-07-22
Name of individual signing KATHRYN WHITE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/03/04/20130304145133P040150126977001.pdf
Three-digit plan number (PN) 005
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6019367770
Plan sponsor’s address 3010 LAKELAND COVE, SUITE J, JACKSON, MS, 39232

Signature of
Role Plan administrator
Date 2013-03-04
Name of individual signing ALAN E. STALLINGS, JR. MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/03/07/20120307093545P030014996359001.pdf
Three-digit plan number (PN) 005
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6019367770
Plan sponsor’s address 3010 LAKELAND COVE, SUITE J, JACKSON, MS, 39232

Plan administrator’s name and address
Administrator’s EIN 640865048
Plan administrator’s name LAKELAND ANESTHESIA, PLLC
Plan administrator’s address 3010 LAKELAND COVE, SUITE J, JACKSON, MS, 39232
Administrator’s telephone number 6019367770

Signature of
Role Plan administrator
Date 2012-03-07
Name of individual signing ALAN E. STALLINGS, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/03/30/20110330141012P030010456263001.pdf
Three-digit plan number (PN) 005
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6019367770
Plan sponsor’s address 3010 LAKELAND COVE, SUITE I-8, JACKSON, MS, 39232

Plan administrator’s name and address
Administrator’s EIN 640865048
Plan administrator’s name LAKELAND ANESTHESIA, PLLC
Plan administrator’s address 3010 LAKELAND COVE, SUITE I-8, JACKSON, MS, 39232
Administrator’s telephone number 6019367770

Signature of
Role Plan administrator
Date 2011-03-30
Name of individual signing ALAN E. STALLINGS, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/04/22/20100422151333P040215955425001.pdf
Three-digit plan number (PN) 005
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 6019367770
Plan sponsor’s address 3010 LAKELAND COVE, SUITE I-8, JACKSON, MS, 39232

Plan administrator’s name and address
Administrator’s EIN 640865048
Plan administrator’s name LAKELAND ANESTHESIA, PLLC
Plan administrator’s address 3010 LAKELAND COVE, SUITE I-8, JACKSON, MS, 39232
Administrator’s telephone number 6019367770

Signature of
Role Plan administrator
Date 2010-04-22
Name of individual signing ALAN E. STALLINGS, MD
Valid signature Filed with authorized/valid electronic signature

Member

Name Role Address
David W Crasto Member 3010 Lakeland Cove, Suite J, Flowood, MS 39232

Agent

Name Role Address
David W. Crasto, MD Agent 3010 Lakeland Cove, Suite J, Flowood, MS 39232

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-02-21 Annual Report For LAKELAND ANESTHESIA, PLLC
Annual Report LLC Filed 2023-03-15 Annual Report For LAKELAND ANESTHESIA, PLLC
Annual Report LLC Filed 2022-04-09 Annual Report For LAKELAND ANESTHESIA, PLLC
Annual Report LLC Filed 2021-04-02 Annual Report For LAKELAND ANESTHESIA, PLLC
Annual Report LLC Filed 2020-04-15 Annual Report For LAKELAND ANESTHESIA, PLLC
Annual Report LLC Filed 2019-03-30 Annual Report For LAKELAND ANESTHESIA, PLLC
Annual Report LLC Filed 2018-04-10 Annual Report For LAKELAND ANESTHESIA, PLLC
Annual Report LLC Filed 2017-03-03 Annual Report For LAKELAND ANESTHESIA, PLLC
Annual Report LLC Filed 2016-04-12 Annual Report For LAKELAND ANESTHESIA, PLLC
Annual Report LLC Filed 2015-02-12 Annual Report For LAKELAND ANESTHESIA, PLLC

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8070897005 2020-04-08 0470 PPP 3900 Lakeland Dr. Ste 505C, FLOWOOD, MS, 39232-8842
Loan Status Date 2021-03-05
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 358757.3
Loan Approval Amount (current) 281149.58
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39334
Servicing Lender Name Trustmark National Bank
Servicing Lender Address 248 E Capitol St, JACKSON, MS, 39201-2503
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address FLOWOOD, RANKIN, MS, 39232-8842
Project Congressional District MS-03
Number of Employees 14
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39334
Originating Lender Name Trustmark National Bank
Originating Lender Address JACKSON, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 283547.16
Forgiveness Paid Date 2021-02-23

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Date of last update: 06 Feb 2025

Sources: Mississippi Secretary of State

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