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  5. SOUTHERN MISSISSIPPI HEART CENTER, P.A.

SOUTHERN MISSISSIPPI HEART CENTER, P.A.

Company Details

Name: SOUTHERN MISSISSIPPI HEART CENTER, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 25 Nov 1996 (28 years ago)
Business ID: 636341
ZIP code: 39564
County: Jackson
State of Incorporation: MISSISSIPPI
Principal Office Address: 3704 BIENVILLE BLVD, STE BOCEAN SPRINGS, MS 39564

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN MISSISSIPPI HEART CENTER, PA 401(K) SAFE HARBOR PLAN 2012 640885079 2013-08-02 SOUTHERN MISSISSIPPI HEART CENTER, P.A. 53
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2288724040
Plan sponsor’s address 3704 BIENVILLE BLVD., SUITE B, OCEAN SPRINGS, MS, 39564

Signature of
Role Plan administrator
Date 2013-08-02
Name of individual signing MAHMOUD ZAYED
Valid signature Filed with authorized/valid electronic signature
SOUTHERN MISSISSIPPI HEART CENTER, PA 401(K) SAFE HARBOR PLAN 2011 640885079 2012-10-01 SOUTHERN MISSISSIPPI HEART CENTER, P.A. 50
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2288724040
Plan sponsor’s address 3704 BIENVILLE BLVD., SUITE B, OCEAN SPRINGS, MS, 39564

Plan administrator’s name and address
Administrator’s EIN 640885079
Plan administrator’s name SOUTHERN MISSISSIPPI HEART CENTER, P.A.
Plan administrator’s address 3704 BIENVILLE BLVD., SUITE B, OCEAN SPRINGS, MS, 39564
Administrator’s telephone number 2288724040

Signature of
Role Plan administrator
Date 2012-10-01
Name of individual signing SUSAN ZAYED
Valid signature Filed with authorized/valid electronic signature
SOUTHERN MISSISSIPPI HEART CENTER, PA 401(K) SAFE HARBOR PLAN 2010 640885079 2011-10-17 SOUTHERN MISSISSIPPI HEART CENTER, P.A. 46
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2288724040
Plan sponsor’s address 3704 BIENVILLE BLVD., SUITE B, OCEAN SPRINGS, MS, 39564

Plan administrator’s name and address
Administrator’s EIN 640885079
Plan administrator’s name SOUTHERN MISSISSIPPI HEART CENTER, P.A.
Plan administrator’s address 3704 BIENVILLE BLVD., SUITE B, OCEAN SPRINGS, MS, 39564
Administrator’s telephone number 2288724040

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing SUSAN ZAYED
Valid signature Filed with authorized/valid electronic signature
SOUTHERN MISSISSIPPI HEART CENTER, PA 401(K) SAFE HARBOR PLAN 2009 640885079 2010-10-15 SOUTHERN MISSISSIPPI HEART CENTER, P.A. 42
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 2288724040
Plan sponsor’s address 3704 BIENVILLE BLVD., SUITE B, OCEAN SPRINGS, MS, 39564

Plan administrator’s name and address
Administrator’s EIN 640885079
Plan administrator’s name SOUTHERN MISSISSIPPI HEART CENTER, P.A.
Plan administrator’s address 3704 BIENVILLE BLVD., SUITE B, OCEAN SPRINGS, MS, 39564
Administrator’s telephone number 2288724040

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing TERRY RIFENBURGH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MAHMOUD ZAYED Agent 3704 BIENVILLE BLVD SUITE B, OCEAN SPRINGS, MS 39564

Incorporator

Name Role Address
Kaleel G Salloum Jr Incorporator 2605 14th St, Gulfport, MS 39501

Director

Name Role Address
Mahmoud H Zayed Director 3704 Bienville Blvd Ste B, Ocean Springs, MS 39564

President

Name Role Address
Mahmoud H Zayed President 3704 Bienville Blvd Ste B, Ocean Springs, MS 39564

Vice President

Name Role Address
William O Passarelli Vice President 3704 Bienville Blvd, Ste B, Ocean Springs, MS 39564

Treasurer

Name Role Address
Ediz Z Tasan Treasurer 3704 Bienville Blvd, Ste B, Ocean Springs, MS 39564

Secretary

Name Role Address
William O Passarelli Secretary 3704 Bienville Blvd, Ste. B, Ocean Springs, MS 39564

Filings

Type Status Filed Date Description
Annual Report Filed 2024-02-15 Annual Report For SOUTHERN MISSISSIPPI HEART CENTER, P.A.
Annual Report Filed 2023-01-24 Annual Report For SOUTHERN MISSISSIPPI HEART CENTER, P.A.
Annual Report Filed 2022-11-09 Annual Report For SOUTHERN MISSISSIPPI HEART CENTER, P.A.
Annual Report Filed 2022-10-04 Annual Report For SOUTHERN MISSISSIPPI HEART CENTER, P.A.
Notice to Dissolve/Revoke Filed 2022-09-05 Notice of Intent to Dissolve: AR: SOUTHERN MISSISSIPPI HEART CENTER, P.A.
Annual Report Filed 2021-06-22 Annual Report For SOUTHERN MISSISSIPPI HEART CENTER, P.A.
Annual Report Filed 2020-01-13 Annual Report For SOUTHERN MISSISSIPPI HEART CENTER, P.A.
Amendment Form Filed 2020-01-13 Amendment For SOUTHERN MISSISSIPPI HEART CENTER, P.A.
Annual Report Filed 2019-01-23 Annual Report For SOUTHERN MISSISSIPPI HEART CENTER, P.A.
Annual Report Filed 2018-01-10 Annual Report For SOUTHERN MISSISSIPPI HEART CENTER, P.A.

Related by officers

Kaleel G Salloum Jr

GULFPORT YACHT RACING ASSOCIATION FAMILY HEALTH CARE CENTER, P.A. GULF COAST CHILDREN'S CLINIC, P.A. MISSISSIPPI STATE PILOTS OF GULFPORT, INC. JOY'S INC. NORMAN WALLACE PROFESSIONAL HOME REPAIR, INC. GULF COAST VETERINARY EMERGENCY HOSPITAL, P.A. Aw Murphy, LLC SM Realty, LLC Hopkins-Cleveland, LLC

Related by address

No related companies by address

Date of last update: 16 Mar 2025

Sources: Mississippi Secretary of State

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