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  5. MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC

MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC

Company Details

Name: MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 27 Oct 1997 (27 years ago)
Business ID: 648572
ZIP code: 39111
County: Simpson
State of Incorporation: MISSISSIPPI
Principal Office Address: 376 SIMPSON HWY. 149, SUITE 300MAGEE, MS 39111

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDICAL AND SURGICAL CLINIC OF MAGEE PROFIT SHARING 401(K) PLAN 2023 640885967 2024-07-06 MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6019066705
Plan sponsor’s address 376 SIMPSON HIGHWAY 149, SUITE 200, MAGEE, MS, 39111

Signature of
Role Plan administrator
Date 2024-07-06
Name of individual signing LAURIE URBAN
Valid signature Filed with authorized/valid electronic signature
MEDICAL AND SURGICAL CLINIC OF MAGEE PROFIT SHARING 401(K) PLAN 2022 640885967 2023-09-11 MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6018495321
Plan sponsor’s address 376 SIMPSON HIGHWAY 149, SUITE 200, MAGEE, MS, 39111

Signature of
Role Plan administrator
Date 2023-09-11
Name of individual signing LAURIE URBAN
Valid signature Filed with authorized/valid electronic signature
MEDICAL AND SURGICAL CLINIC OF MAGEE PROFIT SHARING 401(K) PLAN 2021 640885967 2022-10-11 MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6018495321
Plan sponsor’s address 376 SIMPSON HIGHWAY 149, SUITE 200, MAGEE, MS, 39111

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing CHARLES PRUITT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-11
Name of individual signing CHARLES PRUITT
Valid signature Filed with authorized/valid electronic signature
MEDICAL AND SURGICAL CLINIC OF MAGEE PROFIT SHARING 401(K) PLAN 2020 640885967 2021-08-25 MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6018495321
Plan sponsor’s address 376 SIMPSON HIGHWAY 149, SUITE 200, MAGEE, MS, 39111

Signature of
Role Plan administrator
Date 2021-08-25
Name of individual signing CHARLES PRUITT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-08-25
Name of individual signing CHARLES PRUITT
Valid signature Filed with authorized/valid electronic signature
MEDICAL AND SURGICAL CLINIC OF MAGEE PROFIT SHARING 401(K) PLAN 2019 640885967 2020-07-28 MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6018495321
Plan sponsor’s address 376 SIMPSON HIGHWAY 149, SUITE 200, MAGEE, MS, 39111

Signature of
Role Plan administrator
Date 2020-07-28
Name of individual signing CHARLES PRUITT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-28
Name of individual signing CHARLES PRUITT
Valid signature Filed with authorized/valid electronic signature
MEDICAL AND SURGICAL CLINIC OF MAGEE PROFIT SHARING 401(K) PLAN 2018 640885967 2019-06-06 MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6018495321
Plan sponsor’s address 360 SIMPSON HIGHWAY 149, SUITE 320, MAGEE, MS, 39111

Signature of
Role Plan administrator
Date 2019-06-06
Name of individual signing CHARLES PRUITT MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-06
Name of individual signing CHARLES PRUITT MD
Valid signature Filed with authorized/valid electronic signature
MEDICAL AND SURGICAL CLINIC OF MAGEE PROFIT SHARING 401(K) PLAN 2017 640885967 2018-09-25 MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6018495321
Plan sponsor’s address 360 SIMPSON HIGHWAY 149, SUITE 320, MAGEE, MS, 39111

Signature of
Role Plan administrator
Date 2018-09-25
Name of individual signing CHARLES PRUITT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-25
Name of individual signing CHARLES PRUITT
Valid signature Filed with authorized/valid electronic signature
MEDICAL AND SURGICAL CLINIC OF MAGEE PROFIT SHARING 401(K) PLAN 2016 640885967 2017-07-14 MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6018495321
Plan sponsor’s address 360 SIMPSON HIGHWAY 149, SUITE 320, MAGEE, MS, 39111

