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MISSISSIPPI SELECT HEALTH CARE, LLC

Company Details

Name: MISSISSIPPI SELECT HEALTH CARE, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 02 Jul 1997 (28 years ago)
Business ID: 644283
State of Incorporation: MISSISSIPPI
Principal Office Address: 14110 AIRPORT ROAD, SUITE 100GULFPORT, MS 395034700

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MISSISSIPPI SELECT HEALTH CARE 401(K) PLAN 2023 640887052 2024-05-30 MISSISSIPPI SELECT HEALTH CARE 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524290
Sponsor’s telephone number 2288650514
Plan sponsor’s address 2304 19TH STREET SUITE 300, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2024-05-30
Name of individual signing DEBRA LOVE
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI SELECT HEALTH CARE 401(K) PLAN 2022 640887052 2023-06-29 MISSISSIPPI SELECT HEALTH CARE 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524290
Sponsor’s telephone number 2288650514
Plan sponsor’s address 2304 19TH STREET, SUITE 300, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2023-06-29
Name of individual signing DEBRA LOVE
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI SELECT HEALTH CARE 401(K) PLAN 2021 640887052 2022-05-31 MISSISSIPPI SELECT HEALTH CARE 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524290
Sponsor’s telephone number 8008476621
Plan sponsor’s address 14110 AIRPORT ROAD, SUITE 100, GULFPORT, MS, 39503

Signature of
Role Plan administrator
Date 2022-05-31
Name of individual signing DEBRA LOVE
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI SELECT HEALTH CARE 401(K) PLAN 2020 640887052 2021-05-26 MISSISSIPPI SELECT HEALTH CARE 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524290
Sponsor’s telephone number 8008476621
Plan sponsor’s address 14110 AIRPORT ROAD, SUITE 100, GULFPORT, MS, 39503

Signature of
Role Plan administrator
Date 2021-05-26
Name of individual signing DEBRA LOVE
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI SELECT HEALTH CARE 401(K) PLAN 2019 640887052 2020-06-13 MISSISSIPPI SELECT HEALTH CARE 15
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524290
Sponsor’s telephone number 8008476621
Plan sponsor’s address 14110 AIRPORT ROAD, SUITE 100, GULFPORT, MS, 39503

Signature of
Role Plan administrator
Date 2020-06-13
Name of individual signing DLOVE8810
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI SELECT HEALTH CARE 401(K) PLAN 2019 640887052 2020-06-30 MISSISSIPPI SELECT HEALTH CARE 15
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524290
Sponsor’s telephone number 8008476621
Plan sponsor’s address 14110 AIRPORT ROAD, SUITE 100, GULFPORT, MS, 39503

Signature of
Role Plan administrator
Date 2020-06-29
Name of individual signing DEBRA LOVE
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI SELECT HEALTH CARE 401(K) PLAN 2018 640887052 2019-05-22 MISSISSIPPI SELECT HEALTH CARE 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524290
Sponsor’s telephone number 8008476621
Plan sponsor’s address 14110 AIRPORT ROAD, SUITE 100, GULFPORT, MS, 39503

Signature of
Role Plan administrator
Date 2019-05-22
Name of individual signing DEBRA LOVE
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI SELECT HEALTH CARE 401(K) PLAN 2017 640887052 2018-06-04 MISSISSIPPI SELECT HEALTH CARE 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524290
Sponsor’s telephone number 8008476621
Plan sponsor’s address 14110 AIRPORT ROAD, SUITE 100, GULFPORT, MS, 39503

Signature of
Role Plan administrator
Date 2018-06-04
Name of individual signing DEBRA LOVE
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI SELECT HEALTH CARE 401(K) PLAN 2016 640887052 2017-05-23 MISSISSIPPI SELECT HEALTH CARE 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524290
Sponsor’s telephone number 8008476621
Plan sponsor’s address 14110 AIRPORT ROAD, SUITE 100, GULFPORT, MS, 39503

Signature of
Role Plan administrator
Date 2017-05-23
Name of individual signing DEBRA LOVE
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI SELECT HEALTH CARE 401(K) PLAN 2015 640887052 2016-05-26 MISSISSIPPI SELECT HEALTH CARE 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524290
Sponsor’s telephone number 8008476621
Plan sponsor’s address 14110 AIRPORT ROAD, SUITE 100, GULFPORT, MS, 39503

Signature of
Role Plan administrator
Date 2016-05-26
Name of individual signing DEBRA LOVE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/02/20150602223720P040024949543001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524290
Sponsor’s telephone number 8008476621
Plan sponsor’s address 14110 AIRPORT ROAD, SUITE 100, GULFPORT, MS, 39503

