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  5. JACKSON PEDIATRIC ASSOCIATES, P.A.

JACKSON PEDIATRIC ASSOCIATES, P.A.

Company Details

Name: JACKSON PEDIATRIC ASSOCIATES, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 01 Jan 2001 (24 years ago)
Business ID: 692669
ZIP code: 39157
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 297 HWY 51, SUITE BRIDGELAND, MS 39157

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSON PEDIATRIC ASSOCIATES, P.A. 401(K) PLAN 2023 640930927 2024-10-15 JACKSON PEDIATRIC ASSOCIATES, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6017075381
Plan sponsor’s address 297 HIGHWAY 51 SUITE B, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2024-10-15
Name of individual signing YOLANDA W WILSON, M.D.
Valid signature Filed with authorized/valid electronic signature
JACKSON PEDIATRIC ASSOCIATES, P.A. 401(K) PLAN 2022 640930927 2023-10-13 JACKSON PEDIATRIC ASSOCIATES, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6017075381
Plan sponsor’s address 297 HIGHWAY 51 SUITE B, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing YOLANDA W WILSON, M.D.
Valid signature Filed with authorized/valid electronic signature
JACKSON PEDIATRIC ASSOCIATES, P.A. 401(K) PLAN 2021 640930927 2022-10-07 JACKSON PEDIATRIC ASSOCIATES, P.A. 18
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Sponsor’s telephone number 6017075381
Plan sponsor’s address 297 HIGHWAY 51 SUITE B, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2022-10-07
Name of individual signing YOLANDA W WILSON, M.D.
Valid signature Filed with authorized/valid electronic signature
JACKSON PEDIATRIC ASSOCIATES, P.A. 401(K) PLAN 2021 640930927 2022-10-17 JACKSON PEDIATRIC ASSOCIATES, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6017075381
Plan sponsor’s address 297 HIGHWAY 51 SUITE B, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2022-10-17
Name of individual signing YOLANDA W WILSON, M.D.
Valid signature Filed with authorized/valid electronic signature
JACKSON PEDIATRIC ASSOCIATES, P.A. 401(K) PLAN 2020 640930927 2021-10-13 JACKSON PEDIATRIC ASSOCIATES, P.A. 19
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6017075381
Plan sponsor’s address 297 HIGHWAY 51 SUITE B, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing YOLANDA W WILSON, M.D.
Valid signature Filed with authorized/valid electronic signature
JACKSON PEDIATRIC ASSOCIATES, P.A. 401(K) PLAN 2020 640930927 2021-10-14 JACKSON PEDIATRIC ASSOCIATES, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6017075381
Plan sponsor’s address 297 HIGHWAY 51 SUITE B, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing YOLANDA W WILSON, M.D.
Valid signature Filed with authorized/valid electronic signature
JACKSON PEDIATRIC ASSOCIATES, P.A. 401(K) PLAN 2019 640930927 2020-10-07 JACKSON PEDIATRIC ASSOCIATES, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6017075381
Plan sponsor’s address 297 HIGHWAY 51 SUITE B, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2020-10-07
Name of individual signing YOLANDA W WILSON, M.D.
Valid signature Filed with authorized/valid electronic signature
JACKSON PEDIATRIC ASSOCIATES, P.A. 401(K) PLAN 2018 640930927 2019-09-30 JACKSON PEDIATRIC ASSOCIATES, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6017075381
Plan sponsor’s address 297 HIGHWAY 51, SUITE B, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2019-09-30
Name of individual signing YOLANDA W WILSON, M.D.
Valid signature Filed with authorized/valid electronic signature
JACKSON PEDIATRIC ASSOCIATES, P. A. 401(K) PLAN 2017 640930927 2018-10-14 JACKSON PEDIATRIC ASSOCIATES, P. A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6017075381
Plan sponsor’s address 297 HIGHWAY 51, SUITE B, RIDGELAND, MS, 39157
JACKSON PEDIATRIC ASSOCIATES, P.A. 40(K) PLAN 2016 640930927 2017-10-11 JACKSON PEDIATRIC ASSOCIATES, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6017075381
Plan sponsor’s address 297 HIGHWAY 51, STE. B, RIDGELAND, MS, 39157
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/29/20160729155939P040054968807001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6017075381
Plan sponsor’s address 297 HIGHWAY 51, SUITE B, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2016-07-29
Name of individual signing YOLANDA W WILSON, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/30/20150730131742P040046552397001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6017075381
Plan sponsor’s address 297 HIGHWAY 51, SUITE B, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2015-07-30
Name of individual signing YOLANDA W WILSON, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-30
Name of individual signing YOLANDA W WILSON, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/14/20141014093056P040049540497001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6017075381
Plan sponsor’s address 297 HIGHWAY 51, SUITE B, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing YOLANDA W WILSON, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-14
Name of individual signing YOLANDA W WILSON, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/10/20131010104054P040030149891001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6017075381
Plan sponsor’s address 297 HIGHWAY 51, SUITE B, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing YOLANDA W WILSON, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/16/20121016042123P030001615509001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6017075381
Plan sponsor’s address 297 HIGHWAY 51, SUITE B, RIDGELAND, MS, 39157

