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FRED L. MCMILLAN, M.D., PLLC

Company Details

Name: FRED L. MCMILLAN, M.D., PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 14 Dec 2000 (24 years ago)
Business ID: 695378
State of Incorporation: MISSISSIPPI
Principal Office Address: 9117 Luna del Oro RD NEAlbuquerque, NM 87111

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FRED L. MCMILLAN, M.D., PLLC PROFIT SHARING PLAN 2015 640936670 2016-02-12 FRED L. MCMILLAN, M.D., PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-05-01
Business code 621111
Sponsor’s telephone number 6019486887
Plan sponsor’s address 1421 NORTH STATE STREET, SUITE 503, JACKSON, MS, 39202

Signature of

Role Plan administrator
Date 2016-02-12
Name of individual signing FRED MCMILLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-02-12
Name of individual signing FRED MCMILLAN
Valid signature Filed with authorized/valid electronic signature
FRED L. MCMILLAN, M.D., PLLC PROFIT SHARING PLAN 2014 640936670 2015-05-01 FRED L. MCMILLAN, M.D., PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-05-01
Business code 621111
Sponsor’s telephone number 6019486887
Plan sponsor’s address 1421 NORTH STATE STREET, SUITE 503, JACKSON, MS, 39202

Signature of

Role Plan administrator
Date 2015-05-01
Name of individual signing FRED MCMILLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-01
Name of individual signing FRED MCMILLAN
Valid signature Filed with authorized/valid electronic signature
FRED L. MCMILLAN, M.D., PLLC PROFIT SHARING PLAN 2013 640936670 2014-07-21 FRED L. MCMILLAN, M.D., PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-05-01
Business code 621111
Sponsor’s telephone number 6019486886
Plan sponsor’s address 1421 NORTH STATE STREET, SUITE 503, JACKSON, MS, 39202

Signature of

Role Plan administrator
Date 2014-07-21
Name of individual signing FRED MCMILLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-21
Name of individual signing FRED MCMILLAN
Valid signature Filed with authorized/valid electronic signature
FRED L. MCMILLAN, M.D., PLLC PROFIT SHARING PLAN 2012 640936670 2013-07-25 FRED L. MCMILLAN, M.D., PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-05-01
Business code 621111
Sponsor’s telephone number 6019486886
Plan sponsor’s address 1421 NORTH STATE STREET, SUITE 503, JACKSON, MS, 39202

Signature of

Role Plan administrator
Date 2013-07-25
Name of individual signing FRED MCMILLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-25
Name of individual signing FRED MCMILLAN
Valid signature Filed with authorized/valid electronic signature
FRED L. MCMILLAN, M.D., PLLC PROFIT SHARING PLAN 2011 640936670 2012-07-26 FRED L. MCMILLAN, M.D., PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-05-01
Business code 621111
Sponsor’s telephone number 6019486886
Plan sponsor’s address 1421 NORTH STATE STREET, SUITE 503, JACKSON, MS, 39202

Plan administrator’s name and address

Administrator’s EIN 640936670
Plan administrator’s name FRED L. MCMILLAN, M.D., PLLC
Plan administrator’s address 1421 NORTH STATE STREET, SUITE 503, JACKSON, MS, 39202
Administrator’s telephone number 6019486886

Signature of

Role Plan administrator
Date 2012-07-26
Name of individual signing FRED MCMILLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-26
Name of individual signing FRED MCMILLAN
Valid signature Filed with authorized/valid electronic signature
FRED L. MCMILLAN, M.D., PLLC PROFIT SHARING PLAN 2010 640936670 2011-10-17 FRED L. MCMILLAN, M.D., PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-05-01
Business code 621111
Sponsor’s telephone number 6019486886
Plan sponsor’s address 1421 NORTH STATE STREET, SUITE 503, JACKSON, MS, 39202

Plan administrator’s name and address

Administrator’s EIN 640936670
Plan administrator’s name FRED L. MCMILLAN, M.D., PLLC
Plan administrator’s address 1421 NORTH STATE STREET, SUITE 503, JACKSON, MS, 39202
Administrator’s telephone number 6019486886

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing FRED MCMILLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-17
Name of individual signing FRED MCMILLAN
Valid signature Filed with authorized/valid electronic signature
FRED L. MCMILLAN, M.D., PLLC PROFIT SHARING PLAN 2009 640936670 2010-08-23 FRED L. MCMILLAN, M.D., PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1977-05-01
Business code 621111
Sponsor’s telephone number 6019486886
Plan sponsor’s address 1421 NORTH STATE STREET, SUITE 503, JACKSON, MS, 39202

Plan administrator’s name and address

Administrator’s EIN 640936670
Plan administrator’s name FRED L. MCMILLAN, M.D., PLLC
Plan administrator’s address 1421 NORTH STATE STREET, SUITE 503, JACKSON, MS, 39202
Administrator’s telephone number 6019486886

Signature of

Role Plan administrator
Date 2010-08-23
Name of individual signing FRED MCMILLAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-23
Name of individual signing FRED MCMILLAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
R. Mark Hodges Agent 401 East Capitol Street, Suite 600, Jackson, MS 39201

Manager

Name Role Address
Fred Lee McMillan MD Manager 9117 Luna del Oro RD NE, Alubuerque, NM 87111

President

Name Role Address
Fred Lee McMillan MD President 9117 Luna del Oro RD, Albuquerque, NM 97111

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2019-11-22 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2019-08-22 Notice to Dissolve/Revoke
Annual Report LLC Filed 2018-07-25 Annual Report For FRED L. MCMILLAN, M.D., PLLC
Annual Report LLC Filed 2017-01-21 Annual Report For FRED L. MCMILLAN, M.D., PLLC
Annual Report LLC Filed 2016-06-21 Annual Report For FRED L. MCMILLAN, M.D., PLLC
Annual Report LLC Filed 2015-10-03 Annual Report For FRED L. MCMILLAN, M.D., PLLC
Notice to Dissolve/Revoke Filed 2015-09-16 Notice to Dissolve/Revoke
Amendment Form Filed 2015-01-07 Amendment For FRED L. MCMILLAN, M.D., PLLC
Annual Report LLC Filed 2014-01-16 Annual Report LLC
Annual Report LLC Filed 2013-03-18 Annual Report LLC

Date of last update: 27 Dec 2024

Sources: Mississippi Secretary of State