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BRADLEY A. BOONE, M.D., P.A.

Company Details

Name: BRADLEY A. BOONE, M.D., P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 18 Jul 2002 (23 years ago)
Business ID: 720089
ZIP code: 39301
County: Lauderdale
State of Incorporation: MISSISSIPPI
Principal Office Address: 2111 Fourteenth StreetMeridian, MS 39301

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDICAL ARTS SURGICAL GROUP 401(K) SAFE HARBOR PLAN 2012 470875998 2013-07-26 BRADLEY A. BOONE, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6016933834
Plan sponsor’s address 2111 14TH STREET, MERIDIAN, MS, 39301

Signature of

Role Plan administrator
Date 2013-07-26
Name of individual signing BRADLEY A. BOONE, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-26
Name of individual signing BRADLEY A. BOONE, M.D.
Valid signature Filed with authorized/valid electronic signature
MEDICAL ARTS SURGICAL GROUP 401(K) SAFE HARBOR PLAN 2011 470875998 2012-07-19 BRADLEY A. BOONE, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6016933834
Plan sponsor’s address 2111 14TH STREET, MERIDIAN, MS, 39301

Plan administrator’s name and address

Administrator’s EIN 470875998
Plan administrator’s name BRADLEY A. BOONE, M.D., P.A.
Plan administrator’s address 2111 14TH STREET, MERIDIAN, MS, 39301
Administrator’s telephone number 6016933834

Signature of

Role Plan administrator
Date 2012-07-18
Name of individual signing BRADLEY BOONE
Valid signature Filed with authorized/valid electronic signature
MEDICAL ARTS SURGICAL GROUP 401(K) SAFE HARBOR PLAN 2010 470875998 2011-07-28 BRADLEY A. BOONE, M.D., P.A. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6016933834
Plan sponsor’s address 2111 14TH STREET, MERIDIAN, MS, 39301

Plan administrator’s name and address

Administrator’s EIN 470875998
Plan administrator’s name BRADLEY A. BOONE, M.D., P.A.
Plan administrator’s address 2111 14TH STREET, MERIDIAN, MS, 39301
Administrator’s telephone number 6016933834

Signature of

Role Plan administrator
Date 2011-07-28
Name of individual signing BRADLEY BOONE
Valid signature Filed with authorized/valid electronic signature
MEDICAL ARTS SURGICAL GROUP 401(K) SAFE HARBOR PLAN 2009 470875998 2010-06-09 BRADLEY A. BOONE, M.D. P.A. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6016933834
Plan sponsor’s address 2111 14TH STREET, MERIDIAN, MS, 39301

Plan administrator’s name and address

Administrator’s EIN 470875998
Plan administrator’s name BRADLEY A. BOONE, M.D. P.A.
Plan administrator’s address 2111 14TH STREET, MERIDIAN, MS, 39301
Administrator’s telephone number 6016933834

Signature of

Role Plan administrator
Date 2010-06-09
Name of individual signing BRADLEY BOONE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DEBBIE FUNCK Agent 2111 14TH STREET, MERIDIAN, MS 39301

Incorporator

Name Role Address
Judson T. Tucker Incorporator 1724a 23rd Avenue, P O Box 5514, Meridian, MS 39302

Director

Name Role Address
Bradley A. Boone Director 2111 Fourteenth Street, Meridian, MS 39301

President

Name Role Address
Bradley A. Boone President 2111 Fourteenth Street, Meridian, MS 39301

Secretary

Name Role Address
Bradley A. Boone Secretary 2111 Fourteenth Street, Meridian, MS 39301

Treasurer

Name Role Address
Bradley A. Boone Treasurer 2111 Fourteenth Street, Meridian, MS 39301

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2015-12-08 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2015-09-16 Notice to Dissolve/Revoke
Annual Report Filed 2014-03-20 Annual Report
Annual Report Filed 2013-04-12 Annual Report
Annual Report Filed 2012-03-21 Annual Report
Annual Report Filed 2011-04-19 Annual Report
Annual Report Filed 2010-03-04 Annual Report
Annual Report Filed 2009-04-14 Annual Report
Annual Report Filed 2008-06-17 Annual Report
Annual Report Filed 2007-07-16 Annual Report

Date of last update: 28 Dec 2024

Sources: Mississippi Secretary of State