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GULF COAST OUTPATIENT SURGERY CENTER, LLC

Company Details

Name: GULF COAST OUTPATIENT SURGERY CENTER, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 31 Aug 1999 (26 years ago)
Business ID: 675433
ZIP code: 39531
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 2781 CT Switzer, Sr. Dr, Suite 101Biloxi, MS 39531

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GC OUTPATIENT SURGERY 401K PLAN 2023 640935301 2024-06-25 GULF COAST OUTPATIENT SURGERY CENTER, LLC 41
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-05-01
Business code 621493
Sponsor’s telephone number 2285942900
Plan sponsor’s address 2781 C T SWITZER SR. DR., SUITE 101, BILOXI, MS, 395314535

Signature of

Role Plan administrator
Date 2024-06-25
Name of individual signing RICK LIWANAG
Valid signature Filed with authorized/valid electronic signature
GC OUTPATIENT SURGERY 401K PLAN 2022 640935301 2023-05-25 GULF COAST OUTPATIENT SURGERY CENTER, LLC 41
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-05-01
Business code 621493
Sponsor’s telephone number 2285942900
Plan sponsor’s address 2781 C T SWITZER SR. DR., SUITE 101, BILOXI, MS, 395314535

Signature of

Role Plan administrator
Date 2023-05-25
Name of individual signing RICK LIWANAG
Valid signature Filed with authorized/valid electronic signature
GULF COAST OUTPATIENT SURGERY CENTER MEDOVA LIFESTYLE HEALTH PLAN 2021 640935301 2024-08-29 GULF COAST OUTPATIENT SURGERY CENTER 0
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-12-01
Business code 621493
Sponsor’s telephone number 2285942900
Plan sponsor’s address 2781 C T SWITZER SR DR STE 101, BILOXI, MS, 395314535

Plan administrator’s name and address

Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT INC
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of

Role Plan administrator
Date 2024-08-29
Name of individual signing ROBERT MOORE
Valid signature Filed with authorized/valid electronic signature
GC OUTPATIENT SURGERY 401K PLAN 2021 640935301 2022-07-25 GULF COAST OUTPATIENT SURGERY CENTER, LLC 45
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-05-01
Business code 621493
Sponsor’s telephone number 2285942900
Plan sponsor’s address 2781 C T SWITZER SR. DR., SUITE 101, BILOXI, MS, 395314535

Signature of

Role Plan administrator
Date 2022-07-25
Name of individual signing RICK LIWANAG
Valid signature Filed with authorized/valid electronic signature
GULF COAST OUTPATIENT SURGERY CENTER MEDOVA LIFESTYLE HEALTH PLAN 2020 640935301 2022-09-02 GULF COAST OUTPATIENT SURGERY CENTER 19
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-12-01
Business code 621493
Sponsor’s telephone number 2285942900
Plan sponsor’s address 2781 C T SWITZER SR DR STE 101, BILOXI, MS, 395314535

Plan administrator’s name and address

Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT INC
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of

Role Plan administrator
Date 2022-08-31
Name of individual signing ROBERT MOORE
Valid signature Filed with authorized/valid electronic signature
GC OUTPATIENT SURGERY 401K PLAN 2020 640935301 2021-06-09 GULF COAST OUTPATIENT SURGERY CENTER, LLC 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-05-01
Business code 621493
Sponsor’s telephone number 2285942900
Plan sponsor’s address 2781 C T SWITZER SR. DR., SUITE 101, BILOXI, MS, 395314535

Signature of

Role Plan administrator
Date 2021-06-09
Name of individual signing RICK LIWANAG
Valid signature Filed with authorized/valid electronic signature
GC OUTPATIENT SURGERY 401K PLAN 2019 640935301 2020-05-28 GULF COAST OUTPATIENT SURGERY CENTER, LLC 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-05-01
Business code 621493
Sponsor’s telephone number 2285942900
Plan sponsor’s address 2781 C T SWITZER SR. DR., SUITE 101, BILOXI, MS, 395314535

Signature of

Role Plan administrator
Date 2020-05-28
Name of individual signing RICK LIWANAG
Valid signature Filed with authorized/valid electronic signature
GC OUTPATIENT SURGERY 401K PLAN 2018 640935301 2019-06-25 GULF COAST OUTPATIENT SURGERY CENTER, LLC 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-05-01
Business code 621493
Sponsor’s telephone number 2285942900
Plan sponsor’s address 2781 C T SWITZER SR. DR., SUITE 101, BILOXI, MS, 395314535

