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MICHAEL C. MOLLESTON, M.D., P.A.

Company Details

Name: MICHAEL C. MOLLESTON, M.D., P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 08 Mar 2000 (25 years ago)
Business ID: 683763
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 6606 US Highway 98 Ste. 3Hattiesburg, MS 39402

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MICHAEL C. MOLLESTON, M.D., P.A. 401(K) PROFIT SHARING PLAN 2012 640922102 2013-05-31 MICHAEL C. MOLLESTON, M.D., P.A. 7
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6014508000
Plan sponsor’s address P. O. BOX 15159, HATTIESBURG, MS, 394045159

Signature of

Role Plan administrator
Date 2013-05-31
Name of individual signing MICHAEL MOLLESTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-31
Name of individual signing MICHAEL C. MOLLESTON M.D.P.A.
Valid signature Filed with authorized/valid electronic signature
MICHAEL C. MOLLESTON, M.D., P.A. 401(K) PROFIT SHARING PLAN 2012 640922102 2013-05-31 MICHAEL C. MOLLESTON, M.D., P.A. 7
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6014508000
Plan sponsor’s address P. O. BOX 15159, HATTIESBURG, MS, 394045159

Signature of

Role Plan administrator
Date 2013-05-31
Name of individual signing MICHAEL MOLLESTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-31
Name of individual signing MICHAEL C. MOLLESTON M.D.P.A.
Valid signature Filed with authorized/valid electronic signature
MICHAEL C. MOLLESTON, M.D., P.A. 401(K) PROFIT SHARING PLAN 2012 640922102 2013-06-03 MICHAEL C. MOLLESTON, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6014508000
Plan sponsor’s address P. O. BOX 15159, HATTIESBURG, MS, 394045159

Signature of

Role Plan administrator
Date 2013-06-03
Name of individual signing MICHAEL MOLLESTON
Valid signature Filed with authorized/valid electronic signature
MICHAEL C. MOLLESTON, M.D., P.A. 401(K) PROFIT SHARING PLAN 2012 640922102 2013-06-03 MICHAEL C. MOLLESTON, M.D., P.A. 7
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6014508000
Plan sponsor’s address P. O. BOX 15159, HATTIESBURG, MS, 394045159

Signature of

Role Plan administrator
Date 2013-06-03
Name of individual signing MICHAEL MOLLESTON
Valid signature Filed with authorized/valid electronic signature
MICHAEL C. MOLLESTON, M.D., P.A. 401(K) PROFIT SHARING PLAN 2011 640922102 2012-03-12 MICHAEL C. MOLLESTON, M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6014508000
Plan sponsor’s address P. O. BOX 15159, HATTIESBURG, MS, 394045159

Plan administrator’s name and address

Administrator’s EIN 640922102
Plan administrator’s name MICHAEL C. MOLLESTON, M.D., P.A.
Plan administrator’s address P. O. BOX 15159, HATTIESBURG, MS, 394085159
Administrator’s telephone number 6014508000

Signature of

Role Plan administrator
Date 2012-03-12
Name of individual signing MICHAEL MOLLESTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-12
Name of individual signing MICHAEL C. MOLLESTON MDPA
Valid signature Filed with authorized/valid electronic signature
MICHAEL C. MOLLESTON, M.D., P.A. 401(K) PROFIT SHARING PLAN 2010 640922102 2011-03-22 MICHAEL C. MOLLESTON, M.D., P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6014508000
Plan sponsor’s address P. O. BOX 15159, HATTIESBURG, MS, 394045159

Plan administrator’s name and address

Administrator’s EIN 640922102
Plan administrator’s name MICHAEL C. MOLLESTON, M.D., P.A.
Plan administrator’s address P. O. BOX 15159, HATTIESBURG, MS, 394085159
Administrator’s telephone number 6014508000

Signature of

Role Plan administrator
Date 2011-03-22
Name of individual signing MICHAEL MOLLESTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-22
Name of individual signing MICHAEL MOLLESTON
Valid signature Filed with authorized/valid electronic signature
MICHAEL C. MOLLESTON, M.D., P.A. 401(K) PROFIT SHARING PLAN 2009 640922102 2010-06-25 MICHAEL C. MOLLESTON, M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6014508000
Plan sponsor’s address P. O. BOX 15159, HATTIESBURG, MS, 394045159

Plan administrator’s name and address

Administrator’s EIN 640922102
Plan administrator’s name MICHAEL C. MOLLESTON, M.D., P.A.
Plan administrator’s address P. O. BOX 15159, HATTIESBURG, MS, 394085159
Administrator’s telephone number 6014508000

Signature of

Role Plan administrator
Date 2010-06-25
Name of individual signing MICHAEL MOLLESTON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-25
Name of individual signing MICHAEL MOLLESTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Nelson, Mark A. Agent 6524 U.S. Highway 98, Hattiesburg, MS 39402

Director

Name Role Address
Michael C Molleston MD Director 342 West Lake Rd, Hattiesburg, MS 39402

President

Name Role Address
Michael C Molleston MD President 342 West Lake Rd, Hattiesburg, MS 39402

Secretary

Name Role Address
Michael C Molleston MD Secretary 342 West Lake Rd, Hattiesburg, MS 39402

Treasurer

Name Role Address
Michael C Molleston MD Treasurer 342 West Lake Rd, Hattiesburg, MS 39402

Incorporator

Name Role Address
Michael C Molleston MD Incorporator 342 West Lake Rd, Hattiesburg, MS 39402

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2013-10-01 Admin Dissolution
Annual Report Filed 2013-07-23 Annual Report
Notice to Dissolve/Revoke Filed 2013-07-01 Notice to Dissolve/Revoke
Notice to Dissolve/Revoke Filed 2013-05-21 Notice to Dissolve/Revoke
Annual Report Filed 2012-10-03 Annual Report
Notice to Dissolve/Revoke Filed 2012-09-13 Notice to Dissolve/Revoke
Annual Report Filed 2011-04-25 Annual Report
Annual Report Filed 2010-04-05 Annual Report
Annual Report Filed 2009-01-09 Annual Report
Annual Report Filed 2008-03-18 Annual Report

Date of last update: 26 Dec 2024

Sources: Mississippi Secretary of State