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COAST HEART INSTITUTE, PLLC

Company Details

Name: COAST HEART INSTITUTE, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 01 Feb 1999 (26 years ago)
Business ID: 666312
ZIP code: 39501
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 4215 15TH STREETGULFPORT, MS 39501

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COAST HEART INSTITUTE, PLLC PROFIT SHARING PLAN 2023 640904372 2024-10-15 COAST HEART INSTITUTE, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-02-01
Business code 621111
Sponsor’s telephone number 2288635211
Plan sponsor’s address P.O. BOX 4246, 4215 15TH STREET, GULFPORT, MS, 395024246
COAST HEART INSTITUTE, PLLC PROFIT SHARING PLAN 2022 640904372 2023-10-13 COAST HEART INSTITUTE, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-02-01
Business code 621111
Sponsor’s telephone number 2288635211
Plan sponsor’s address P.O. BOX 4246, 4215 15TH STREET, GULFPORT, MS, 395024246
COAST HEART INSTITUTE, PLLC PROFIT SHARING PLAN 2021 640904372 2022-10-15 COAST HEART INSTITUTE, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-02-01
Business code 621111
Sponsor’s telephone number 2288635211
Plan sponsor’s address P.O. BOX 4246, 4215 15TH STREET, GULFPORT, MS, 395024246
COAST HEART INSTITUTE, PLLC PROFIT SHARING PLAN 2020 640904372 2021-11-01 COAST HEART INSTITUTE, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-02-01
Business code 621111
Sponsor’s telephone number 2288635211
Plan sponsor’s address P.O. BOX 4246, 4215 15TH STREET, GULFPORT, MS, 395024246
COAST HEART INSTITUTE, PLLC PROFIT SHARING PLAN 2019 640904372 2020-10-15 COAST HEART INSTITUTE, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-02-01
Business code 621111
Sponsor’s telephone number 2288635211
Plan sponsor’s address P.O. BOX 4246, 4215 15TH STREET, GULFPORT, MS, 395024246
COAST HEART INSTITUTE, PLLC PROFIT SHARING PLAN 2018 640904372 2019-10-15 COAST HEART INSTITUTE, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-02-01
Business code 621111
Sponsor’s telephone number 2288635211
Plan sponsor’s address P.O. BOX 4246, 4215 15TH STREET, GULFPORT, MS, 395024246
COAST HEART INSTITUTE, PLLC PROFIT SHARING PLAN 2017 640904372 2018-10-15 COAST HEART INSTITUTE, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-02-01
Business code 621111
Sponsor’s telephone number 2288635211
Plan sponsor’s address P.O. BOX 4246, 4215 15TH STREET, GULFPORT, MS, 395024246
COAST HEART INSTITUTE, PLLC PROFIT SHARING PLAN 2016 640904372 2017-10-13 COAST HEART INSTITUTE, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-02-01
Business code 621111
Sponsor’s telephone number 2288635211
Plan sponsor’s address 4215 15TH STREET, GULFPORT, MS, 395024246
COAST HEART INSTITUTE, PLLC PROFIT SHARING PLAN 2015 640904372 2016-06-30 COAST HEART INSTITUTE, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-02-01
Business code 621111
Sponsor’s telephone number 2288635211
Plan sponsor’s address 4215 15TH STREET, GULFPORT, MS, 395024246
COAST HEART INSTITUTE, PLLC PROFIT SHARING PLAN 2014 640904372 2015-07-23 COAST HEART INSTITUTE, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-02-01
Business code 621111
Sponsor’s telephone number 2288635211
Plan sponsor’s address 4215 15TH STREET, GULFPORT, MS, 395024246
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/02/20141002115221P040010993389001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-02-01
Business code 621111
Sponsor’s telephone number 2288635211
Plan sponsor’s address 4215 15TH STREET, GULFPORT, MS, 395024246

Signature of

Role Plan administrator
Date 2014-10-02
Name of individual signing BASSAM BAROUDI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-02
Name of individual signing BASSAM BAROUDI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/15/20131015085030P030017396613001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-02-01
Business code 621111
Sponsor’s telephone number 2288635211
Plan sponsor’s address 4215 15TH STREET, GULFPORT, MS, 395024246

Signature of

Role Plan administrator
Date 2013-10-15
Name of individual signing BASSAM BAROUDI, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-15
Name of individual signing BASSAM BAROUDI, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/09/07/20120907171519P030005327380001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-02-01
Business code 621111
Sponsor’s telephone number 2288635211
Plan sponsor’s address 4215 15TH STREET, GULFPORT, MS, 395024246

Plan administrator’s name and address

Administrator’s EIN 640904372
Plan administrator’s name COAST HEART INSTITUTE, PLLC
Plan administrator’s address 4215 15TH STREET, GULFPORT, MS, 395024246
Administrator’s telephone number 2288635211

Signature of

Role Plan administrator
Date 2012-09-07
Name of individual signing BASSAM BAROUDI
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-07
Name of individual signing BASSAM BAROUDI
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/03/15/20110315161716P030003780882001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-02-01
Business code 621111
Sponsor’s telephone number 2288635211
Plan sponsor’s address 4215 15TH STREET, GULFPORT, MS, 395024246

Plan administrator’s name and address

Administrator’s EIN 640904372
Plan administrator’s name COAST HEART INSTITUTE, PLLC
Plan administrator’s address 4215 15TH STREET, GULFPORT, MS, 395024246
Administrator’s telephone number 2288635211

Signature of

Role Plan administrator
Date 2011-03-15
Name of individual signing CATHERINE KONKEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-15
Name of individual signing CATHERINE KONKEL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/14/20101014083646P040006293112001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-02-01
Business code 621111
Sponsor’s telephone number 2288635211
Plan sponsor’s address 4215 15TH STREET, GULFPORT, MS, 395024246

Plan administrator’s name and address

Administrator’s EIN 640904372
Plan administrator’s name COAST HEART INSTITUTE, PLLC
Plan administrator’s address 4215 15TH STREET, GULFPORT, MS, 395024246
Administrator’s telephone number 2288635211

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing CATHERINE KONKEL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing CATHERINE KONKEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BASSAM R BAROUDI Agent 4300 15TH ST #C, PO BOX 4246, GULFPORT, MS 39502

Member

Name Role Address
Bassam R Baroudi Member 9122 Victoria Circle, Gulfport, MS 39503
Shwan Jalal Member 898 Jefferson Drive, Gulfport, MS 39507

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-06-09 Annual Report For COAST HEART INSTITUTE, PLLC
Annual Report LLC Filed 2023-03-06 Annual Report For COAST HEART INSTITUTE, PLLC
Annual Report LLC Filed 2022-01-04 Annual Report For COAST HEART INSTITUTE, PLLC
Annual Report LLC Filed 2021-01-04 Annual Report For COAST HEART INSTITUTE, PLLC
Annual Report LLC Filed 2020-01-14 Annual Report For COAST HEART INSTITUTE, PLLC
Annual Report LLC Filed 2020-01-02 Annual Report For COAST HEART INSTITUTE, PLLC
Annual Report LLC Filed 2019-01-02 Annual Report For COAST HEART INSTITUTE, PLLC
Annual Report LLC Filed 2018-01-26 Annual Report For COAST HEART INSTITUTE, PLLC
Annual Report LLC Filed 2017-01-06 Annual Report For COAST HEART INSTITUTE, PLLC
Annual Report LLC Filed 2016-04-14 Annual Report For COAST HEART INSTITUTE, PLLC

Date of last update: 25 Dec 2024

Sources: Mississippi Secretary of State