Signature of
Role Plan administrator
Date 2015-06-02
Name of individual signing DEBRA LOVE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/27/20140527154117P030358828179001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524290
Sponsor’s telephone number 8008476621
Plan sponsor’s address 14110 AIRPORT ROAD, SUITE 100, GULFPORT, MS, 39503

Signature of
Role Plan administrator
Date 2014-05-27
Name of individual signing DEBRA LOVE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/06/20130606154000P030086975301001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524290
Sponsor’s telephone number 8008476621
Plan sponsor’s address 14110 AIRPORT ROAD, SUITE 100, GULFPORT, MS, 39503

Signature of
Role Plan administrator
Date 2013-06-06
Name of individual signing DEBRA LOVE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/20/20120620110310P040005582564001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524290
Sponsor’s telephone number 8008476621
Plan sponsor’s address 14110 AIRPORT ROAD, SUITE 100, GULFPORT, MS, 39503

Plan administrator’s name and address
Administrator’s EIN 640887052
Plan administrator’s name MISSISSIPPI SELECT HEALTH CARE
Plan administrator’s address 14110 AIRPORT ROAD, SUITE 100, GULFPORT, MS, 39503
Administrator’s telephone number 8008476621

Signature of
Role Plan administrator
Date 2012-06-20
Name of individual signing DEBRA LOVE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/16/20110616153759P040011645794001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 524290
Sponsor’s telephone number 8008476621
Plan sponsor’s address 14110 AIRPORT ROAD, SUITE 100, GULFPORT, MS, 39503

Plan administrator’s name and address
Administrator’s EIN 640887052
Plan administrator’s name MISSISSIPPI SELECT HEALTH CARE
Plan administrator’s address 14110 AIRPORT ROAD, SUITE 100, GULFPORT, MS, 39503
Administrator’s telephone number 8008476621

Signature of
Role Plan administrator
Date 2011-06-16
Name of individual signing DEBRA LOVE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Barry K. Cockrell Agent 100 Vision Drive Suite 400, Jackson, MS 39211

Member

Name Role Address
Haley Zelenka Member 14110 AIRPORT ROAD, SUITE 100, GULFPORT, MS 395034700
Myron McCoo Member 14110 AIRPORT ROAD, SUITE 100, Gulfport, MS 395034700

President

Name Role Address
Rea Montjoy President 14110 AIRPORT ROAD, SUITE 100, GULFPORT, MS 395034700

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-03-27 Annual Report For MISSISSIPPI SELECT HEALTH CARE, LLC
Annual Report LLC Filed 2023-02-28 Annual Report For MISSISSIPPI SELECT HEALTH CARE, LLC
Annual Report LLC Filed 2022-04-06 Annual Report For MISSISSIPPI SELECT HEALTH CARE, LLC
Annual Report LLC Filed 2021-04-12 Annual Report For MISSISSIPPI SELECT HEALTH CARE, LLC
Annual Report LLC Filed 2020-04-06 Annual Report For MISSISSIPPI SELECT HEALTH CARE, LLC
Annual Report LLC Filed 2019-04-10 Annual Report For MISSISSIPPI SELECT HEALTH CARE, LLC
Amendment Form Filed 2019-04-10 Amendment For MISSISSIPPI SELECT HEALTH CARE, LLC
Annual Report LLC Filed 2018-04-09 Annual Report For MISSISSIPPI SELECT HEALTH CARE, LLC
Annual Report LLC Filed 2017-03-29 Annual Report For MISSISSIPPI SELECT HEALTH CARE, LLC
Registered Agent Change of Address Filed 2016-05-11 Agent Address Change For CHARLES W FERGUSON

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4590387109 2020-04-13 0470 PPP 14110 AIRPORT RD, GULFPORT, MS, 39503-4700
Loan Status Date 2020-12-04
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 162982.62
Loan Approval Amount (current) 162982.62
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39232
Servicing Lender Name Hancock Whitney Bank
Servicing Lender Address 2510 14th St One Hancock Plz, GULFPORT, MS, 39501
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address GULFPORT, HARRISON, MS, 39503-4700
Project Congressional District MS-04
Number of Employees 14
NAICS code 524292
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39232
Originating Lender Name Hancock Whitney Bank
Originating Lender Address GULFPORT, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 163897.13
Forgiveness Paid Date 2020-11-03

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Rea Montjoy

HANCOCK COUNTY CHAMBER OF COMMERCE HANCOCK COUNTY REPUBLICAN PARTY, INC.

Related by address

No related companies by address

Date of last update: 16 Mar 2025

Sources: Mississippi Secretary of State

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