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SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A.

Company Details

Name: SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 31 Oct 2001 (23 years ago)
Business ID: 718408
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 18 WaterfordHATTIESBURG, MS 39402

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. PENSION PLAN 2014 640947024 2015-08-19 SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6015794466
Plan sponsor’s address ONE LINCOLN PARKWAY ROAD, SUITE 300, HATTIESBURG, MS, 394023261
SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. PENSION PLAN 2013 640947024 2014-06-05 SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. 28
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6015794466
Plan sponsor’s address ONE LINCOLN PARKWAY ROAD, SUITE 300, HATTIESBURG, MS, 394023261
SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. PENSION PLAN 2012 640947024 2013-10-09 SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. 29
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6015794466
Plan sponsor’s mailing address ONE LINCOLN PARKWAY ROAD, SUITE 300, HATTIESBURG, MS, 394023261
Plan sponsor’s address DAVID C. LEE, ONE LINCOLN PARKWAY, SUITE 300, HATTIESBURG, MS, 394023261

Number of participants as of the end of the plan year

Active participants 31
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2013-10-09
Name of individual signing DAVID C. LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-09
Name of individual signing DAVID C. LEE
Valid signature Filed with authorized/valid electronic signature
SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. PENSION PLAN 2012 640947024 2013-10-09 SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. 23
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6015794466
Plan sponsor’s mailing address ONE LINCOLN PARKWAY ROAD, SUITE 300, HATTIESBURG, MS, 394023261
Plan sponsor’s address DAVID C. LEE, ONE LINCOLN PARKWAY ROAD, SUITE 300, HATTIESBURG, MS, 394023261

Number of participants as of the end of the plan year

Active participants 23
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2013-10-09
Name of individual signing JOHN C. LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-09
Name of individual signing JOHN C. LEE
Valid signature Filed with authorized/valid electronic signature
SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. PENSION PLAN 2012 640947024 2013-10-09 SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6015794466
Plan sponsor’s mailing address ONE LINCOLN PARKWAY ROAD, SUITE 300, HATTIESBURG, MS, 394023261
Plan sponsor’s address DAVID C. LEE, ONE LINCOLN PARKWAY ROAD, SUITE 300, HATTIESBURG, MS, 394023261

Number of participants as of the end of the plan year

Active participants 16
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2013-10-09
Name of individual signing JOHN C. LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-09
Name of individual signing JOHN C. LEE
Valid signature Filed with authorized/valid electronic signature
SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. PENSION PLAN 2012 640947024 2013-10-09 SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. 29
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6015794466
Plan sponsor’s mailing address ONE LINCOLN PARKWAY ROAD, SUITE 300, HATTIESBURG, MS, 394023261
Plan sponsor’s address DAVID C. LEE, ONE LINCOLN PARKWAY, SUITE 300, HATTIESBURG, MS, 394023261

Number of participants as of the end of the plan year

Active participants 31
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2013-10-09
Name of individual signing DAVID C. LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-09
Name of individual signing DAVID C. LEE
Valid signature Filed with authorized/valid electronic signature
SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. PENSION PLAN 2012 640947024 2013-10-09 SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. 16
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6015794466
Plan sponsor’s mailing address ONE LINCOLN PARKWAY ROAD, SUITE 300, HATTIESBURG, MS, 394023261
Plan sponsor’s address DAVID C. LEE, ONE LINCOLN PARKWAY ROAD, HATTIESBURG, MS, 394023261

Number of participants as of the end of the plan year

Active participants 22
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2013-10-09
Name of individual signing JOHN C. LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-09
Name of individual signing JOHN C. LEE
Valid signature Filed with authorized/valid electronic signature
SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. PENSION PLAN 2012 640947024 2013-09-26 SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6015794466
Plan sponsor’s address ONE LINCOLN PARKWAY ROAD, SUITE 300, HATTIESBURG, MS, 394023261

