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  5. Oxford Bariatric, General and Metabolic Surgery, PLLC

Oxford Bariatric, General and Metabolic Surgery, PLLC

Company Details

Name: Oxford Bariatric, General and Metabolic Surgery, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 16 Jun 1997 (28 years ago)
Business ID: 643705
ZIP code: 38655
County: Lafayette
State of Incorporation: MISSISSIPPI
Principal Office Address: 2215 JEFFERSON DAVIS DRIVEOXFORD, MS 38655
Historical names: THE SURGICAL CLINIC OF NORTH MISSISSIPPI, PLLC

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SURGICAL CLINIC OF NORTH MISSISSIPPI MONEY PURCHASE PENSION PLAN AND TRUST 2016 721372888 2017-07-24 OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-12-31
Business code 621111
Sponsor’s telephone number 6629155449
Plan sponsor’s DBA name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan sponsor’s address 422 SAINT REMY BLVD, OXFORD, MS, 386555174

Signature of
Role Plan administrator
Date 2017-07-24
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
SURGICAL CLINIC OF NORTH MISSISSIPPI PROFIT SHARING AND TRUST NUMBER 2 2016 721372888 2017-07-24 OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-11-13
Business code 621111
Sponsor’s telephone number 6628322535
Plan sponsor’s DBA name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan sponsor’s address 422 SAINT REMY BLVD, OXFORD, MS, 386555174

Signature of
Role Plan administrator
Date 2017-07-24
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
SURGICAL CLINIC OF NORTH MISSISSIPPI MONEY PURCHASE PENSION PLAN AND TRUST 2015 721372888 2016-06-30 OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1987-12-31
Business code 621111
Sponsor’s telephone number 6622343303
Plan sponsor’s DBA name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan sponsor’s address 2215 JEFFERSON DAVIS DR, OXFORD, MS, 386555221

Signature of
Role Plan administrator
Date 2016-06-30
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-30
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
SURGICAL CLINIC OF NORTH MISSISSIPPI PROFIT SHARING AND TRUST NUMBER 2 2015 721372888 2016-06-30 OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-11-13
Business code 621111
Sponsor’s telephone number 6622343303
Plan sponsor’s DBA name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan sponsor’s address 2215 JEFFERSON DAVIS DR, OXFORD, MS, 386555221

Signature of
Role Plan administrator
Date 2016-06-30
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-30
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
SURGICAL CLINIC OF NORTH MISSISSIPPI PROFIT SHARING AND TRUST NUMBER 2 2014 721372888 2015-07-20 OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-11-13
Business code 621111
Sponsor’s telephone number 6622343303
Plan sponsor’s DBA name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan sponsor’s address 2215 JEFF DAVIS AVENUE, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2015-07-20
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
SURGICAL CLINIC OF NORTH MISSISSIPPI MONEY PURCHASE PENSION PLAN AND TRUST 2014 721372888 2015-07-20 OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-12-31
Business code 621111
Sponsor’s telephone number 6622343303
Plan sponsor’s DBA name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan sponsor’s address 2215 JEFF DAVIS DRIVE, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2015-07-20
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
SURGICAL CLINIC OF NORTH MISSISSIPPI MONEY PURCHASE PENSION PLAN AND TRUST 2013 721372888 2014-07-09 OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-12-31
Business code 621111
Sponsor’s telephone number 6622343303
Plan sponsor’s DBA name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan sponsor’s address 2215 JEFF DAVIS AVENUE, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2014-07-09
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-09
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
SURGICAL CLINIC OF NORTH MISSISSIPPI PROFIT SHARING AND TRUST NUMBER 2 2013 721372888 2014-07-09 OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-11-13
Business code 621111
Sponsor’s telephone number 6622343303
Plan sponsor’s DBA name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan sponsor’s address 2215 JEFF DAVIS AVENUE, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2014-07-09
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-09
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
SURGICAL CLINIC OF NORTH MISSISSPPI MONEY PURCHASE PENSION PLAN AND TRUST 2012 721372888 2013-07-27 OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 1997-12-31
Business code 621111
Sponsor’s telephone number 6622343303
Plan sponsor’s DBA name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan sponsor’s address 2215 JEFF DAVIS EXTENDED, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2013-07-27
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-27
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
SURGICAL CLINIC OF NORTH MISSISSIPPI PROFIT SHARING AND TRUST NUMBER 2 2012 721372888 2013-07-27 OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1965-11-13
Business code 621111
Sponsor’s telephone number 6622343303
Plan sponsor’s DBA name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan sponsor’s address 2215 JEFF DAVIS DRIVE, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2013-07-27
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/11/20120711152651P030001218434001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1985-11-13
Business code 621111
Plan sponsor’s mailing address 2215 JEFF DAVIS DRIVE EXTENDED, OXFORD, MS, 38655
Plan sponsor’s address 2215 JEFF DAVIS DRIVE EXTENDED, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 721372888
Plan administrator’s name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan administrator’s address 2215 JEFF DAVIS DRIVE EXTENDED, OXFORD, MS, 38655

