LANDMARK INTERNAL MEDICINE, P.C.

Company Details

Name:	LANDMARK INTERNAL MEDICINE, P.C.
Jurisdiction:	MISSISSIPPI
Business Type:	Profit Corporation
Status:	Dissolved
Effective Date:	10 Feb 2003 (22 years ago)
Business ID:	729193
State of Incorporation:	TENNESSEE
Principal Office Address:	1264 WESLEY DRIVE #103MEMPHIS, TN 38116

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

LANDMARK INTERNAL MEDICINE, P.C. PROFIT SHARING 401(K) PLAN

2021

621777241

2023-01-23

LANDMARK INTERNAL MEDICINE, P.C.

13

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	6625362500
Plan sponsor’s address	7615 CLARINGTON COVE, P.O. BOX 641, SOUTH HAVEN, MS, 38671

LANDMARK INTERNAL MEDICINE, P.C. PROFIT SHARING 401(K) PLAN

2020

621777241

2021-05-11

LANDMARK INTERNAL MEDICINE, P.C.

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	6625362500
Plan sponsor’s address	7615 CLARINGTON COVE, P.O. BOX 641, SOUTH HAVEN, MS, 38671

LANDMARK INTERNAL MEDICINE, P.C. PROFIT SHARING 401(K) PLAN

2020

621777241

2021-04-07

LANDMARK INTERNAL MEDICINE, P.C.

11

Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	6625362500
Plan sponsor’s address	7615 CLARINGTON COVE, P.O. BOX 641, SOUTH HAVEN, MS, 38671

LANDMARK INTERNAL MEDICINE, P.C. PROFIT SHARING 401(K) PLAN

2019

621777241

2021-04-07

LANDMARK INTERNAL MEDICINE, P.C.

12

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	6625362500
Plan sponsor’s address	7615 CLARINGTON COVE, P.O. BOX 641, SOUTH HAVEN, MS, 38671

LANDMARK INTERNAL MEDICINE, P.C. PROFIT SHARING 401(K) PLAN

2019

621777241

2020-10-15

LANDMARK INTERNAL MEDICINE, P.C.

12

Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	6625362500
Plan sponsor’s address	7615 CLARINGTON COVE, P.O. BOX 641, SOUTH HAVEN, MS, 38671

LANDMARK INTERNAL MEDICINE, P.C. PROFIT SHARING 401(K) PLAN

2018

621777241

2019-10-03

LANDMARK INTERNAL MEDICINE, P.C.

14

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	6625362500
Plan sponsor’s address	7615 CLARINGTON COVE, P.O. BOX 641, SOUTH HAVEN, MS, 38671

LANDMARK INTERNAL MEDICINE, P.C. PROFIT SHARING 401(K) PLAN

2017

621777241

2018-10-08

LANDMARK INTERNAL MEDICINE, P.C.

11

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	6625362500
Plan sponsor’s address	7615 CLARINGTON COVE, P.O. BOX 641, SOUTH HAVEN, MS, 38671

LANDMARK INTERNAL MEDICINE, P.C. PROFIT SHARING 401(K) PLAN

2016

621777241

2018-10-08

LANDMARK INTERNAL MEDICINE, P.C.

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	6625362500
Plan sponsor’s address	7615 CLARINGTON COVE, P.O. BOX 641, SOUTH HAVEN, MS, 38671

LANDMARK INTERNAL MEDICINE, P.C. PROFIT SHARING 401(K) PLAN

2016

621777241

2017-07-25

LANDMARK INTERNAL MEDICINE, P.C.

9

Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	6625362500
Plan sponsor’s address	7615 CLARINGTON COVE, P.O. BOX 641, SOUTH HAVEN, MS, 38671

LANDMARK INTERNAL MEDICINE, P.C. PROFIT SHARING PLAN

2015

621777241

2016-10-07

LANDMARK INTERNAL MEDICINE, P.C.

