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  5. BROOKHAVEN INTERNAL MEDICINE, P.A.

BROOKHAVEN INTERNAL MEDICINE, P.A.

Company Details

Name: BROOKHAVEN INTERNAL MEDICINE, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 12 Jun 1996 (29 years ago)
Business ID: 631047
ZIP code: 39601
County: Lincoln
State of Incorporation: MISSISSIPPI
Principal Office Address: 527 Silver Cross Dr, 527 Silver Cross DrBrookhaven, MS 39601

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BROOKHAVEN INTERNAL MEDICINE, P.A. PROFIT SHARING PLAN 2023 640877856 2024-06-04 BROOKHAVEN INTERNAL MEDICINE, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6018350507
Plan sponsor’s address 527 SILVER CROSS DR, BROOKHAVEN, MS, 39601

Signature of
Role Plan administrator
Date 2024-06-04
Name of individual signing ESTHER GRAY
Valid signature Filed with authorized/valid electronic signature
BROOKHAVEN INTERNAL MEDICINE, P.A. PROFIT SHARING PLAN 2022 640877856 2023-07-18 BROOKHAVEN INTERNAL MEDICINE, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6018350507
Plan sponsor’s address 527 SILVER CROSS DR, BROOKHAVEN, MS, 39601

Signature of
Role Plan administrator
Date 2023-07-18
Name of individual signing SUSAN MCNEILL
Valid signature Filed with authorized/valid electronic signature
BROOKHAVEN INTERNAL MEDICINE, P.A. PROFIT SHARING PLAN 2021 640877856 2022-10-17 BROOKHAVEN INTERNAL MEDICINE, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6018350507
Plan sponsor’s address 527 SILVER CROSS DR, BROOKHAVEN, MS, 39601

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing SUSAN MCNEILL
Valid signature Filed with authorized/valid electronic signature
BROOKHAVEN INTERNAL MEDICINE, P.A. PROFIT SHARING PLAN 2020 640877856 2021-05-25 BROOKHAVEN INTERNAL MEDICINE, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6018350507
Plan sponsor’s address 527 SILVER CROSS DR, BROOKHAVEN, MS, 39601

Signature of
Role Plan administrator
Date 2021-05-25
Name of individual signing SUSAN MCNEILL
Valid signature Filed with authorized/valid electronic signature
BROOKHAVEN INTERNAL MEDICINE, P.A. PROFIT SHARING PLAN 2019 640877856 2020-07-07 BROOKHAVEN INTERNAL MEDICINE, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6018350507
Plan sponsor’s address 527 SILVER CROSS DR, BROOKHAVEN, MS, 39601

Signature of
Role Plan administrator
Date 2020-07-07
Name of individual signing SUSAN MCNEILL
Valid signature Filed with authorized/valid electronic signature
BROOKHAVEN INTERNAL MEDICINE, P.A. PROFIT SHARING PLAN 2018 640877856 2019-05-06 BROOKHAVEN INTERNAL MEDICINE, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6018350507
Plan sponsor’s address 527 SILVER CROSS DR, BROOKHAVEN, MS, 39601

Signature of
Role Plan administrator
Date 2019-05-06
Name of individual signing SUSAN MCNEILL
Valid signature Filed with authorized/valid electronic signature
BROOKHAVEN INTERNAL MEDICINE, P.A. PROFIT SHARING PLAN 2017 640877856 2018-10-15 BROOKHAVEN INTERNAL MEDICINE, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6018350507
Plan sponsor’s address 527 SILVER CROSS DR, BROOKHAVEN, MS, 39601

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing BRYAN CALCOTE, MD
Valid signature Filed with authorized/valid electronic signature
BROOKHAVEN INTERNAL MEDICINE, P.A. PROFIT SHARING PLAN 2016 640877856 2017-10-06 BROOKHAVEN INTERNAL MEDICINE, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6018350507
Plan sponsor’s address 527 SILVER CROSS DR, BROOKHAVEN, MS, 39601

Signature of
Role Plan administrator
Date 2017-10-06
Name of individual signing BRYAN CALCOTE, MD
Valid signature Filed with authorized/valid electronic signature
BROOKHAVEN INTERNAL MEDICINE, P.A. PROFIT SHARING PLAN 2015 640877856 2016-08-22 BROOKHAVEN INTERNAL MEDICINE, P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6018350507
Plan sponsor’s address 527 SILVER CROSS DR, BROOKHAVEN, MS, 39601

Signature of
Role Plan administrator
Date 2016-08-22
Name of individual signing BRYAN CALCOTE, MD
Valid signature Filed with authorized/valid electronic signature
BROOKHAVEN INTERNAL MEDICINE, P.A. PROFIT SHARING PLAN 2014 640877856 2015-10-13 BROOKHAVEN INTERNAL MEDICINE, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6018350507
Plan sponsor’s address 527 SILVER CROSS DR, BROOKHAVEN, MS, 39601

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing BRYAN CALCOTE, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Calcote, Bryan Agent 527 Silver Cross Drive, Brookhaven, MS 39601

Incorporator

Name Role Address
Jane W. Meynardie Incorporator 401 East Capitol Street Ste 600, Jackson, MS 39201

Director

Name Role Address
Bryan Calcote MD Director 527 Silver Cross Drive, Brookhaven, MS 39601
Bryan Calcote Director 527 Silver Cross Drive, Brookhaven, MS 39601

President

Name Role Address
Bryan Calcote MD President 527 Silver Cross Drive, Brookhaven, MS 39601

Secretary

Name Role Address
Bryan Calcote Secretary 527 Silver Cross Drive, Brookhaven, MS 39601

Treasurer

Name Role Address
Bryan Calcote Treasurer 527 Silver Cross Drive, Brookhaven, MS 39601

Filings

Type Status Filed Date Description
Annual Report Filed 2024-01-30 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.
Annual Report Filed 2023-03-07 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.
Annual Report Filed 2022-04-04 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.
Annual Report Filed 2021-03-30 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.
Annual Report Filed 2020-03-25 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.
Annual Report Filed 2019-03-04 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.
Annual Report Filed 2018-02-26 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.
Annual Report Filed 2017-03-03 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.
Annual Report Filed 2016-04-05 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.
Annual Report Filed 2015-06-16 Annual Report For BROOKHAVEN INTERNAL MEDICINE, P.A.

Related by officers

Jane W. Meynardie

TRIO EYELID FACIAL CLINIC, INC.

Bryan Calcote

BROOKHAVEN MEDICAL PROPERTIES, LLC

Related by address

No related companies by address

Date of last update: 24 Dec 2024

Sources: Mississippi Secretary of State

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