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  5. Ferguson Russell Medical Association, PLLC

Ferguson Russell Medical Association, PLLC

Company Details

Name: Ferguson Russell Medical Association, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 23 Dec 1999 (25 years ago)
Business ID: 680085
ZIP code: 39045
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 2032 Rocky Hill RoadCamden, MS 39045
Historical names: RIDGELAND FAMILY MEDICAL CENTER, PLLC

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RIDGELAND FAMILY MEDICAL CENTER, PLLC 401(K) PROFIT SHARING PLAN 2013 640918719 2014-06-25 RIDGELAND FAMILY MEDICAL CENTER, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6018569980
Plan sponsor’s address 305 HIGHWAY 51, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2014-06-25
Name of individual signing DR. ROBERT RUSSELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-06-25
Name of individual signing DR ROBERT RUSSELL
Valid signature Filed with authorized/valid electronic signature
RIDGELAND FAMILY MEDICAL CENTER, PLLC 401(K) PROFIT SHARING PLAN 2012 640918719 2013-10-02 RIDGELAND FAMILY MEDICAL CENTER, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6018569980
Plan sponsor’s address 305 HIGHWAY 51, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2013-10-02
Name of individual signing DR. ROBERT RUSSELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-02
Name of individual signing DR. ROBERT RUSSELL
Valid signature Filed with authorized/valid electronic signature
RIDGELAND FAMILY MEDICAL CENTER, PLLC 401(K) PROFIT SHARING PLAN 2011 640918719 2012-09-19 RIDGELAND FAMILY MEDICAL CENTER, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6018569980
Plan sponsor’s address 305 HIGHWAY 51, RIDGELAND, MS, 39157

Plan administrator’s name and address
Administrator’s EIN 640918719
Plan administrator’s name RIDGELAND FAMILY MEDICAL CENTER PLLC
Plan administrator’s address 305 HIGHWAY 51, RIDGELAND, MS, 39157
Administrator’s telephone number 6018569980

Signature of
Role Plan administrator
Date 2012-09-19
Name of individual signing DR. ROBERT RUSSELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-19
Name of individual signing DR ROBERT RUSSELL
Valid signature Filed with authorized/valid electronic signature
RIDGELAND FAMILY MEDICAL CENTER, PLLC 401(K) PROFIT SHARING PLAN 2010 640918719 2011-07-20 RIDGELAND FAMILY MEDICAL CENTER, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6018569980
Plan sponsor’s address 305 HIGHWAY 51, RIDGELAND, MS, 39157

Plan administrator’s name and address
Administrator’s EIN 640918719
Plan administrator’s name RIDGELAND FAMILY MEDICAL CENTER PLLC
Plan administrator’s address 305 HIGHWAY 51, RIDGELAND, MS, 39157
Administrator’s telephone number 6018569980

Signature of
Role Plan administrator
Date 2011-07-20
Name of individual signing DR. ROBERT RUSSELL
Valid signature Filed with authorized/valid electronic signature
RIDGELAND FAMILY MEDICAL CENTER, PLLC 401(K) PROFIT SHARING PLAN 2009 640918719 2010-06-02 RIDGELAND FAMILY MEDICAL CENTER, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6018569980
Plan sponsor’s address 305 HIGHWAY 51, RIDGELAND, MS, 39157

Plan administrator’s name and address
Administrator’s EIN 640918719
Plan administrator’s name RIDGELAND FAMILY MEDICAL CENTER PLLC
Plan administrator’s address 305 HIGHWAY 51, RIDGELAND, MS, 39157
Administrator’s telephone number 6018569980

Signature of
Role Plan administrator
Date 2010-06-02
Name of individual signing DR. ROBERT RUSSELL
Valid signature Filed with authorized/valid electronic signature

Member

Name Role Address
DIANE FERGUSON Member 305 HIGHWAY 51, RIDGELAND, MS 39157
Robert L Russell Member 120 DERBY DRIVE, MADISON, MS 39110

Agent

Name Role Address
DIANE FERGUSON Agent 2032 Rocky Hill Road, Camden, MS 39045., Camden, MS 39045

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2014-12-20 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke
Amendment Form Filed 2013-02-06 Amendment
Amendment Form Filed 2013-02-04 Amendment
Annual Report LLC Filed 2012-03-14 Annual Report LLC
Annual Report LLC Filed 2011-04-13 Annual Report LLC
See File Filed 2000-02-24 See File
Name Reservation Form Filed 1999-12-23 Name Reservation

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 26 Dec 2024

Sources: Mississippi Secretary of State

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