Number of participants as of the end of the plan year
Active participants 7
Number of participants with account balances as of the end of the plan year 7

Signature of
Role Plan administrator
Date 2012-07-11
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/11/20120711151058P030001206386001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1997-12-31
Business code 621111
Sponsor’s telephone number 6622343303
Plan sponsor’s DBA name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan sponsor’s mailing address 2215 JEFF DAVIS EXTENDED, OXFORD, MS, 38655
Plan sponsor’s address 2215 JEFF DAVIS EXTENDED, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 721372888
Plan administrator’s name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan administrator’s address 2215 JEFF DAVIS EXTENDED, OXFORD, MS, 38655
Administrator’s telephone number 6622343303

Number of participants as of the end of the plan year
Active participants 7
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 7

Signature of
Role Plan administrator
Date 2012-07-11
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/23/20110723184446P040015028466001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1997-12-31
Business code 621111
Sponsor’s telephone number 6622343303
Plan sponsor’s DBA name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan sponsor’s mailing address 2215 JEFF DAVIS EXTENDED, OXFORD, MS, 38655
Plan sponsor’s address 2215 JEFF DAVIS EXTENDED, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 721372888
Plan administrator’s name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan administrator’s address 2215 JEFF DAVIS EXTENDED, OXFORD, MS, 38655
Administrator’s telephone number 6622343303

Number of participants as of the end of the plan year
Active participants 7
Other retired or separated participants entitled to future benefits 1
Number of participants with account balances as of the end of the plan year 8

Signature of
Role Plan administrator
Date 2011-07-23
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/23/20110723182116P030014514882001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1985-11-13
Business code 621111
Sponsor’s telephone number 6622343303
Plan sponsor’s DBA name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan sponsor’s mailing address 2215 JEFF DAVIS EXTENDED, OXFORD, MS, 38655
Plan sponsor’s address 2215 JEFF DAVIS EXTENDED, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 721372888
Plan administrator’s name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan administrator’s address 2215 JEFF DAVIS EXTENDED, OXFORD, MS, 38655
Administrator’s telephone number 6622343303

Number of participants as of the end of the plan year
Active participants 7
Other retired or separated participants entitled to future benefits 2
Number of participants with account balances as of the end of the plan year 9

Signature of
Role Plan administrator
Date 2011-07-23
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/28/20100728212642P070018192600001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1997-12-31
Business code 621111
Sponsor’s telephone number 6622343303
Plan sponsor’s DBA name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan sponsor’s mailing address 2215 JEFF DAVIS EXTENDED, OXFORD, MS, 38655
Plan sponsor’s address 2215 JEFF DAVIS EXTENDED, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 721372888
Plan administrator’s name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan administrator’s address 2215 JEFF DAVIS EXTENDED, OXFORD, MS, 38655
Administrator’s telephone number 6622343303

Number of participants as of the end of the plan year
Active participants 7
Other retired or separated participants entitled to future benefits 2

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/28/20100728212620P070008905427001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1985-11-13
Business code 621111
Sponsor’s telephone number 6622343303
Plan sponsor’s DBA name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan sponsor’s mailing address 2215 JEFF DAVIS EXTENDED, OXFORD, MS, 38655
Plan sponsor’s address 2215 JEFF DAVIS EXTENDED, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 721372888
Plan administrator’s name OXFORD BARIATRIC GENERAL AND METABOLIC SURGERY PLLC
Plan administrator’s address 2215 JEFF DAVIS EXTENDED, OXFORD, MS, 38655
Administrator’s telephone number 6622343303

Number of participants as of the end of the plan year
Active participants 7
Retired or separated participants receiving benefits 3

Signature of
Role Plan administrator
Date 2010-07-28
Name of individual signing WILLIAM RHODES
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Michael L King Manager 7 OAK PLACE, OXFORD, MS 38655

Member

Name Role Address
Michael L King Member 2215 JEFFERSON DAVIS DR, OXFORD, MS 38655
MICHAEL L KING MD PA Member 2215 JEFFERSON DAVIS DR, OXFORD, MS 38655

Agent

Name Role Address
MICHAEL L KING JR Agent 2215 JEFFERSON DAVIS DR, OXFORD, MS 38655

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2017-12-06 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke
Annual Report LLC Filed 2016-01-13 Annual Report For Oxford Bariatric, General and Metabolic Surgery, PLLC
Reinstatement Filed 2016-01-13 Reinstatement For Oxford Bariatric, General and Metabolic Surgery, PLLC
Admin Dissolution Filed 2015-12-08 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2015-09-16 Notice to Dissolve/Revoke
Reinstatement Filed 2014-07-22 Reinstatement
Annual Report LLC Filed 2014-05-02 Annual Report LLC
Notice to Dissolve/Revoke Filed 2014-03-21 Notice to Dissolve/Revoke
Annual Report LLC Filed 2013-07-23 Annual Report LLC

Related by officers

Michael L King

OMEDCO, INC. Alabama - Mississippi Farms, 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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