Signature of
Role Plan administrator
Date 2017-07-14
Name of individual signing CHARLES PRUITT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-14
Name of individual signing CHARLES PRUITT
Valid signature Filed with authorized/valid electronic signature
MEDICAL AND SURGICAL CLINIC OF MAGEE PROFIT SHARING 401(K) PLAN 2015 640885967 2016-10-17 MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6018495321
Plan sponsor’s address 360 SIMPSON HIGHWAY 149, SUITE 320, MAGEE, MS, 39111

Signature of
Role Plan administrator
Date 2016-10-17
Name of individual signing CHARLES PRUITT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-17
Name of individual signing CHARLES PRUITT
Valid signature Filed with authorized/valid electronic signature
MEDICAL AND SURGICAL CLINIC OF MAGEE PROFIT SHARING 401(K) PLAN 2014 640885967 2015-10-14 MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6018495321
Plan sponsor’s address 360 SIMPSON HIGHWAY 149, SUITE 320, MAGEE, MS, 39111

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing CHARLES PRUITT III
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-14
Name of individual signing CHARLES PRUITT III
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/15/20141015143810P030021187437001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6018495321
Plan sponsor’s address 360 SIMPSON HIGHWAY 149, SUITE 320, MAGEE, MS, 39111

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing CHARLES PRUITT, III
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-15
Name of individual signing CHARLES PRUITT, III
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/15/20131015145927P040015342645001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6018495321
Plan sponsor’s address 360 SIMPSON HIGHWAY 149, SUITE 320, MAGEE, MS, 39111

Signature of
Role Plan administrator
Date 2013-10-15
Name of individual signing CHARLES PRUITT III
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing CHARLES PRUITT III
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/10/20121010155802P040001108582001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6018495321
Plan sponsor’s address 360 SIMPSON HIGHWAY 149, SUITE 320, MAGEE, MS, 39111

Plan administrator’s name and address
Administrator’s EIN 640885967
Plan administrator’s name MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC
Plan administrator’s address 360 SIMPSON HIGHWAY 149, SUITE 320, MAGEE, MS, 39111
Administrator’s telephone number 6018495321

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing CHARLES PRUITT III
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-10
Name of individual signing CHARLES PRUITT III
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/10/20121010160032P040001109030001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 6018495321
Plan sponsor’s address 360 SIMPSON HIGHWAY 149, SUITE 320, MAGEE, MS, 39111

Plan administrator’s name and address
Administrator’s EIN 640885967
Plan administrator’s name MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC
Plan administrator’s address 360 SIMPSON HIGHWAY 149, SUITE 320, MAGEE, MS, 39111
Administrator’s telephone number 6018495321

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing CHARLES PRUITT III
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-10
Name of individual signing CHARLES PRUITT III
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CHARLES PRUITT III M D Agent 376-A SIMPSON HWY 149, MAGEE, MS 39111

Member

Name Role Address
Charles Pruitt Member 376 SIMPSON HWY 149 SUITE 300, MAGEE, MS 39111
R S RUNNELS M D Member 376-A SIMPSON HWY 149, MAGEE, MS 39111
PATRICK J PASCO D O Member 376-A SIMPSON HWY 149, MAGEE, MS 39111
CHARLES PRUITT III M D Member 376-A SIMPSON HWY 149, MAGEE, MS 39111

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-01-24 Annual Report For MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC
Annual Report LLC Filed 2023-01-19 Annual Report For MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC
Annual Report LLC Filed 2022-02-07 Annual Report For MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC
Annual Report LLC Filed 2021-01-16 Annual Report For MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC
Annual Report LLC Filed 2020-02-08 Annual Report For MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC
Annual Report LLC Filed 2019-02-09 Annual Report For MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC
Annual Report LLC Filed 2018-02-01 Annual Report For MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC
Annual Report LLC Filed 2017-01-13 Annual Report For MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC
Annual Report LLC Filed 2016-01-16 Annual Report For MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC
Annual Report LLC Filed 2015-01-15 Annual Report For MEDICAL AND SURGICAL CLINIC OF MAGEE, PLLC

Related by officers

Charles Pruitt

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Related by address

No related companies by address

Date of last update: 25 Dec 2024

Sources: Mississippi Secretary of State

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