Signature of

Role Plan administrator
Date 2013-09-26
Name of individual signing DAVID C. LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-26
Name of individual signing DAVID C. LEE
Valid signature Filed with authorized/valid electronic signature
SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. PENSION PLAN 2011 640947024 2013-09-30 SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. 30
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6015794466
Plan sponsor’s address ONE LINCOLN PARKWAY ROAD, SUITE 300, HATTIESBURG, MS, 394023261

Plan administrator’s name and address

Administrator’s EIN 640947024
Plan administrator’s name SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A.
Plan administrator’s address ONE LINCOLN PARKWAY ROAD, SUITE 300, HATTIESBURG, MS, 394023261
Administrator’s telephone number 6015794466

Signature of

Role Plan administrator
Date 2013-09-30
Name of individual signing DAVID C. LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-30
Name of individual signing DAVID C. LEE
Valid signature Filed with authorized/valid electronic signature
SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. PENSION PLAN 2011 640947024 2013-09-23 SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A. 30
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6015794466
Plan sponsor’s address ONE LINCOLN PARKWAY ROAD, SUITE 300, HATTIESBURG, MS, 394023261

Plan administrator’s name and address

Administrator’s EIN 640947024
Plan administrator’s name SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A.
Plan administrator’s address ONE LINCOLN PARKWAY ROAD, SUITE 300, HATTIESBURG, MS, 394023261
Administrator’s telephone number 6015794466

Signature of

Role Plan administrator
Date 2013-09-23
Name of individual signing DAVID C. LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-23
Name of individual signing DAVID C. LEE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/30/20130930151610P040004951525001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6015794466
Plan sponsor’s address ONE LINCOLN PARKWAY ROAD, SUITE 300, HATTIESBURG, MS, 394023261

Plan administrator’s name and address

Administrator’s EIN 640947024
Plan administrator’s name SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A.
Plan administrator’s address ONE LINCOLN PARKWAY ROAD, SUITE 300, HATTIESBURG, MS, 394023261
Administrator’s telephone number 6015794466

Signature of

Role Plan administrator
Date 2013-09-30
Name of individual signing DAVID C. LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-30
Name of individual signing DAVID C. LEE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/30/20130930163920P030017761217001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6015794466
Plan sponsor’s address ONE LINCOLN PARKWAY ROAD, SUITE 300, HATTIESBURG, MS, 394023261

Plan administrator’s name and address

Administrator’s EIN 202075648
Plan administrator’s name DAVID C. LEE
Plan administrator’s address ONE LINCOLN PARKWAY ROAD, SUITE 300, HATTIESBURG, MS, 394023261
Administrator’s telephone number 6015794466

Signature of

Role Plan administrator
Date 2013-09-30
Name of individual signing DAVID C. LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-30
Name of individual signing DAVID C. LEE
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role Address
Anthony L. Huffman Incorporator 860 East River Place Ste 101, Jackson, MS 39202

Director

Name Role Address
David C Lee M. D. Director PO Box 17168, Hattiesburg, MS 39404

President

Name Role Address
David C Lee M. D. President PO Box 17168, Hattiesburg, MS 39404

Agent

Name Role Address
DAVID C LEE Agent 1 Lincoln Parkway Suite 300, Hattiesburg, MS 39402

Filings

Type Status Filed Date Description
Annual Report Filed 2024-10-14 Annual Report For SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A.
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: AR: SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A.
Annual Report Filed 2023-10-16 Annual Report For SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A.
Notice to Dissolve/Revoke Filed 2023-09-08 Notice of Intent to Dissolve: AR: SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A.
Annual Report Filed 2022-06-01 Annual Report For SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A.
Annual Report Filed 2021-06-22 Annual Report For SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A.
Annual Report Filed 2020-06-26 Annual Report For SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A.
Annual Report Filed 2019-05-07 Annual Report For SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A.
Annual Report Filed 2018-09-19 Annual Report For SOUTHERN NEUROLOGIC & SPINAL INSTITUTE, P.A.
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke

Date of last update: 28 Dec 2024

Sources: Mississippi Secretary of State