| Name: | Women's Pavilion of South Mississippi, PLLC |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Limited Liability Company |
| Status: | Good Standing |
| Effective Date: | 24 Sep 1998 (27 years ago) |
| Business ID: | 661575 |
| ZIP code: | 39402 |
| County: | Lamar |
| State of Incorporation: | MISSISSIPPI |
| Principal Office Address: | 6524 U S Highway 98HATTIESBURG, MS 39402 |
| Historical names: |
TOWER PAVILION, PLLC |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WOMEN'S PAVILION OF SOUTH MISSISSIPPI, PLLC 401(K) PLAN | 2020 | 640900000 | 2021-09-23 | WOMEN'S PAVILION OF SOUTH MISSISSIPPI, PLLC | 89 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2021-09-23 |
| Name of individual signing | DEANNA TATE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6014509425 |
| Plan sponsor’s address | 6524 US HIGHWAY 98, HATTIESBURG, MS, 39402 |
Signature of
| Role | Plan administrator |
| Date | 2020-05-11 |
| Name of individual signing | DEANNA TATE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| William A. Whitehead Jr | Agent | 204 W. Front Street , P.O. Box 18109 (39404), Hattiesburg, MS 39401 |
| Name | Role | Address |
|---|---|---|
| Elizabeth C Washburne MD | Manager | 6524 U S Highway 98, Hattiesburg, MS 39402 |
| Name | Role | Address |
|---|---|---|
| Elizabeth C Washburne MD | Member | 6524 U S Highway 98, Hattiesburg, MS 39402 |
| Shantele H Bolton MD | Member | 6524 U S Highway 98, Hattiesburg, MS 39402 |
| Joseph F Washburne MD | Member | 6524 U S Highway 98, HATTIESBURG, MS 39402 |
| Joseph Troy McIntire MD | Member | 6524 U S Highway 98, Hattiesburg, MS 39402 |
| Andrea M Carter MD | Member | 6524 U S Highway 98, Hattiesburg, MS 39402 |
| Eldred J Wiser MD | Member | 6524 U S Highway 98, Hattiesburg, MS 39402 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Annual Report LLC | Filed | 2024-04-19 | Annual Report For Women's Pavilion of South Mississippi, PLLC |
| Annual Report LLC | Filed | 2023-01-19 | Annual Report For Women's Pavilion of South Mississippi, PLLC |
| Annual Report LLC | Filed | 2022-02-09 | Annual Report For Women's Pavilion of South Mississippi, PLLC |
| Annual Report LLC | Filed | 2021-07-22 | Annual Report For Women's Pavilion of South Mississippi, PLLC |
| Amendment Form | Filed | 2020-05-27 | Amendment For Women's Pavilion of South Mississippi, PLLC |
| Annual Report LLC | Filed | 2020-02-10 | Annual Report For Women's Pavilion of South Mississippi, PLLC |
| Annual Report LLC | Filed | 2019-10-31 | Annual Report For Women's Pavilion of South Mississippi, PLLC |
| Notice to Dissolve/Revoke | Filed | 2019-08-22 | Notice to Dissolve/Revoke |
| Annual Report LLC | Filed | 2018-03-21 | Annual Report For Women's Pavilion of South Mississippi, PLLC |
| Annual Report LLC | Filed | 2017-01-23 | Annual Report For Women's Pavilion of South Mississippi, PLLC |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1279367303 | 2020-04-28 | 0470 | PPP | 6524 US Hwy 98 West, HATTIESBURG, MS, 39402-8569 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Mar 2025
Sources: Mississippi Secretary of State
