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BOLIVAR UROLOGY CLINIC, P.A.

Company Details

Name: BOLIVAR UROLOGY CLINIC, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 04 Feb 2002 (23 years ago)
Business ID: 712872
ZIP code: 38732
County: Bolivar
State of Incorporation: MISSISSIPPI
Principal Office Address: 907 East Sunflower Road;Suite 103Cleveland, MS 38732

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BOLIVAR UROLOGY CLINIC, P.A. 401(K) PLAN 2015 421530683 2016-02-05 BOLIVAR UROLOGY CLINIC, P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6628469990
Plan sponsor’s address 907 EAST SUNFLOWER ROAD, SUITE 103, CLEVELAND, MS, 387322830
BOLIVAR UROLOGY CLINIC, P.A. 401(K) PLAN 2014 421530683 2015-09-23 BOLIVAR UROLOGY CLINIC, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6628469990
Plan sponsor’s address 907 EAST SUNFLOWER ROAD, SUITE 103, CLEVELAND, MS, 387322830
BOLIVAR UROLOGY CLINIC, P.A. 401(K) PLAN 2013 421530683 2014-02-27 BOLIVAR UROLOGY CLINIC, P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6628469990
Plan sponsor’s address 907 EAST SUNFLOWER ROAD, SUITE 103, CLEVELAND, MS, 387322830
BOLIVAR UROLOGY CLINIC, P.A. 401(K) PLAN 2012 421530683 2013-04-17 BOLIVAR UROLOGY CLINIC, P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6628469990
Plan sponsor’s address 907 EAST SUNFLOWER ROAD, SUITE 103, CLEVELAND, MS, 387322830

Signature of

Role Plan administrator
Date 2013-04-17
Name of individual signing DEREK MILES, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-17
Name of individual signing DEREK MILES, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DEREK MILES Agent 907 E SUNFLOWER RD #104, CLEVELAND, MS 38732

Incorporator

Name Role Address
Derek Miles Incorporator 106 Spring Valley Dr, Brandon, MS 39047

Director

Name Role Address
Derek Miles Director 907 E Sunflower Rd #103, Cleveland, MS 38732

President

Name Role Address
Derek Miles President 907 E Sunflower Rd #103, Cleveland, MS 38732

Filings

Type Status Filed Date Description
Annual Report Filed 2024-03-13 Annual Report For BOLIVAR UROLOGY CLINIC, P.A.
Annual Report Filed 2023-04-05 Annual Report For BOLIVAR UROLOGY CLINIC, P.A.
Annual Report Filed 2022-03-25 Annual Report For BOLIVAR UROLOGY CLINIC, P.A.
Annual Report Filed 2021-03-24 Annual Report For BOLIVAR UROLOGY CLINIC, P.A.
Annual Report Filed 2020-04-09 Annual Report For BOLIVAR UROLOGY CLINIC, P.A.
Annual Report Filed 2019-04-12 Annual Report For BOLIVAR UROLOGY CLINIC, P.A.
Annual Report Filed 2018-04-04 Annual Report For BOLIVAR UROLOGY CLINIC, P.A.
Annual Report Filed 2017-09-20 Annual Report For BOLIVAR UROLOGY CLINIC, P.A.
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke
Annual Report Filed 2016-04-26 Annual Report For BOLIVAR UROLOGY CLINIC, P.A.

Date of last update: 28 Dec 2024

Sources: Mississippi Secretary of State