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  5. KENNETH G. PERRY, JR., M.D., P.A.

KENNETH G. PERRY, JR., M.D., P.A.

Company Details

Name: KENNETH G. PERRY, JR., M.D., P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 01 Jan 2001 (24 years ago)
Business ID: 696065
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 365 Kingsbridge RdMadison, MS 39110

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENNETH G. PERRY, JR. M. D. , P. A. 401(K) PLAN 2015 640937944 2016-10-04 KENNETH G. PERRY, JR. M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-02
Business code 621112
Sponsor’s telephone number 6013260505
Plan sponsor’s address 501 MARSHALL ST, SUITE 505, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2016-10-04
Name of individual signing KENNETH G. PERRY, JR. M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-04
Name of individual signing KENNETH G. PERRY, JR. M.D.
Valid signature Filed with authorized/valid electronic signature
KENNETH G. PERRY, JR. M.D., P.A. 401(K) PLAN 2015 640937944 2016-07-04 KENNETH G. PERRY, JR. M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-02
Business code 621112
Sponsor’s telephone number 6013260505
Plan sponsor’s address 501 MARSHALL ST, SUITE 505, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2016-07-04
Name of individual signing KENNETH G. PERRY, JR. M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-04
Name of individual signing KENNETH G. PERRY, JR. M.D.
Valid signature Filed with authorized/valid electronic signature
KENNETH G. PERRY, JR. M.D., P.A. 401(K) PLAN 2014 640937944 2015-07-14 KENNETH G. PERRY, JR. M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-02
Business code 621112
Sponsor’s telephone number 6013260505
Plan sponsor’s address 501 MARSHALL ST, SUITE 505, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2015-07-14
Name of individual signing KENNETH G. PERRY, JR. M.D.
Valid signature Filed with authorized/valid electronic signature
KENNETH G. PERRY, JR. M.D., P.A. 401(K) PLAN 2013 640937944 2014-09-29 KENNETH G. PERRY, JR. M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-02
Business code 621112
Sponsor’s telephone number 6013260505
Plan sponsor’s address 501 MARSHALL ST, SUITE 505, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2014-09-29
Name of individual signing KENNETH G. PERRY, JR. M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-29
Name of individual signing KENNETH G. PERRY, JR. M.D.
Valid signature Filed with authorized/valid electronic signature
KENNETH G. PERRY, JR., M.D., P.A. 401K PLAN 2012 640937944 2013-10-01 KENNETH G. PERRY, JR. M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-02
Business code 621112
Sponsor’s telephone number 6013260505
Plan sponsor’s address 501 MARSHALL ST STE 505, JACKSON, MS, 392021651

Plan administrator’s name and address
Administrator’s EIN 640937944
Plan administrator’s name KENNETH G. PERRY, JR. M.D., P.A.
Plan administrator’s address 501 MARSHALL ST STE 505, JACKSON, MS, 392021651
Administrator’s telephone number 6013260505

Signature of
Role Plan administrator
Date 2013-10-01
Name of individual signing KENNETH G. PERRY, JR. M.D., P.A.
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role Address
Joseph A House Incorporator 501 Marshall Street St 600, Jackson, MS 39202

Director

Name Role Address
Kenneth G Perry Jr Director 365 Kingsbridge Rd, Madison, MS 39110

President

Name Role Address
Kenneth G Perry Jr President 365 Kingsbridge Rd, Madison, MS 39110

Secretary

Name Role Address
Kenneth G Perry Jr Secretary 365 Kingsbridge Rd, Madison, MS 39110

Treasurer

Name Role Address
Kenneth G Perry Jr Treasurer 365 Kingsbridge Rd, Madison, MS 39110

Filings

Type Status Filed Date Description
Agent Resignation Filed 2023-10-18 Agent Resignation For Painter, William S
Admin Dissolution Filed 2017-12-06 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke
Registered Agent Change of Address Filed 2016-05-03 Agent Address Change For Painter, William S
Annual Report Filed 2016-03-31 Annual Report For KENNETH G. PERRY, JR., M.D., P.A.
Registered Agent Change of Address Filed 2016-03-30 Agent Address Change For Painter, William S
Annual Report Filed 2015-06-22 Annual Report For KENNETH G. PERRY, JR., M.D., P.A.
Annual Report Filed 2014-01-29 Annual Report
Annual Report Filed 2013-03-14 Annual Report
Annual Report Filed 2012-10-01 Annual Report

Related by officers

Joseph A House

STEVEN E. SPEIGHTS, M.D., P.A. Robert L. Harris, M.D., P.A. JOHN D. ISAACS, JR., M.D., P.A. JAMES L. MOORE, JR., M.D., P.A.

Related by address

365 Kingsbridge RdMadison, MS 39110

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Date of last update: 27 Dec 2024

Sources: Mississippi Secretary of State

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