Signature of

Role Plan administrator
Date 2019-06-25
Name of individual signing RICK LIWANAG
Valid signature Filed with authorized/valid electronic signature
GC OUTPATIENT SURGERY 401K PLAN 2017 640935301 2018-09-12 GULF COAST OUTPATIENT SURGERY CENTER, LLC 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-05-01
Business code 621493
Sponsor’s telephone number 2285942900
Plan sponsor’s address 2781 C T SWITZER SR. DR., SUITE 101, BILOXI, MS, 395314535

Signature of

Role Plan administrator
Date 2018-09-12
Name of individual signing RICK LIWANAG
Valid signature Filed with authorized/valid electronic signature
GULF COAST OUTPATIENT SURGERY CENTER 401(K) PROFIT SHARING PLAN AND TRUST 2013 640935301 2014-05-10 GULF COAST OUTPATIENT SURGERY CENTER LLC 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621493
Sponsor’s telephone number 2285942900
Plan sponsor’s address 2781C.T. SWITZER SR DRIVE, SUITE 101, BILOXI, MS, 39531

Signature of

Role Plan administrator
Date 2014-05-10
Name of individual signing DIANE FARRIS
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role Address
Leah Ethridge Manager 2781 CT Switzer Sr. Dr., Suite 101, BILOXI, MS 39531-4405

President

Name Role Address
Dudley Burwell President C T SWITZER SR DR SUITE 101, BILOXI, MS 39531
James Thriffiley President 2781 C T SWITZER SR DR SUITE 101, BILOXI, MS 39531

Vice President

Name Role Address
Dudley Burwell Vice President C T SWITZER SR DR SUITE 101, BILOXI, MS 39531
James Thriffiley Vice President 2781 C T SWITZER SR DR SUITE 101, BILOXI, MS 39531

Agent

Name Role Address
Rick Liwanag Agent 2781 CT Switzer, Sr. Dr, Suite 101, Biloxi, MS 39531

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-01-30 Annual Report For GULF COAST OUTPATIENT SURGERY CENTER, LLC
Annual Report LLC Filed 2023-04-17 Annual Report For GULF COAST OUTPATIENT SURGERY CENTER, LLC
Annual Report LLC Filed 2022-01-11 Annual Report For GULF COAST OUTPATIENT SURGERY CENTER, LLC
Amendment Form Filed 2022-01-11 Amendment For GULF COAST OUTPATIENT SURGERY CENTER, LLC
Annual Report LLC Filed 2021-01-05 Annual Report For GULF COAST OUTPATIENT SURGERY CENTER, LLC
Annual Report LLC Filed 2020-06-17 Annual Report For GULF COAST OUTPATIENT SURGERY CENTER, LLC
Annual Report LLC Filed 2019-02-25 Annual Report For GULF COAST OUTPATIENT SURGERY CENTER, LLC
Annual Report LLC Filed 2018-01-10 Annual Report For GULF COAST OUTPATIENT SURGERY CENTER, LLC
Annual Report LLC Filed 2017-01-23 Annual Report For GULF COAST OUTPATIENT SURGERY CENTER, LLC
Annual Report LLC Filed 2016-01-26 Annual Report For GULF COAST OUTPATIENT SURGERY CENTER, LLC

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1982278309 2021-01-20 0470 PPS 2781 C T Switzer SR Dr, Biloxi, MS, 39531-4536
Loan Status Date 2022-03-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 268420
Loan Approval Amount (current) 268420
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188567
Servicing Lender Name Loan Source Incorporated
Servicing Lender Address 353 East 83rd Street Suite 3H, NEW YORK, NY, 10028
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Biloxi, HARRISON, MS, 39531-4536
Project Congressional District MS-04
Number of Employees 57
NAICS code 621493
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 39848
Originating Lender Name Cadence Bank
Originating Lender Address TUPELO, MS
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 271273.34
Forgiveness Paid Date 2022-02-25
4065567106 2020-04-12 0470 PPP 2781 C T SWITZER SR DR, BILOXI, MS, 39531-4524
Loan Status Date 2021-02-24
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 268420
Loan Approval Amount (current) 268420
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39848
Servicing Lender Name Cadence Bank
Servicing Lender Address 201 S Spring St, TUPELO, MS, 38804-4811
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address BILOXI, HARRISON, MS, 39531-4524
Project Congressional District MS-04
Number of Employees 57
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39848
Originating Lender Name Cadence Bank
Originating Lender Address TUPELO, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 270276.57
Forgiveness Paid Date 2020-12-31

Date of last update: 18 Mar 2025

Sources: Mississippi Secretary of State