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  5. MAGNOLIA REHAB COMPANY

MAGNOLIA REHAB COMPANY

Company Details

Name: MAGNOLIA REHAB COMPANY
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 04 Feb 2003 (22 years ago)
Business ID: 728869
ZIP code: 39652
County: Pike
State of Incorporation: MISSISSIPPI
Principal Office Address: 335 East Bay StreetMagnolia, MS 39652

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAGNOLIA REHAB CASH BALANCE PENSION PLAN 2023 640930709 2024-10-09 MAGNOLIA REHAB 21
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2024-10-09
Name of individual signing NICOLE HOLTON
Valid signature Filed with authorized/valid electronic signature
MAGNOLIA REHAB 401(K) PLAN 2023 640930709 2024-10-09 MAGNOLIA REHAB 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2024-10-09
Name of individual signing NICOLE M. HOLTON
Valid signature Filed with authorized/valid electronic signature
MAGNOLIA REHAB CASH BALANCE PENSION PLAN 2022 640930709 2023-07-14 MAGNOLIA REHAB 19
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2023-07-14
Name of individual signing NICOLE HOLTON
Valid signature Filed with authorized/valid electronic signature
MAGNOLIA REHAB 401(K) PLAN 2022 640930709 2023-07-14 MAGNOLIA REHAB 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2023-07-14
Name of individual signing NICOLE M. HOLTON
Valid signature Filed with authorized/valid electronic signature
MAGNOLIA REHAB CASH BALANCE PENSION PLAN 2021 640930709 2022-07-15 MAGNOLIA REHAB 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2022-07-15
Name of individual signing NICOLE HOLTON
Valid signature Filed with authorized/valid electronic signature
MAGNOLIA REHAB 401(K) PLAN 2021 640930709 2022-07-15 MAGNOLIA REHAB 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2022-07-15
Name of individual signing NICOLE M. HOLTON
Valid signature Filed with authorized/valid electronic signature
MAGNOLIA REHAB 401(K) PLAN 2020 640930709 2021-07-23 MAGNOLIA REHAB 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2021-07-23
Name of individual signing NICOLE M. HOLTON
Valid signature Filed with authorized/valid electronic signature
MAGNOLIA REHAB CASH BALANCE PENSION PLAN 2020 640930709 2021-07-23 MAGNOLIA REHAB 17
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2021-07-23
Name of individual signing NICOLE HOLTON
Valid signature Filed with authorized/valid electronic signature
MAGNOLIA REHAB 401(K) PLAN 2019 640930709 2020-07-21 MAGNOLIA REHAB 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2020-07-21
Name of individual signing NICOLE M. HOLTON
Valid signature Filed with authorized/valid electronic signature
MAGNOLIA REHAB CASH BALANCE PENSION PLAN 2019 640930709 2020-07-21 MAGNOLIA REHAB 18
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2020-07-21
Name of individual signing NICOLE HOLTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/11/20190911093208P040008549271001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2019-09-11
Name of individual signing NICOLE HOLTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/11/20190911092916P030008000151001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2019-09-11
Name of individual signing NICOLE M. HOLTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/02/20180702151119P030034652871001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2018-07-02
Name of individual signing NICOLE HOLTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/02/20180702150953P030001411481001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2018-07-02
Name of individual signing NICOLE M. HOLTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/06/06/20170606091843P030057904993001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2017-06-06
Name of individual signing NICOLE HOLTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/06/06/20170606091041P030057889793001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2017-06-06
Name of individual signing NICOLE M. HOLTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/04/20161004102703P040007078567001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2016-10-04
Name of individual signing NICOLE M. HOLTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/04/20161004103034P040007086791001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2016-10-04
Name of individual signing NICOLE HOLTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/28/20150728111223P040141870609001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2015-07-28
Name of individual signing NICOLE M. HOLTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/25/20140725133512P040055443879001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2014-07-25
Name of individual signing NICOLE M. HOLTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/03/04/20130304094130P030116957363001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Signature of
Role Plan administrator
Date 2013-03-04
Name of individual signing NICOLE M. HOLTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/05/20120605084848P040015578385001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Plan administrator’s name and address
Administrator’s EIN 640930709
Plan administrator’s name MAGNOLIA REHAB
Plan administrator’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211
Administrator’s telephone number 6622431097

Signature of
Role Plan administrator
Date 2012-06-05
Name of individual signing NICOLE M. HOLTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/28/20110728095418P040015496290001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Plan administrator’s name and address
Administrator’s EIN 640930709
Plan administrator’s name MAGNOLIA REHAB
Plan administrator’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211
Administrator’s telephone number 6622431097

Signature of
Role Plan administrator
Date 2011-07-28
Name of individual signing NICOLE M. HOLTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/28/20110728095849P040032984551001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Plan administrator’s name and address
Administrator’s EIN 640930709
Plan administrator’s name MAGNOLIA REHAB
Plan administrator’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211
Administrator’s telephone number 6622431097

Signature of
Role Plan administrator
Date 2011-07-28
Name of individual signing NICOLE M. HOLTON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/21/20100621084747P030108807378001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621340
Sponsor’s telephone number 6622431097
Plan sponsor’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211

Plan administrator’s name and address
Administrator’s EIN 640930709
Plan administrator’s name MAGNOLIA REHAB
Plan administrator’s address 2205 FIFTH ST. N., COLUMBUS, MS, 397052211
Administrator’s telephone number 6622431097

Signature of
Role Plan administrator
Date 2010-06-21
Name of individual signing NICOLE M. HOLTON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GORDON SANDIFER Agent 12 STONEWOOD DRIVE, COLUMBIA, MS 39429

Incorporator

Name Role Address
GORDON SANDIFER Incorporator 12 STONEWOOD DRIVE, COLUMBIA, MS 39429

Vice President

Name Role Address
Michael Q. Hedrick Vice President 4624 Hwy 27, Edwards, MS 39066

Director

Name Role Address
Gordon Sandifer Director 12 Stonewood Drive, Columbia, MS 39429

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2008-12-05 Admin Dissolution
Notice to Dissolve/Revoke Filed 2008-09-25 Notice to Dissolve/Revoke
Annual Report Filed 2007-03-23 Annual Report
Annual Report Filed 2007-01-04 Annual Report
Notice to Dissolve/Revoke Filed 2006-10-19 Notice to Dissolve/Revoke
Annual Report Filed 2005-04-01 Annual Report
Annual Report Filed 2004-03-22 Annual Report
Name Reservation Form Filed 2003-02-04 Name Reservation

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Mar 2025

Sources: Mississippi Secretary of State

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