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  5. DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A.

DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A.

Company Details

Name: DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 18 Nov 1981 (43 years ago)
Business ID: 628765
ZIP code: 38801
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: 516 Pegram DriveTupelo, MS 38801

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. PROFIT SHARING PLAN 2019 640657413 2020-05-06 DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-02-01
Business code 621111
Sponsor’s telephone number 6628446272
Plan sponsor’s address 516 PEGRAM DRIVE, TUPELO, MS, 38801
DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. PROFIT SHARING PLAN 2018 640657413 2019-04-29 DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-02-01
Business code 621111
Sponsor’s telephone number 6628446272
Plan sponsor’s address 516 PEGRAM DRIVE, TUPELO, MS, 38801
DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. PROFIT SHARING PLAN 2017 640657413 2018-06-11 DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-02-01
Business code 621111
Sponsor’s telephone number 6628446272
Plan sponsor’s address 516 PEGRAM DRIVE, TUPELO, MS, 38801
DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. PROFIT SHARING PLAN 2016 640657413 2017-04-28 DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-02-01
Business code 621111
Sponsor’s telephone number 6628446272
Plan sponsor’s address 516 PEGRAM DRIVE, TUPELO, MS, 38801

Signature of
Role Plan administrator
Date 2017-04-28
Name of individual signing JOHN D. BURK, MD
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. PROFIT SHARING PLAN 2015 640657413 2016-05-02 DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-02-01
Business code 621111
Sponsor’s telephone number 6628446272
Plan sponsor’s address 516 PEGRAM DRIVE, TUPELO, MS, 38801

Signature of
Role Plan administrator
Date 2016-05-02
Name of individual signing JOHN D. BURK, MD
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. PROFIT SHARING PLAN 2014 640657413 2015-07-06 DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-02-01
Business code 621111
Sponsor’s telephone number 6628446272
Plan sponsor’s address 516 PEGRAM DRIVE, TUPELO, MS, 38801

Signature of
Role Plan administrator
Date 2015-07-06
Name of individual signing JOHN D. BURK, MD
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. PROFIT SHARING PLAN 2013 640657413 2014-03-28 DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. 15
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-02-01
Business code 621111
Sponsor’s telephone number 6628446272
Plan sponsor’s address 516 PEGRAM DRIVE, TUPELO, MS, 38801

Signature of
Role Plan administrator
Date 2014-03-28
Name of individual signing JOHN D. BURK, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-28
Name of individual signing JOHN D. BURK, MD
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. PROFIT SHARING PLAN 2012 640657413 2013-08-14 DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-02-01
Business code 621111
Sponsor’s telephone number 6628446272
Plan sponsor’s address 516 PEGRAM DRIVE, TUPELO, MS, 38801

Signature of
Role Plan administrator
Date 2013-08-14
Name of individual signing JOHN D. BURK, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-14
Name of individual signing JOHN D. BURK, MD
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. PROFIT SHARING PLAN 2011 640657413 2012-05-07 DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-02-01
Business code 621111
Sponsor’s telephone number 6628446272
Plan sponsor’s address 516 PEGRAM DRIVE, TUPELO, MS, 38801

Plan administrator’s name and address
Administrator’s EIN 640657413
Plan administrator’s name DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A.
Plan administrator’s address 516 PEGRAM DRIVE, TUPELO, MS, 38801
Administrator’s telephone number 6628446272

Signature of
Role Plan administrator
Date 2012-05-07
Name of individual signing JOHN D. BURK, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-07
Name of individual signing JOHN D. BURK, MD
Valid signature Filed with authorized/valid electronic signature
DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. PROFIT SHARING PLAN 2010 640657413 2011-05-13 DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-02-01
Business code 621111
Sponsor’s telephone number 6628446272
Plan sponsor’s address 516 PEGRAM DRIVE, TUPELO, MS, 38801

Plan administrator’s name and address
Administrator’s EIN 640657413
Plan administrator’s name DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A.
Plan administrator’s address 516 PEGRAM DRIVE, TUPELO, MS, 38801
Administrator’s telephone number 6628446272

Signature of
Role Plan administrator
Date 2011-05-13
Name of individual signing JOHN D. BURK, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-13
Name of individual signing JOHN D. BURK, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/08/20100908104910P030166157058001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1984-02-01
Business code 621111
Sponsor’s telephone number 6628446272
Plan sponsor’s address 516 PEGRAM DRIVE, TUPELO, MS, 38801

Plan administrator’s name and address
Administrator’s EIN 640657413
Plan administrator’s name DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A.
Plan administrator’s address 516 PEGRAM DRIVE, TUPELO, MS, 38801
Administrator’s telephone number 6628446272

Signature of
Role Plan administrator
Date 2010-09-08
Name of individual signing JOHN D. BURK, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-08
Name of individual signing JOHN D. BURK, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Jeffrey C Houin Agent 516 Pegram Drive, Tupelo, MS 38801

President

Name Role Address
Jeffrey C Houin President 516 Pegram Drive, Tupelo, MS 38801

Director

Name Role Address
Bradley N Greenhaw Director 516 Pegram Drive, Tupelo, MS 38801
Jeffrey C Houin Director 516 Pegram Drive, Tupelo, MS 38801

Vice President

Name Role Address
Bradley N Greenhaw Vice President 516 Pegram Drive, Tupelo, MS 38801

Filings

Type Status Filed Date Description
Annual Report Filed 2024-02-09 Annual Report For DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A.
Annual Report Filed 2023-01-24 Annual Report For DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A.
Annual Report Filed 2022-02-07 Annual Report For DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A.
Annual Report Filed 2021-01-22 Annual Report For DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A.
Amendment Form Filed 2020-07-01 Amendment For DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A.
Annual Report Filed 2020-04-13 Annual Report For DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A.
Annual Report Filed 2019-03-14 Annual Report For DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A.
Annual Report Filed 2018-09-19 Annual Report For DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A.
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Annual Report Filed 2017-01-16 Annual Report For DERMATOLOGY CENTER OF NORTH MISSISSIPPI, P.A.

Related by officers

Jeffrey C Houin

BHG Properties, LLC H & G Property Holdings, LLC BH Corner Properties, LLC

Bradley N Greenhaw

BHG Properties, LLC H & G Property Holdings, LLC

Related by address

516 Pegram DriveTupelo, MS 38801

H & G Property Holdings, LLC BH Corner Properties, LLC

Date of last update: 24 Dec 2024

Sources: Mississippi Secretary of State

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