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  5. ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC

ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC

Company Details

Name: ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 28 Sep 1998 (27 years ago)
Business ID: 661688
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 109 MILLSAPS DR STE CHATTIESBURG, MS 39402

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ASTHMA & ALLERGY CLINIC OF HATTIESBURG PLLC PROFIT SHARING PLAN 2020 640899283 2021-05-05 ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6012685051
Plan sponsor’s address 109 MILLSAPS DRIVE, SUITE C, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2021-05-05
Name of individual signing TERESA LITTLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-05
Name of individual signing TERESA LITTLE
Valid signature Filed with authorized/valid electronic signature
ASTHMA & ALLERGY CLINIC OF HATTIESBURG PLLC PROFIT SHARING PLAN 2020 640899283 2021-05-05 ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6012685051
Plan sponsor’s address 109 MILLSAPS DRIVE, SUITE C, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2021-05-05
Name of individual signing TERESA LITTLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-05
Name of individual signing TERESA LITTLE
Valid signature Filed with authorized/valid electronic signature
ASTHMA & ALLERGY CLINIC OF HATTIESBURG PLLC PROFIT SHARING PLAN 2019 640899283 2020-10-15 ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6012685051
Plan sponsor’s address 109 MILLSAPS DRIVE, SUITE C, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing MELISSA SAGLIME
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing MELISSA SAGLIME
Valid signature Filed with authorized/valid electronic signature
ASTHMA & ALLERGY CLINIC OF HATTIESBURG PLLC PROFIT SHARING PLAN 2018 640899283 2019-09-16 ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621111
Sponsor’s telephone number 6012685051
Plan sponsor’s address 109 MILLSAPS DRIVE, SUITE C, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2019-09-16
Name of individual signing WILLIAM B SULLIVAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-16
Name of individual signing WILLIAM B SULLIVAN
Valid signature Filed with authorized/valid electronic signature
ASTHMA & ALLERGY CLINIC OF HATTIESBURG PLLC PROFIT SHARING PLAN 2017 640899283 2018-10-15 ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6012685051
Plan sponsor’s address 109 MILLSAPS DRIVE, SUITE C, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing JERRA ALLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-15
Name of individual signing JERRA ALLEN
Valid signature Filed with authorized/valid electronic signature
ASTHMA & ALLERGY CLINIC OF HATTIESBURG PLLC PROFIT SHARING PLAN 2016 640899283 2017-10-12 ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6012685051
Plan sponsor’s address 109 MILLSAPS DRIVE, SUITE C, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing JERRA ALLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-12
Name of individual signing JERRA ALLEN
Valid signature Filed with authorized/valid electronic signature
ASTHMA & ALLERGY CLINIC OF HATTIESBURG PLLC PROFIT SHARING PLAN 2015 640899283 2016-07-27 ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6012685051
Plan sponsor’s address 109 MILLSAPS DRIVE, SUITE C, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2016-07-27
Name of individual signing JERRA ALLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-27
Name of individual signing JERRA ALLEN
Valid signature Filed with authorized/valid electronic signature
ASTHMA & ALLERGY CLINIC OF HATTIESBURG PLLC PROFIT SHARING PLAN 2014 640899283 2015-10-15 ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6012685051
Plan sponsor’s address 109 MILLSAPS DRIVE, SUITE C, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing JERRA ALLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-15
Name of individual signing JERRA ALLEN
Valid signature Filed with authorized/valid electronic signature
ASTHMA & ALLERGY CLINIC OF HATTIESBURG PLLC PROFIT SHARING PLAN 2013 640899283 2014-10-15 ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6012685051
Plan sponsor’s address 109 MILLSAPS DRIVE, SUITE C, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing JERRA ALLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-15
Name of individual signing JERRA ALLEN
Valid signature Filed with authorized/valid electronic signature
ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC 2012 640899283 2013-10-09 ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6012685051
Plan sponsor’s address 109 MILLSAPS DRIVE, SUITE C, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2013-10-09
Name of individual signing JERRA ALLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-09
Name of individual signing JERRA ALLEN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/12/20121012155133P030014565442001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621111
Sponsor’s telephone number 6012685051
Plan sponsor’s address 109 MILLSAPS DRIVE, SUITE C, HATTIESBURG, MS, 39402

Plan administrator’s name and address
Administrator’s EIN 640899283
Plan administrator’s name ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC
Plan administrator’s address 109 MILLSAPS DRIVE, SUITE C, HATTIESBURG, MS, 39402
Administrator’s telephone number 6012685051

Signature of
Role Plan administrator
Date 2012-10-12
Name of individual signing JERRA ALLEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-12
Name of individual signing JERRA ALLEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
WILLIAM B SULLIVAN MD Agent 109 MILLSAPS DR, STE C, HATTIESBURG, MS 39402

Member

Name Role Address
WILLIAM B SULLIVAN Member 109 MILLSAPS DR, HATTIESBURG, MS 39402
Kathryn Lindsey McMullan MD Member 109 Millsaps Dr, Ste C, Hattiesburg, MS 39402

Filings

Type Status Filed Date Description
Dissolution Filed 2024-01-25 Dissolution For ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC
Annual Report LLC Filed 2023-01-20 Annual Report For ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC
Annual Report LLC Filed 2022-02-10 Annual Report For ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC
Annual Report LLC Filed 2021-02-13 Annual Report For ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC
Annual Report LLC Filed 2020-02-18 Annual Report For ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC
Amendment Form Filed 2020-02-18 Amendment For ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC
Annual Report LLC Filed 2019-03-02 Annual Report For ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC
Annual Report LLC Filed 2018-04-26 Annual Report For ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC
Amendment Form Filed 2018-04-26 Amendment For ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC
Annual Report LLC Filed 2017-01-16 Annual Report For ASTHMA & ALLERGY CLINIC OF HATTIESBURG, PLLC

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8087597005 2020-04-08 0470 PPP 109 MILLSAPS DR STE C, HATTIESBURG, MS, 39402-1348
Loan Status Date 2021-02-11
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 113564.7
Loan Approval Amount (current) 113564.7
Undisbursed Amount 0
Franchise Name -
Lender Location ID 120708
Servicing Lender Name The First Bank
Servicing Lender Address 6480 Hwy 98, West, HATTIESBURG, MS, 39402
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address HATTIESBURG, LAMAR, MS, 39402-1348
Project Congressional District MS-04
Number of Employees 13
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 120708
Originating Lender Name The First Bank
Originating Lender Address HATTIESBURG, MS
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 114353.34
Forgiveness Paid Date 2020-12-28
6547378400 2021-02-10 0470 PPS 109 Millsaps Dr Ste C, Hattiesburg, MS, 39402-1587
Loan Status Date 2021-09-14
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 100000
Loan Approval Amount (current) 100000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 120708
Servicing Lender Name The First Bank
Servicing Lender Address 6480 Hwy 98, West, HATTIESBURG, MS, 39402
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Hattiesburg, LAMAR, MS, 39402-1587
Project Congressional District MS-04
Number of Employees 13
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 120708
Originating Lender Name The First Bank
Originating Lender Address HATTIESBURG, MS
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 100497.22
Forgiveness Paid Date 2021-08-11

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WILLIAM B SULLIVAN

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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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