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  5. MCCOMB OB-GYN ASSOCIATES, PLLC

MCCOMB OB-GYN ASSOCIATES, PLLC

Company Details

Name: MCCOMB OB-GYN ASSOCIATES, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 22 May 2001 (24 years ago)
Business ID: 703151
ZIP code: 39648
County: Pike
State of Incorporation: MISSISSIPPI
Principal Office Address: 205 MARION AVENUEMCCOMB, MS 39648

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MCCOMB OB-GYN ASSOCIATES, PLLC 401(K) PROFIT SHARING PLAN 2023 640940975 2024-08-28 MCCOMB OB-GYN ASSOCIATES, PLLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-09
Business code 621111
Sponsor’s telephone number 6016849116
Plan sponsor’s address 205 MARION AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2024-08-28
Name of individual signing SUSIE FORTENBERRY
Valid signature Filed with authorized/valid electronic signature
MCCOMB OB-GYN ASSOCIATES, PLLC 401(K) PROFIT SHARING PLAN 2022 640940975 2023-04-25 MCCOMB OB-GYN ASSOCIATES, PLLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-09
Business code 621111
Sponsor’s telephone number 6016849116
Plan sponsor’s address 205 MARION AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2023-04-25
Name of individual signing SUSIE FORTENBERRY
Valid signature Filed with authorized/valid electronic signature
MCCOMB OB-GYN ASSOCIATES, PLLC 401(K) PROFIT SHARING PLAN 2021 640940975 2022-07-13 MCCOMB OB-GYN ASSOCIATES, PLLC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-09
Business code 621111
Sponsor’s telephone number 6016849116
Plan sponsor’s address 205 MARION AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-13
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
MCCOMB OB-GYN ASSOCIATES, PLLC 401(K) PROFIT SHARING PLAN 2020 640940975 2021-04-20 MCCOMB OB-GYN ASSOCIATES, PLLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-09
Business code 621111
Sponsor’s telephone number 6016849116
Plan sponsor’s address 205 MARION AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2021-04-20
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-04-20
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
MCCOMB OB-GYN ASSOCIATES, PLLC 401(K) PROFIT SHARING PLAN 2019 640940975 2020-04-22 MCCOMB OB-GYN ASSOCIATES, PLLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-09
Business code 621111
Sponsor’s telephone number 6016849116
Plan sponsor’s address 205 MARION AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2020-04-22
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-22
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
MCCOMB OB-GYN ASSOCIATES, PLLC 401(K) PROFIT SHARING PLAN 2018 640940975 2019-08-19 MCCOMB OB-GYN ASSOCIATES, PLLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-09
Business code 621111
Sponsor’s telephone number 6016849116
Plan sponsor’s address 205 MARION AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2019-08-19
Name of individual signing DAWN SUMRALLL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-08-19
Name of individual signing DAWN SUMRALLL
Valid signature Filed with authorized/valid electronic signature
MCCOMB OB-GYN ASSOCIATES, PLLC 401(K) PROFIT SHARING PLAN 2017 640940975 2018-10-11 MCCOMB OB-GYN ASSOCIATES, PLLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-09
Business code 621111
Sponsor’s telephone number 6016849116
Plan sponsor’s address 205 MARION AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-11
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
MCCOMB OB-GYN ASSOCIATES, PLLC 401(K) PROFIT SHARING PLAN 2016 640940975 2017-09-14 MCCOMB OB-GYN ASSOCIATES, PLLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-09
Business code 621111
Sponsor’s telephone number 6016849116
Plan sponsor’s address 205 MARION AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2017-09-14
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-14
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
MCCOMB OB-GYN ASSOCIATES, PLLC 401(K) PROFIT SHARING PLAN 2015 640940975 2016-09-28 MCCOMB OB-GYN ASSOCIATES, PLLC 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-09
Business code 621111
Sponsor’s telephone number 6016849116
Plan sponsor’s address 205 MARION AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2016-09-28
Name of individual signing SUSIE FORTENBERRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-28
Name of individual signing SUSIE FORTENBERRY
Valid signature Filed with authorized/valid electronic signature
MCCOMB OB-GYN ASSOCIATES, PLLC 401(K) PROFIT SHARING PLAN 2014 640940975 2015-10-07 MCCOMB OB-GYN ASSOCIATES, PLLC 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-09
Business code 621111
Sponsor’s telephone number 6016849116
Plan sponsor’s address 205 MARION AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2015-10-07
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-07
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/08/20141008075412P040013923983001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-09
Business code 621111
Sponsor’s telephone number 6016849116
Plan sponsor’s address 205 MARION AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2014-10-08
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-08
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/31/20130531094318P030084291845001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-09
Business code 621111
Sponsor’s telephone number 6016849116
Plan sponsor’s address 205 MARION AVENUE, MCCOMB, MS, 39648

