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  5. OXFORD PEDIATRIC GROUP, PLLC

OXFORD PEDIATRIC GROUP, PLLC

Company Details

Name: OXFORD PEDIATRIC GROUP, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 10 Jun 2002 (23 years ago)
Business ID: 718374
ZIP code: 38655
County: Lafayette
State of Incorporation: MISSISSIPPI
Principal Office Address: 101 Farm View DriveOxford, MS 38655

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OXFORD PEDIATRIC GROUP, PLLC 401(K) RETIREMENT PLAN 2023 731645265 2024-10-08 OXFORD PEDIATRIC GROUP, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625134399
Plan sponsor’s address 101 FARM VIEW DRIVE, OXFORD, MS, 38655
OXFORD PEDIATRIC GROUP, PLLC 401(K) RETIREMENT PLAN 2022 731645265 2023-10-02 OXFORD PEDIATRIC GROUP, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625134399
Plan sponsor’s address 101 FARM VIEW DRIVE, OXFORD, MS, 38655
OXFORD PEDIATRIC GROUP, PLLC 401(K) RETIREMENT PLAN 2021 731645265 2022-09-15 OXFORD PEDIATRIC GROUP, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625134399
Plan sponsor’s address 101 FARM VIEW DRIVE, OXFORD, MS, 38655
OXFORD PEDIATRIC GROUP, PLLC 401(K) RETIREMENT PLAN 2020 731645265 2021-10-15 OXFORD PEDIATRIC GROUP, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625134399
Plan sponsor’s address 101 FARM VIEW DRIVE, OXFORD, MS, 38655
OXFORD PEDIATRIC GROUP, PLLC 401(K) RETIREMENT PLAN 2019 731645265 2020-09-30 OXFORD PEDIATRIC GROUP, PLLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625134399
Plan sponsor’s address 101 FARM VIEW DRIVE, OXFORD, MS, 38655
OXFORD PEDIATRIC GROUP, PLLC 401(K) RETIREMENT PLAN 2018 731645265 2019-09-30 OXFORD PEDIATRIC GROUP, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625134399
Plan sponsor’s address 101 FARM VIEW DRIVE, OXFORD, MS, 38655
OXFORD PEDIATRIC GROUP, PLLC 401(K) RETIREMENT PLAN 2017 731645265 2018-10-01 OXFORD PEDIATRIC GROUP, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625134399
Plan sponsor’s address 101 FARM VIEW DRIVE, OXFORD, MS, 38655
OXFORD PEDIATRIC GROUP, PLLC 401(K) RETIREMENT PLAN 2016 731645265 2017-10-04 OXFORD PEDIATRIC GROUP, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625134399
Plan sponsor’s address 101 FARM VIEW DRIVE, OXFORD, MS, 38655
OXFORD PEDIATRIC GROUP, PLLC 401(K) RETIREMENT PLAN 2015 731645265 2016-10-04 OXFORD PEDIATRIC GROUP, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625134399
Plan sponsor’s address 101 FARM VIEW DRIVE, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2016-10-04
Name of individual signing WILLIAM D. SANFORD, JR., M.D.
Valid signature Filed with authorized/valid electronic signature
OXFORD PEDIATRIC GROUP, PLLC 401(K) RETIREMENT PLAN 2014 731645265 2015-08-07 OXFORD PEDIATRIC GROUP, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625134399
Plan sponsor’s address 1203 MEDICAL PARK DRIVE, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2015-08-07
Name of individual signing WILLIAM D. SANFORD, JR., M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/09/30/20140930151610P030026122247001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625134399
Plan sponsor’s address 1203 MEDICAL PARK DRIVE, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2014-09-30
Name of individual signing WILLIAM D. SANFORD, JR., M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-30
Name of individual signing WILLIAM D. SANFORD, JR., M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/31/20130731073614P040120856485001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625134399
Plan sponsor’s address 1203 MEDICAL PARK DRIVE, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2013-07-31
Name of individual signing WILLIAM D. SANFORD, JR., M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-31
Name of individual signing WILLIAM D. SANFORD, JR., M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/13/20120813135308P040002549235001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625134399
Plan sponsor’s address 1203 MEDICAL PARK DRIVE, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 731645265
Plan administrator’s name OXFORD PEDIATRIC GROUP, PLLC
Plan administrator’s address 1203 MEDICAL PARK DRIVE, OXFORD, MS, 38655
Administrator’s telephone number 6625134399

Signature of
Role Plan administrator
Date 2012-08-13
Name of individual signing WILLIAM D. SANFORD, JR., M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-13
Name of individual signing WILLIAM D. SANFORD, JR., M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/22/20110922160429P030134972657001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625134399
Plan sponsor’s address 1203 MEDICAL PARK DRIVE, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 731645265
Plan administrator’s name OXFORD PEDIATRIC GROUP, PLLC
Plan administrator’s address 1203 MEDICAL PARK DRIVE, OXFORD, MS, 38655
Administrator’s telephone number 6625134399

Signature of
Role Plan administrator
Date 2011-09-22
Name of individual signing WILLIAM D. SANFORD, JR., M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-22
Name of individual signing WILLIAM D. SANFORD, JR., M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/13/20100913103721P040495640721001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625134399
Plan sponsor’s address 1203 MEDICAL PARK DRIVE, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 731645265
Plan administrator’s name OXFORD PEDIATRIC GROUP, PLLC
Plan administrator’s address 1203 MEDICAL PARK DRIVE, OXFORD, MS, 38655
Administrator’s telephone number 6625134399

Signature of
Role Plan administrator
Date 2010-09-13
Name of individual signing WILLIAM D. SANFORD, JR., M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-13
Name of individual signing WILLIAM D. SANFORD, JR., M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MAYO MALLETTE PLLC Agent 2094 Old Taylor Road, Suite 200, Oxford, MS 38655

Manager

Name Role Address
William D Sanford Jr Manager 101 Farm View Drive, Oxford, MS 38655

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-01-16 Annual Report For OXFORD PEDIATRIC GROUP, PLLC
Annual Report LLC Filed 2023-01-20 Annual Report For OXFORD PEDIATRIC GROUP, PLLC
Annual Report LLC Filed 2022-03-08 Annual Report For OXFORD PEDIATRIC GROUP, PLLC
Annual Report LLC Filed 2021-02-12 Annual Report For OXFORD PEDIATRIC GROUP, PLLC
Annual Report LLC Filed 2020-04-14 Annual Report For OXFORD PEDIATRIC GROUP, PLLC
Annual Report LLC Filed 2019-03-12 Annual Report For OXFORD PEDIATRIC GROUP, PLLC
Annual Report LLC Filed 2018-04-16 Annual Report For OXFORD PEDIATRIC GROUP, PLLC
Registered Agent Change of Address Filed 2018-01-23 Agent Address Change For MAYO MALLETTE PLLC
Annual Report LLC Filed 2018-01-23 Annual Report For OXFORD PEDIATRIC GROUP, PLLC
Annual Report LLC Filed 2017-04-14 Annual Report For OXFORD PEDIATRIC GROUP, PLLC

Related by officers

MAYO MALLETTE PLLC

STAGELIGHT LOUISIANA LLC Main Street Taylor, LLC University Office Park LLC

Related by address

No related companies by address

Date of last update: 28 Dec 2024

Sources: Mississippi Secretary of State

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