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  5. DIVERSIFIED RENAL GROUP, PLLC

DIVERSIFIED RENAL GROUP, PLLC

Company Details

Name: DIVERSIFIED RENAL GROUP, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 05 Jan 1998 (27 years ago)
Business ID: 651174
ZIP code: 39213
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 6501 Dogwood View Parkway, Suite AJackson, MS 39213

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DIVERSIFIED RENAL GROUP 401(K) PLAN 2023 640894715 2024-10-10 DIVERSIFIED RENAL GROUP 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 541990
Sponsor’s telephone number 6018993340
Plan sponsor’s address 6501 DOGWOOD VIEW PKWY SUITE A, JACKSON, MS, 392130000

Signature of
Role Plan administrator
Date 2024-10-10
Name of individual signing DR HOLLYE JOHNSON
Valid signature Filed with authorized/valid electronic signature
DIVERSIFIED RENAL GROUP 401(K) PLAN 2022 640894715 2023-05-23 DIVERSIFIED RENAL GROUP PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 541990
Sponsor’s telephone number 6018993340
Plan sponsor’s address 6501 DOGWOOD VIEW PKWY, SUITE A, JACKSON, MS, 39213

Signature of
Role Plan administrator
Date 2023-05-23
Name of individual signing HOLLYE R. JOHNSON
Valid signature Filed with authorized/valid electronic signature
DIVERSIFIED RENAL GROUP CASH BALANCE PLAN 2022 640894715 2023-10-10 DIVERSIFIED RENAL GROUP 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 541990
Sponsor’s telephone number 6018993340
Plan sponsor’s address 6501 DOGWOOD VIEW PKWY, SUITE A, JACKSON, MS, 39213

Signature of
Role Plan administrator
Date 2023-10-10
Name of individual signing HOLLYE R. JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-10-10
Name of individual signing HOLLYE R JOHNSON
Valid signature Filed with authorized/valid electronic signature
DIVERSIFIED RENAL GROUP 401(K) PLAN 2021 640894715 2022-06-28 DIVERSIFIED RENAL GROUP PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 541990
Sponsor’s telephone number 6018993340
Plan sponsor’s address 6501 DOGWOOD VIEW PKWY, SUITE A, JACKSON, MS, 39213

Signature of
Role Plan administrator
Date 2022-06-28
Name of individual signing HOLLYE R JOHNSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-06-28
Name of individual signing HOLLYE R JOHNSON
Valid signature Filed with authorized/valid electronic signature
DIVERSIFIED RENAL GROUP CASH BALANCE PLAN 2021 640894715 2022-10-07 DIVERSIFIED RENAL GROUP 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 541990
Sponsor’s telephone number 6018993340
Plan sponsor’s address 6501 DOGWOOD VIEW PKWY, SUITE A, JACKSON, MS, 39213

Signature of
Role Plan administrator
Date 2022-10-07
Name of individual signing HOLLYE R. JOHNSON
Valid signature Filed with authorized/valid electronic signature
DIVERSIFIED RENAL GROUP, PLLC DEFINED BENEFIT PLAN 2019 640894715 2020-08-28 DIVERSIFIED RENAL GROUP, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6018993340
Plan sponsor’s address P. O. BOX 2057, RIDGELAND, MS, 39158
DIVERSIFIED RENAL GROUP, PLLC DEFINED BENEFIT PLAN 2019 640894715 2020-12-10 DIVERSIFIED RENAL GROUP, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6018993340
Plan sponsor’s address P. O. BOX 2057, RIDGELAND, MS, 39158
DIVERSIFIED RENAL GROUP, PLLC DEFINED BENEFIT PLAN 2018 640894715 2019-09-27 DIVERSIFIED RENAL GROUP, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6018993340
Plan sponsor’s address P. O. BOX 2057, RIDGELAND, MS, 39158
DIVERSIFIED RENAL GROUP, PLLC DEFINED BENEFIT PLAN 2017 640894715 2018-10-09 DIVERSIFIED RENAL GROUP, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6018993340
Plan sponsor’s address P. O. BOX 2057, RIDGELAND, MS, 39158
DIVERSIFIED RENAL GROUP, PLLC DEFINED BENEFIT PLAN 2016 640894715 2017-10-02 DIVERSIFIED RENAL GROUP, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6018993340
Plan sponsor’s address P. O. BOX 2057, RIDGELAND, MS, 39158
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/10/20161010115649P030018960849001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6018993340
Plan sponsor’s address P. O. BOX 2057, RIDGELAND, MS, 39158
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/09/25/20150925182653P030015955063001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6018993340
Plan sponsor’s address P. O. BOX 2057, RIDGELAND, MS, 39158
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/10/20141010153051P030014220015001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6018993340
Plan sponsor’s address P. O. BOX 2057, RIDGELAND, MS, 39158
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/08/20131008163951P030000478404001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6018993340
Plan sponsor’s address P. O. BOX 2057, RIDGELAND, MS, 39158

