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Jackson Thyroid and Endocrine Clinic, PLLC

Company Details

Name: Jackson Thyroid and Endocrine Clinic, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 04 Apr 2003 (22 years ago)
Business ID: 731872
ZIP code: 39216
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 971 LAKELAND DRIVE, SUITE 353JACKSON, MS 39216
Historical names: JOHN WOODY SISTRUNK, M.D., PLLC

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSON THYROID & ENDOCRINE CLINIC, PLLC 401(K) PROFIT SHARING PLAN 2023 901140615 2024-09-18 JOHN WOODY SISTRUNK, M.D. PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019496990
Plan sponsor’s DBA name JACKSON
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 353, JACKSON, MS, 39216

Signature of

Role Plan administrator
Date 2024-09-18
Name of individual signing MELISSA DUNCAN
Valid signature Filed with authorized/valid electronic signature
JACKSON THYROID & ENDOCRINE CLINIC, PLLC 401(K) PROFIT SHARING PLAN 2022 901140615 2023-10-12 JOHN WOODY SISTRUNK, M.D. PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019496990
Plan sponsor’s DBA name JACKSON
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 353, JACKSON, MS, 39216

Signature of

Role Plan administrator
Date 2023-10-12
Name of individual signing MELISSA DUNCAN
Valid signature Filed with authorized/valid electronic signature
JACKSON THYROID & ENDOCRINE CLINIC, PLLC 401(K) PROFIT SHARING PLAN 2022 901140615 2023-10-11 JOHN WOODY SISTRUNK, M.D. PLLC 10
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019496990
Plan sponsor’s DBA name JACKSON
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 353, JACKSON, MS, 39216

Signature of

Role Plan administrator
Date 2023-10-11
Name of individual signing MELISSA DUNCAN
Valid signature Filed with authorized/valid electronic signature
JACKSON THYROID & ENDOCRINE CLINIC, PLLC 401(K) PROFIT SHARING PLAN 2020 901140615 2021-06-16 JOHN WOODY SISTRUNK, M.D. PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019496990
Plan sponsor’s DBA name JACKSON THYROID & ENDOCRINE CLINIC, PLLC
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 353, JACKSON, MS, 39216

Signature of

Role Plan administrator
Date 2021-06-16
Name of individual signing BEVERLY MAY
Valid signature Filed with authorized/valid electronic signature
JACKSON THYROID & ENDOCRINE CLINIC, PLLC 401(K) PROFIT SHARING PLAN 2019 901140615 2020-05-14 JOHN WOODY SISTRUNK, M.D. PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019496990
Plan sponsor’s DBA name JACKSON THYROID & ENDOCRINE CLINIC, PLLC
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 353, JACKSON, MS, 39216

Signature of

Role Plan administrator
Date 2020-05-14
Name of individual signing BEVERLY MAY
Valid signature Filed with authorized/valid electronic signature
JACKSON THYROID & ENDOCRINE CLINIC, PLLC 401(K) PROFIT SHARING PLAN 2017 901140615 2018-07-18 JOHN WOODY SISTRUNK, M.D. PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6013217243
Plan sponsor’s DBA name JACKSON
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 353, JACKSON, MS, 39216

Signature of

Role Plan administrator
Date 2018-07-18
Name of individual signing PAMELA WALKER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-18
Name of individual signing PAMELA WALKER
Valid signature Filed with authorized/valid electronic signature
JACKSON THYROID & ENDOCRINE CLINIC, PLLC 401(K) PROFIT SHARING PLAN 2015 640947966 2016-07-12 JOHN WOODY SISTRUNK, M.D. PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019496990
Plan sponsor’s DBA name JACKSON THYROID & ENDOCRINE CLINIC, PLLC
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 353, JACKSON, MS, 39216

Signature of

Role Plan administrator
Date 2016-07-12
Name of individual signing BEVERLY MAY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-12
Name of individual signing J. WOODY SISTRUNK, MD
Valid signature Filed with authorized/valid electronic signature
JACKSON THYROID & ENDOCRINE CLINIC, PLLC 401(K) PROFIT SHARING PLAN 2014 640947966 2015-06-09 JOHN WOODY SISTRUNK, M.D. PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019496990
Plan sponsor’s DBA name JACKSON THYROID & ENDOCRINE CLINIC, PLLC
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 353, JACKSON, MS, 39216

Signature of

Role Plan administrator
Date 2015-06-09
Name of individual signing J WOODY SISTRUNK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-09
Name of individual signing J WOODY SISTRUNK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOHN WOODY SISTRUNK Agent 971 Lakeland Drive, St. Dominic West Tower, Suite 353, Jackson, MS 39216

Member

Name Role Address
John Woody Sistrunk Member 971 LAKELAND DRIVE, SUITE 353, JACKSON, MS 39216

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-01-25 Annual Report For Jackson Thyroid and Endocrine Clinic, PLLC
Annual Report LLC Filed 2023-01-20 Annual Report For Jackson Thyroid and Endocrine Clinic, PLLC
Annual Report LLC Filed 2022-01-16 Annual Report For Jackson Thyroid and Endocrine Clinic, PLLC
Annual Report LLC Filed 2021-01-28 Annual Report For Jackson Thyroid and Endocrine Clinic, PLLC
Annual Report LLC Filed 2020-01-24 Annual Report For Jackson Thyroid and Endocrine Clinic, PLLC
Annual Report LLC Filed 2019-02-13 Annual Report For Jackson Thyroid and Endocrine Clinic, PLLC
Annual Report LLC Filed 2018-01-09 Annual Report For Jackson Thyroid and Endocrine Clinic, PLLC
Annual Report LLC Filed 2017-09-25 Annual Report For Jackson Thyroid and Endocrine Clinic, PLLC
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke
Annual Report LLC Filed 2016-01-15 Annual Report For Jackson Thyroid and Endocrine Clinic, PLLC

Date of last update: 29 Dec 2024

Sources: Mississippi Secretary of State