Signature of
Role Plan administrator
Date 2013-05-31
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-31
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/03/20120403100148P030009925910001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-09
Business code 621111
Sponsor’s telephone number 6016849116
Plan sponsor’s address 205 MARION AVENUE, MCCOMB, MS, 39648

Plan administrator’s name and address
Administrator’s EIN 640940975
Plan administrator’s name MCCOMB OB-GYN ASSOCIATES, PLLC
Plan administrator’s address 205 MARION AVENUE, MCCOMB, MS, 39648
Administrator’s telephone number 6016849116

Signature of
Role Plan administrator
Date 2012-04-03
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-03
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/04/22/20110422124411P030014455575001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-09
Business code 621111
Sponsor’s telephone number 6016849116
Plan sponsor’s address 205 MARION AVENUE, MCCOMB, MS, 39648

Plan administrator’s name and address
Administrator’s EIN 640940975
Plan administrator’s name MCCOMB OB-GYN ASSOCIATES, PLLC
Plan administrator’s address 205 MARION AVENUE, MCCOMB, MS, 39648
Administrator’s telephone number 6016849116

Signature of
Role Plan administrator
Date 2011-04-22
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-22
Name of individual signing DAWN SUMRALL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/22/20100722090642P030088451432001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-09
Business code 621111
Sponsor’s telephone number 6016849116
Plan sponsor’s address 205 MARION AVENUE, MCCOMB, MS, 39648

Plan administrator’s name and address
Administrator’s EIN 640940975
Plan administrator’s name MCCOMB OB-GYN ASSOCIATES, PLLC
Plan administrator’s address 205 MARION AVENUE, MCCOMB, MS, 39648
Administrator’s telephone number 6016849116

Signature of
Role Plan administrator
Date 2010-07-22
Name of individual signing SUSIE FORTENBERRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-22
Name of individual signing SUSIE FORTENBERRY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Sumrall, Dawn M Agent 205 Marion Avenue;P O Box 1348, McComb, MS 39649

Manager

Name Role Address
Susie Fortenberry Manager 205 MARION AVENUE, MCCOMB, MS 39648

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-01-31 Annual Report For MCCOMB OB-GYN ASSOCIATES, PLLC
Annual Report LLC Filed 2023-12-04 Annual Report For MCCOMB OB-GYN ASSOCIATES, PLLC
Annual Report LLC Filed 2023-02-13 Annual Report For MCCOMB OB-GYN ASSOCIATES, PLLC
Annual Report LLC Filed 2022-10-05 Annual Report For MCCOMB OB-GYN ASSOCIATES, PLLC
Notice to Dissolve/Revoke Filed 2022-09-05 Notice of Intent to Dissolve: AR: MCCOMB OB-GYN ASSOCIATES, PLLC
Annual Report LLC Filed 2021-03-08 Annual Report For MCCOMB OB-GYN ASSOCIATES, PLLC
Annual Report LLC Filed 2020-03-31 Annual Report For MCCOMB OB-GYN ASSOCIATES, PLLC
Annual Report LLC Filed 2019-03-28 Annual Report For MCCOMB OB-GYN ASSOCIATES, PLLC
Annual Report LLC Filed 2018-04-11 Annual Report For MCCOMB OB-GYN ASSOCIATES, PLLC
Annual Report LLC Filed 2017-03-21 Annual Report For MCCOMB OB-GYN ASSOCIATES, PLLC

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 27 Dec 2024

Sources: Mississippi Secretary of State

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