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  5. PLASTIC SURGERY CENTER, P.A.

PLASTIC SURGERY CENTER, P.A.

Company Details

Name: PLASTIC SURGERY CENTER, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 02 Jun 1981 (44 years ago)
Business ID: 643070
ZIP code: 39204
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 1920 CHADWICK DR # 108JACKSON, MS 39204

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PLASTIC SURGERY CENTER, P.A .PROFIT SHARING PLAN AND TRUST 2023 640650720 2024-10-15 PLASTIC SURGERY CENTER, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-06-01
Business code 621111
Sponsor’s telephone number 6015060968
Plan sponsor’s address 730 SPRING LAKE DRIVE, PEARL, MS, 392086647

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing DOUGLAS GORMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-15
Name of individual signing DOUGLAS GORMAN
Valid signature Filed with authorized/valid electronic signature
PLASTIC SURGERY CENTER, P.A. PROFIT SHARING PLAN AND TRUST 2022 640650720 2023-10-11 PLASTIC SURGERY CENTER, P.A. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-06-01
Business code 621111
Sponsor’s telephone number 6013733730
Plan sponsor’s address 1920 CHADWICK DRIVE, SUITE 108, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2023-10-11
Name of individual signing DIANA GORMAN
Valid signature Filed with authorized/valid electronic signature
PLASTIC SURGERY CENTER, P.A. PROFIT SHARING PLAN AND TRUST 2021 640650720 2023-02-14 PLASTIC SURGERY CENTER, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-06-01
Business code 621111
Sponsor’s telephone number 6013733730
Plan sponsor’s address 1920 CHADWICK DRIVE, SUITE 108, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2023-02-14
Name of individual signing DIANA GORMAN
Valid signature Filed with authorized/valid electronic signature
PLASTIC SURGERY CENTER, P.A. PROFIT SHARING PLAN AND TRUST 2020 640650720 2021-10-07 PLASTIC SURGERY CENTER, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-06-01
Business code 621111
Sponsor’s telephone number 6013733730
Plan sponsor’s address 1920 CHADWICK DRIVE, SUITE 108, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2021-10-07
Name of individual signing DIANA GORMAN
Valid signature Filed with authorized/valid electronic signature
PLASTIC SURGERY CENTER, P.A. PROFIT SHARING PLAN AND TRUST 2019 640650720 2020-10-14 PLASTIC SURGERY CENTER, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-06-01
Business code 621111
Sponsor’s telephone number 6013733730
Plan sponsor’s address 1920 CHADWICK DRIVE, SUITE 108, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing DIANA GORMAN
Valid signature Filed with authorized/valid electronic signature
PLASTIC SURGERY CENTER, P.A. PROFIT SHARING PLAN AND TRUST 2018 640650720 2019-10-08 PLASTIC SURGERY CENTER, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-06-01
Business code 621111
Sponsor’s telephone number 6013733730
Plan sponsor’s address 1920 CHADWICK DRIVE, SUITE 108, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2019-10-08
Name of individual signing DIANA GORMAN
Valid signature Filed with authorized/valid electronic signature
PLASTIC SURGERY CENTER, P.A. PROFIT SHARING PLAN AND TRUST 2017 640650720 2018-10-10 PLASTIC SURGERY CENTER, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-06-01
Business code 621111
Sponsor’s telephone number 6013733730
Plan sponsor’s address 1920 CHADWICK DRIVE, SUITE 108, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing DIANA GORMAN
Valid signature Filed with authorized/valid electronic signature
PLASTIC SURGERY CENTER, P.A. PROFIT SHARING PLAN AND TRUST 2016 640650720 2017-10-13 PLASTIC SURGERY CENTER, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-06-01
Business code 621111
Sponsor’s telephone number 6013733730
Plan sponsor’s address 1920 CHADWICK DRIVE, SUITE 108, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing DIANA GORMAN
Valid signature Filed with authorized/valid electronic signature
PLASTIC SURGERY CENTER, P.A. PROFIT SHARING PLAN AND TRUST 2015 640650720 2016-10-17 PLASTIC SURGERY CENTER, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-06-01
Business code 621111
Sponsor’s telephone number 6013733730
Plan sponsor’s address 1920 CHADWICK DRIVE, SUITE 108, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing DIANA GORMAN
Valid signature Filed with authorized/valid electronic signature
PLASTIC SURGERY CENTER, P.A. PROFIT SHARING PLAN AND TRUST 2014 640650720 2015-10-12 PLASTIC SURGERY CENTER, P.A. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1981-06-01
Business code 621111
Sponsor’s telephone number 6013733730
Plan sponsor’s address 1920 CHADWICK DRIVE, SUITE 108, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing DIANA GORMAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/15/20141015083540P030018582559001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1981-06-01
Business code 621111
Sponsor’s telephone number 6013733730
Plan sponsor’s address 1920 CHADWICK DRIVE, SUITE 108, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing DOUGLAS GORMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-15
Name of individual signing PLASTIC SURGERY CENTER, P.A.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/07/20131007141529P040024430291001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1981-06-01
Business code 621111
Sponsor’s telephone number 6013733730
Plan sponsor’s address 1920 CHADWICK DRIVE, SUITE 108, JACKSON, MS, 39204

