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PEDIATRIC CARE CENTER, PLLC

Company Details

Name: PEDIATRIC CARE CENTER, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 13 Dec 2002 (22 years ago)
Business ID: 726417
ZIP code: 39581
County: Jackson
State of Incorporation: MISSISSIPPI
Principal Office Address: 4105 HOSPITAL STREET, Suite 104PASCAGOULA, MS 39581

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC CARE CENTER 401K PLAN 2014 421566660 2015-07-14 PEDIATRIC CARE CENTER 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-05-01
Business code 621111
Sponsor’s telephone number 2287626398
Plan sponsor’s address 4505 HOSPITAL ROAD, SUITE C, PASCAGOULA, MS, 39564

Signature of

Role Plan administrator
Date 2015-07-14
Name of individual signing LES REVZON
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC CARE CENTER 401K PLAN 2013 024424726 2014-09-11 PEDIATRIC CARE CENTER 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-05-01
Business code 621111
Sponsor’s telephone number 2287626398
Plan sponsor’s address 4505 HOSPITAL ROAD, SUITE C, PASCAGOULA, MS, 39564

Signature of

Role Plan administrator
Date 2014-09-11
Name of individual signing LES REVZON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Stephen Burrow Agent 711 Delmas Avenue, Pascagoula, MS 39567

Member

Name Role Address
YOLANDA GUTIERREZ Member 4105 HOSPITAL STREET, Suite 104, PASCAGOULA, MS 39581
Stephen W. Burrow Member 711 Delmas Avenue, Pascagoula, MS 39567

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-02 Annual Report For PEDIATRIC CARE CENTER, PLLC
Annual Report LLC Filed 2024-01-15 Annual Report For PEDIATRIC CARE CENTER, PLLC
Registered Agent Change of Address Filed 2023-01-24 Agent Address Change For Stephen Burrow
Annual Report LLC Filed 2023-01-16 Annual Report For PEDIATRIC CARE CENTER, PLLC
Annual Report LLC Filed 2022-02-14 Annual Report For PEDIATRIC CARE CENTER, PLLC
Annual Report LLC Filed 2021-01-14 Annual Report For PEDIATRIC CARE CENTER, PLLC
Annual Report LLC Filed 2020-04-06 Annual Report For PEDIATRIC CARE CENTER, PLLC
Annual Report LLC Filed 2019-04-09 Annual Report For PEDIATRIC CARE CENTER, PLLC
Amendment Form Filed 2018-03-09 Amendment For PEDIATRIC CARE CENTER, PLLC
Annual Report LLC Filed 2018-03-09 Annual Report For PEDIATRIC CARE CENTER, PLLC

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6129128708 2021-04-03 0470 PPS 4105 Hospital St, Pascagoula, MS, 39581-5312
Loan Status Date 2021-10-07
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 125975
Loan Approval Amount (current) 125975
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39232
Servicing Lender Name Hancock Whitney Bank
Servicing Lender Address 2510 14th St One Hancock Plz, GULFPORT, MS, 39501
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Pascagoula, JACKSON, MS, 39581-5312
Project Congressional District MS-04
Number of Employees 12
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39232
Originating Lender Name Hancock Whitney Bank
Originating Lender Address GULFPORT, MS
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 126520.89
Forgiveness Paid Date 2021-09-09
9829287708 2020-05-01 0470 PPP 4105 HOSPITAL ST, PASCAGOULA, MS, 39581
Loan Status Date 2021-02-04
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 125975
Loan Approval Amount (current) 125975
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39232
Servicing Lender Name Hancock Whitney Bank
Servicing Lender Address 2510 14th St One Hancock Plz, GULFPORT, MS, 39501
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address PASCAGOULA, JACKSON, MS, 39581-2000
Project Congressional District MS-04
Number of Employees 12
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39232
Originating Lender Name Hancock Whitney Bank
Originating Lender Address GULFPORT, MS
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 126856.82
Forgiveness Paid Date 2021-01-13

Date of last update: 10 Feb 2025

Sources: Mississippi Secretary of State