Signature of
Role Plan administrator
Date 2013-10-08
Name of individual signing GARY DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-08
Name of individual signing GARY DAVIS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/03/20121003101713P030009965424001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6018993340
Plan sponsor’s address P. O. BOX 2057, RIDGELAND, MS, 39158

Plan administrator’s name and address
Administrator’s EIN 640894715
Plan administrator’s name DIVERSIFIED RENAL GROUP, PLLC
Plan administrator’s address P. O. BOX 2057, RIDGELAND, MS, 39158
Administrator’s telephone number 6018993340

Signature of
Role Plan administrator
Date 2012-10-03
Name of individual signing GARY DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-03
Name of individual signing GARY DAVIS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/01/20111001122824P030140470609001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6018993340
Plan sponsor’s address P. O. BOX 2057, RIDGELAND, MS, 39158

Plan administrator’s name and address
Administrator’s EIN 640894715
Plan administrator’s name DIVERSIFIED RENAL GROUP, PLLC
Plan administrator’s address P. O. BOX 2057, RIDGELAND, MS, 39158
Administrator’s telephone number 6018993340

Signature of
Role Plan administrator
Date 2011-10-01
Name of individual signing GARY DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-01
Name of individual signing GARY DAVIS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/02/20101002100715P030001514834001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6018993340
Plan sponsor’s address P. O. BOX 2057, RIDGELAND, MS, 39158

Plan administrator’s name and address
Administrator’s EIN 640894715
Plan administrator’s name DIVERSIFIED RENAL GROUP, PLLC
Plan administrator’s address P. O. BOX 2057, RIDGELAND, MS, 39158
Administrator’s telephone number 6018993340

Signature of
Role Plan administrator
Date 2010-10-02
Name of individual signing GARY DAVIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-02
Name of individual signing GARY DAVIS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
HERBERT J IRVIN Agent 728 N CONGRESS ST (39202, PO BOX 1869, JACKSON, MS 39215-1869

Manager

Name Role Address
Gary M Davis Manager 6501 DOGWOOD VIEW PKWY, STE A, JACKSON, MS 39213
Tunde Olutade Manager 6501 DOGWOOD VIEW PKWY, SUITE A, JACKSON, MS 39213
HOLLYE R JOHNSON Manager 6501 DOGWOOD VIEW PKWY, SUITE A, JACKSON, MS 39213

Member

Name Role Address
Gary M Davis Member 6501 DOGWOOD VIEW PKWY, STE A, JACKSON, MS 39213
Tunde Olutade Member 6501 DOGWOOD VIEW PKWY, SUITE A, JACKSON, MS 39213
HOLLYE R JOHNSON Member 6501 DOGWOOD VIEW PKWY, SUITE A, JACKSON, MS 39213

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-01-26 Annual Report For DIVERSIFIED RENAL GROUP, PLLC
Annual Report LLC Filed 2023-01-24 Annual Report For DIVERSIFIED RENAL GROUP, PLLC
Annual Report LLC Filed 2022-02-06 Annual Report For DIVERSIFIED RENAL GROUP, PLLC
Annual Report LLC Filed 2021-02-02 Annual Report For DIVERSIFIED RENAL GROUP, PLLC
Annual Report LLC Filed 2020-02-03 Annual Report For DIVERSIFIED RENAL GROUP, PLLC
Annual Report LLC Filed 2019-04-15 Annual Report For DIVERSIFIED RENAL GROUP, PLLC
Annual Report LLC Filed 2019-03-11 Annual Report For DIVERSIFIED RENAL GROUP, PLLC
Annual Report LLC Filed 2018-02-13 Annual Report For DIVERSIFIED RENAL GROUP, PLLC
Annual Report LLC Filed 2017-02-07 Annual Report For DIVERSIFIED RENAL GROUP, PLLC
Annual Report LLC Filed 2016-04-15 Annual Report For DIVERSIFIED RENAL GROUP, PLLC

Related by officers

HERBERT J IRVIN

IRVIN INVESTMENTS INCORPORATED THE NATIONAL STUDENT LOAN COLLECTION AGENCY, INC. SHALOM COMMUNITY DEVELOPMENT CORPORATION MAGNOLIA CUSTOM FOODS, INC. REACH OUT FOUNDATION, INC. BEYOND THE LIMITS (CHILDREN OUTREACH SERVICES), INCORPORATED ABUNDANT LIFE, INC. SHEAR PERFECTION, INC. M & M RENTAL CORPORATION AMERIGLOVE INTERNATIONAL, INC.

Gary M Davis

Early Deaf Communication Center (E.D.C. Center) DRG Fayette, PLLC Pinetop Properties LLC

Tunde Olutade

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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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