Signature of
Role Plan administrator
Date 2013-10-07
Name of individual signing DOUGLAS GORMAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/12/20121012174737P030001365427001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1981-06-01
Business code 621111
Sponsor’s telephone number 6013733730
Plan sponsor’s address 1920 CHADWICK DRIVE, SUITE 108, JACKSON, MS, 39204

Plan administrator’s name and address
Administrator’s EIN 640650720
Plan administrator’s name PLASTIC SURGERY CENTER, P.A.
Plan administrator’s address 1920 CHADWICK DRIVE, SUITE 108, JACKSON, MS, 39204
Administrator’s telephone number 6013733730

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing DOUGLAS GORMAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/04/20111004102729P030142158785001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1981-06-01
Business code 621111
Sponsor’s telephone number 6013733730
Plan sponsor’s address 1920 CHADWICK DRIVE, SUITE 108, JACKSON, MS, 39204

Plan administrator’s name and address
Administrator’s EIN 640650720
Plan administrator’s name PLASTIC SURGERY CENTER, P.A.
Plan administrator’s address 1920 CHADWICK DRIVE, SUITE 108, JACKSON, MS, 39204
Administrator’s telephone number 6013733730

Signature of
Role Plan administrator
Date 2011-10-04
Name of individual signing DOUGLAS GORMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-04
Name of individual signing DOUGLAS GORMAN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1981-06-01
Business code 621111
Sponsor’s telephone number 6013733730
Plan sponsor’s address 1920 CHADWICK DRIVE, SUITE 108, JACKSON, MS, 39204

Plan administrator’s name and address
Administrator’s EIN 640650720
Plan administrator’s name PLASTIC SURGERY CENTER, P.A.
Plan administrator’s address 1920 CHADWICK DRIVE, SUITE 108, JACKSON, MS, 39204
Administrator’s telephone number 6013733730

Signature of
Role Plan administrator
Date 2011-09-29
Name of individual signing DOUGLAS GORMAN
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-09-29
Name of individual signing DOUGLAS GORMAN
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/05/20101005180515P070011292065001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1981-06-01
Business code 621111
Sponsor’s telephone number 6013733730
Plan sponsor’s address 1920 CHADWICK DRIVE, SUITE 108, JACKSON, MS, 39204

Plan administrator’s name and address
Administrator’s EIN 640650720
Plan administrator’s name PLASTIC SURGERY CENTER, P.A.
Plan administrator’s address 1920 CHADWICK DRIVE, SUITE 108, JACKSON, MS, 39204
Administrator’s telephone number 6013733730

Signature of
Role Plan administrator
Date 2010-10-05
Name of individual signing DOUGLAS GORMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-05
Name of individual signing DOUGLAS GORMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DIANA GORMAN Agent 730 Spring Lake Drive, Pearl, MS 39208

Incorporator

Name Role Address
Douglas E Gorman Incorporator 1920 Chadwick Drive #108, Jackson, MS 39204

Director

Name Role Address
Douglas E Gorman Director 1920 Chadwick Drive #108, Jackson, MS 39204
Diana Gorman Director 1920 Chadwick Drive #108, Jackson, MS 39204

President

Name Role Address
Douglas E Gorman President 1920 Chadwick Drive #108, Jackson, MS 39204

Secretary

Name Role Address
Diana Gorman Secretary 1920 Chadwick Drive #108, Jackson, MS 39204

Vice President

Name Role Address
Diana Gorman Vice President 1920 Chadwick Drive #108, Jackson, MS 39204

Filings

Type Status Filed Date Description
Dissolution Filed 2024-02-20 Dissolution For PLASTIC SURGERY CENTER, P.A.
Registered Agent Change of Address Filed 2024-02-20 Agent Address Change For DIANA GORMAN
Annual Report Filed 2023-10-13 Annual Report For PLASTIC SURGERY CENTER, P.A.
Notice to Dissolve/Revoke Filed 2023-09-08 Notice of Intent to Dissolve: AR: PLASTIC SURGERY CENTER, P.A.
Annual Report Filed 2022-05-22 Annual Report For PLASTIC SURGERY CENTER, P.A.
Annual Report Filed 2021-05-28 Annual Report For PLASTIC SURGERY CENTER, P.A.
Annual Report Filed 2020-05-08 Annual Report For PLASTIC SURGERY CENTER, P.A.
Annual Report Filed 2019-06-14 Annual Report For PLASTIC SURGERY CENTER, P.A.
Annual Report Filed 2018-04-26 Annual Report For PLASTIC SURGERY CENTER, P.A.
Annual Report Filed 2017-04-20 Annual Report For PLASTIC SURGERY CENTER, P.A.

Related by officers

DIANA GORMAN

DOUGLAS E. GORMAN, M.D., P.A. TILE, ETCETERA, INC. VALUE FLOORS AND MORE, INC.

Related by address

1920 CHADWICK DR # 108JACKSON, MS 39204

DOUGLAS E. GORMAN, M.D., P.A.

Date of last update: 24 Dec 2024

Sources: Mississippi Secretary of State

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