Plan administrator’s name and address
Administrator’s EIN 640930927
Plan administrator’s name JACKSON PEDIATRIC ASSOCIATES, P. A.
Plan administrator’s address 297 HIGHWAY 51, SUITE B, RIDGELAND, MS, 39157
Administrator’s telephone number 6017075381

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing YOLANDA W WILSON, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
YOLANDA WILSON M.D. Agent 297 Hwy 51 Suite B, Ridgeland, MS 39157

Incorporator

Name Role Address
Yolanda Wilson M.d. Incorporator 1117 Hallmark Drive, Jackson, MS 39206

Director

Name Role Address
Yolanda W Wilson Director 297 Hwy 51, Suite B, Ridgeland, MS 39157

President

Name Role Address
Yolanda W Wilson President 297 Hwy 51, Suite B, Ridgeland, MS 39157

Filings

Type Status Filed Date Description
Annual Report Filed 2024-04-12 Annual Report For JACKSON PEDIATRIC ASSOCIATES, P.A.
Annual Report Filed 2023-04-12 Annual Report For JACKSON PEDIATRIC ASSOCIATES, P.A.
Annual Report Filed 2022-04-12 Annual Report For JACKSON PEDIATRIC ASSOCIATES, P.A.
Annual Report Filed 2021-04-14 Annual Report For JACKSON PEDIATRIC ASSOCIATES, P.A.
Annual Report Filed 2020-04-15 Annual Report For JACKSON PEDIATRIC ASSOCIATES, P.A.
Annual Report Filed 2019-04-11 Annual Report For JACKSON PEDIATRIC ASSOCIATES, P.A.
Annual Report Filed 2018-04-13 Annual Report For JACKSON PEDIATRIC ASSOCIATES, P.A.
Annual Report Filed 2017-04-11 Annual Report For JACKSON PEDIATRIC ASSOCIATES, P.A.
Annual Report Filed 2016-09-23 Annual Report For JACKSON PEDIATRIC ASSOCIATES, P.A.
Notice to Dissolve/Revoke Filed 2016-09-06 Notice to Dissolve/Revoke

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1270838607 2021-03-13 0470 PPS 297 Highway 51 Ste B, Ridgeland, MS, 39157-3423
Loan Status Date 2021-04-01
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 258170
Loan Approval Amount (current) 258170
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 N
Business Age Description Existing or more than 2 years old
Project Address Ridgeland, MADISON, MS, 39157-3423
Project Congressional District MS-03
Number of Employees 22
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 39334
Originating Lender Name Trustmark National Bank
Originating Lender Address JACKSON, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 261048.77
Forgiveness Paid Date 2022-05-04
1900127104 2020-04-10 0470 PPP 297 HIGHWAY 51, Suite B, RIDGELAND, MS, 39157-3423
Loan Status Date 2021-03-05
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 258168
Loan Approval Amount (current) 258168
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39334
Servicing Lender Name Trustmark National Bank
Servicing Lender Address 248 E Capitol St, JACKSON, MS, 39201-2503
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address RIDGELAND, MADISON, MS, 39157-3423
Project Congressional District MS-03
Number of Employees 21
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Professional Association
Originating Lender ID 39334
Originating Lender Name Trustmark National Bank
Originating Lender Address JACKSON, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 260333.74
Forgiveness Paid Date 2021-02-25

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Related by address

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Date of last update: 18 Mar 2025

Sources: Mississippi Secretary of State

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