9

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	6625362500
Plan sponsor’s address	7615 CLARINGTON COVE, P.O. BOX 641, SOUTH HAVEN, MS, 38671

Signature of

Role	Plan administrator
Date	2016-10-07
Name of individual signing	RITA KALRA
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2015/05/08/20150508151317P030064621341001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	6625362500
Plan sponsor’s address	7615 CLARINGTON COVE, P.O. BOX 641, SOUTH HAVEN, MS, 38671

Signature of

Role	Plan administrator
Date	2015-05-04
Name of individual signing	RITA KALRA
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/13/20141013194202P040019247213001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	6625362500
Plan sponsor’s address	7615 CLARINGTON COVE, P.O. BOX 641, SOUTH HAVEN, MS, 38671

Signature of

Role	Plan administrator
Date	2014-10-13
Name of individual signing	RITA KALRA
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/06/20130906171925P030374093315001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	6625362500
Plan sponsor’s address	7615 CLARINGTON COVE, P.O. BOX 641, SOUTH HAVEN, MS, 38671

Signature of

Role	Plan administrator
Date	2013-08-29
Name of individual signing	RITA KALRA
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/08/20120608152453P040032274306001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	6625362500
Plan sponsor’s address	7615 CLARINGTON COVE, P.O. BOX 641, SOUTH HAVEN, MS, 38671

Plan administrator’s name and address

Administrator’s EIN	621777241
Plan administrator’s name	LANDMARK INTERNAL MEDICINE, P.C.
Plan administrator’s address	7615 CLARINGTON COVE, P.O. BOX 641, SOUTH HAVEN, MS, 38671
Administrator’s telephone number	6625362500

Signature of

Role	Plan administrator
Date	2012-06-08
Name of individual signing	RITA KALRA
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/03/20110603175056P030069808977001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	6625362500
Plan sponsor’s address	7615 CLARINGTON COVE, P.O. BOX 641, SOUTH HAVEN, MS, 38671

Plan administrator’s name and address

Administrator’s EIN	621777241
Plan administrator’s name	LANDMARK INTERNAL MEDICINE, P.C.
Plan administrator’s address	7615 CLARINGTON COVE, P.O. BOX 641, SOUTH HAVEN, MS, 38671
Administrator’s telephone number	6625362500

Signature of

Role	Plan administrator
Date	2011-06-03
Name of individual signing	RITA KALRA
Valid signature	Filed with authorized/valid electronic signature

File	https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/27/20100727133555P040401525873001.pdf
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	6625362500
Plan sponsor’s address	7615 CLARINGTON COVE, P.O. BOX 641, SOUTH HAVEN, MS, 38671

Plan administrator’s name and address

Administrator’s EIN	621777241
Plan administrator’s name	LANDMARK INTERNAL MEDICINE, P.C.
Plan administrator’s address	7615 CLARINGTON COVE, P.O. BOX 641, SOUTH HAVEN, MS, 38671
Administrator’s telephone number	6625362500

Signature of

Role	Plan administrator
Date	2010-07-26
Name of individual signing	MUKESH JAIN
Valid signature	Filed with authorized/valid electronic signature

Agent

Name	Role	Address
MUKESH JAIN	Agent	6933 CRUMPLER BLVD STE B, OLIVE BRANCH, MS 38654

Director

Name	Role	Address
MUKESH JAIN	Director	1264 WESLEY DRIVE #103, MEMPHIS, TN 38116
NEELAM JAIN	Director	1264 WESLEY DR #103, MEMPHIS, TN 38116

President

Name	Role	Address
MUKESH JAIN	President	1264 WESLEY DRIVE #103, MEMPHIS, TN 38116

Secretary

Name	Role	Address
NEELAM JAIN	Secretary	1264 WESLEY DR #103, MEMPHIS, TN 38116

Filings

Type	Status	Filed Date	Description
Admin Dissolution	Filed	2004-12-28	Admin Dissolution
Notice to Dissolve/Revoke	Filed	2004-10-20	Notice to Dissolve/Revoke
Name Reservation Form	Filed	2003-02-10	Name Reservation

Date of last update: 28 Dec 2024

Sources: Mississippi Secretary of State