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  5. WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, P.A.

WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, P.A.

Company Details

Name: WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 15 Jul 1997 (28 years ago)
Business ID: 644720
ZIP code: 39216
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 1801 Crane Ridge Drive, Ste CJackson, MS 39216

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, P.A. 401(K) PLAN 2014 721392762 2015-09-09 WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6018565633
Plan sponsor’s address 1801 CRANE RIDGE DRIVE, SUITE C, JACKSON, MS, 39216
WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, P.A. 401(K) PLAN 2013 721392762 2014-07-24 WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6018565633
Plan sponsor’s address 1801 CRANE RIDGE DRIVE, SUITE C, JACKSON, MS, 39216
WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, P.A. 401(K) PLAN 2012 721392762 2013-10-03 WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6018565633
Plan sponsor’s address 804 HWY 51, MADISON, MS, 39110

Signature of
Role Plan administrator
Date 2013-10-03
Name of individual signing WALLACE WEATHERLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-03
Name of individual signing WALLACE WEATHERLY
Valid signature Filed with authorized/valid electronic signature
WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, P.A. 401(K) PLAN 2011 721392762 2012-10-05 WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, P.A. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6018565633
Plan sponsor’s address 804 HWY 51, MADISON, MS, 39110

Plan administrator’s name and address
Administrator’s EIN 721392762
Plan administrator’s name WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, P.A.
Plan administrator’s address 804 HWY 51, MADISON, MS, 39110
Administrator’s telephone number 6018565633

Signature of
Role Plan administrator
Date 2012-10-05
Name of individual signing WALLACE WEATHERLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-05
Name of individual signing WALLACE WEATHERLY
Valid signature Filed with authorized/valid electronic signature
WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, P.A. 401(K) PLAN 2010 721392762 2011-09-30 WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6018565633
Plan sponsor’s address 804 HWY 51, MADISON, MS, 39110

Plan administrator’s name and address
Administrator’s EIN 721392762
Plan administrator’s name WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, P.A.
Plan administrator’s address 804 HWY 51, MADISON, MS, 39110
Administrator’s telephone number 6018565633

Signature of
Role Plan administrator
Date 2011-09-30
Name of individual signing WALLACE WEATHERLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-30
Name of individual signing WALLACE WEATHERLY
Valid signature Filed with authorized/valid electronic signature
WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, P.A. 401(K) PLAN 2009 721392762 2010-10-01 WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, P.A. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6018565633
Plan sponsor’s address 804 HWY 51, MADISON, MS, 39110

Plan administrator’s name and address
Administrator’s EIN 721392762
Plan administrator’s name WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, P.A.
Plan administrator’s address 804 HWY 51, MADISON, MS, 39110
Administrator’s telephone number 6018565633

Signature of
Role Plan administrator
Date 2010-10-01
Name of individual signing WALLACE WEATHERLY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-01
Name of individual signing WALLACE WEATHERLY
Valid signature Filed with authorized/valid electronic signature

Director

Name Role Address
Wallace W Weatherly II Director 1801 Crane Ridge Drive, Ste C, Jackson, MS 39216

President

Name Role Address
Wallace W Weatherly II President 1801 Crane Ridge Drive, Ste C, Jackson, MS 39216

Secretary

Name Role Address
Wallace W Weatherly II Secretary 1801 Crane Ridge Drive, Ste C, Jackson, MS 39216

Treasurer

Name Role Address
Wallace W Weatherly II Treasurer 1801 Crane Ridge Drive, Ste C, Jackson, MS 39216

Agent

Name Role Address
SEAN WESLEY ELLIS Agent 141 Township Avenue, Suite 300, Ridgeland, MS 39157

Incorporator

Name Role Address
Sean Wesley Ellis Incorporator 210 E Capitol St #2000, Po Box 23059, Jackson, MS 39225-3059

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2016-11-30 Admin Dissolution
Notice to Dissolve/Revoke Filed 2016-09-06 Notice to Dissolve/Revoke
Annual Report Filed 2015-03-10 Annual Report For WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, P.A.
Amendment Form Filed 2014-06-13 Amendment
Annual Report Filed 2014-04-10 Annual Report
Annual Report Filed 2013-04-03 Annual Report
Amendment Form Filed 2013-02-28 Amendment
Annual Report Filed 2012-05-02 Annual Report
Annual Report Filed 2011-04-12 Annual Report
Annual Report Filed 2010-08-02 Annual Report

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Related by address

No related companies by address

Date of last update: 17 Mar 2025

Sources: Mississippi Secretary of State

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