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Southwest MS Nephrology, PLLC

Company Details

Name: Southwest MS Nephrology, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 15 May 2003 (22 years ago)
Business ID: 733946
ZIP code: 39601
County: Lincoln
State of Incorporation: MISSISSIPPI
Principal Office Address: 513-C BROOKMAN DRBROOKHAVEN, MS 39601
Historical names: SOUTHWEST MISSISSIPPI NEPHROLOGY, PLLC

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHWEST MS NEPHROLOGY, PLLC 401(K) SALARY SAVINGS PLAN 2022 680552743 2023-10-07 SOUTHWEST MS NEPHROLOGY, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6018333822
Plan sponsor’s address 513-C BROOKMAN DRIVE, BROOKHAVEN, MS, 39601
SOUTHWEST MS NEPHROLOGY, PLLC 401(K) SALARY SAVINGS PLAN 2021 680552743 2022-09-12 SOUTHWEST MS NEPHROLOGY, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6018333822
Plan sponsor’s address 513-C BROOKMAN DRIVE, BROOKHAVEN, MS, 39601
SOUTHWEST MS NEPHROLOGY, PLLC 401(K) SALARY SAVINGS PLAN 2020 680552743 2021-09-28 SOUTHWEST MS NEPHROLOGY, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6018333822
Plan sponsor’s address 513-C BROOKMAN DRIVE, BROOKHAVEN, MS, 39601
SOUTHWEST MS NEPHROLOGY, PLLC 401(K) SALARY SAVINGS PLAN 2019 680552743 2020-05-12 SOUTHWEST MS NEPHROLOGY, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6018333822
Plan sponsor’s address 513-C BROOKMAN DRIVE, BROOKHAVEN, MS, 39601
SOUTHWEST MS NEPHROLOGY, PLLC 401(K) SALARY SAVINGS PLAN 2018 680552743 2019-05-22 SOUTHWEST MS NEPHROLOGY, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6018333822
Plan sponsor’s address 513-C BROOKMAN DRIVE, BROOKHAVEN, MS, 39601
SOUTHWEST MS NEPHROLOGY, PLLC 401(K) SALARY SAVINGS PLAN 2017 680552743 2018-04-16 SOUTHWEST MS NEPHROLOGY, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6018333822
Plan sponsor’s address 513-C BROOKMAN DRIVE, BROOKHAVEN, MS, 39601
SOUTHWEST MS NEPHROLOGY, PLLC 401(K) SALARY SAVINGS PLAN 2016 680552743 2017-04-05 SOUTHWEST MS NEPHROLOGY, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6018333822
Plan sponsor’s address 513-C BROOKMAN DRIVE, BROOKHAVEN, MS, 396012326

Signature of

Role Plan administrator
Date 2017-04-05
Name of individual signing BRAXTER IRBY, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST MS NEPHROLOGY, PLLC 401(K) SALARY SAVINGS PLAN 2015 680552743 2016-05-19 SOUTHWEST MS NEPHROLOGY, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6018333822
Plan sponsor’s address 513-C BROOKMAN DRIVE, BROOKHAVEN, MS, 396012326

Signature of

Role Plan administrator
Date 2016-05-19
Name of individual signing BRAXTER IRBY, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST MS NEPHROLOGY, PLLC 401(K) SALARY SAVINGS PLAN 2014 680552743 2015-05-13 SOUTHWEST MS NEPHROLOGY, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6018333822
Plan sponsor’s address 513-C BROOKMAN DRIVE, BROOKHAVEN, MS, 396012326

Signature of

Role Plan administrator
Date 2015-05-13
Name of individual signing BRAXTER IRBY, MD
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST MS NEPHROLOGY, PLLC 401(K) SALARY SAVINGS PLAN 2013 680552743 2014-07-02 SOUTHWEST MS NEPHROLOGY, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6018333822
Plan sponsor’s address 513-C BROOKMAN DRIVE, BROOKHAVEN, MS, 396012326

Signature of

Role Plan administrator
Date 2014-07-02
Name of individual signing BRAXTER IRBY, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/25/20130425152956P040189215891001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6018333822
Plan sponsor’s address 513-C BROOKMAN DRIVE, BROOKHAVEN, MS, 396012326

Signature of

Role Plan administrator
Date 2013-04-25
Name of individual signing BRAXTER IRBY, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/20/20120620111820P040002684501001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6018333822
Plan sponsor’s address 513-C BROOKMAN DRIVE, BROOKHAVEN, MS, 396012326

Plan administrator’s name and address

Administrator’s EIN 680552743
Plan administrator’s name SOUTHWEST MS NEPHROLOGY, PLLC
Plan administrator’s address 513-C BROOKMAN DRIVE, BROOKHAVEN, MS, 396012326
Administrator’s telephone number 6018333822

Signature of

Role Plan administrator
Date 2012-06-20
Name of individual signing BRAXTER IRBY, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/09/20110509140526P030017323159001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6018333822
Plan sponsor’s address 513-C BROOKMAN DRIVE, BROOKHAVEN, MS, 396012326

Plan administrator’s name and address

Administrator’s EIN 680552743
Plan administrator’s name SOUTHWEST MS NEPHROLOGY, PLLC
Plan administrator’s address 513-C BROOKMAN DRIVE, BROOKHAVEN, MS, 396012326
Administrator’s telephone number 6018333822

Signature of

Role Plan administrator
Date 2011-05-09
Name of individual signing BRAXTER IRBY, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/06/20100706140451P030033511015001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6018333822
Plan sponsor’s address 513-C BROOKMAN DRIVE, BROOKHAVEN, MS, 396012326

Plan administrator’s name and address

Administrator’s EIN 680552743
Plan administrator’s name SOUTHWEST MS NEPHROLOGY, PLLC
Plan administrator’s address 513-C BROOKMAN DRIVE, BROOKHAVEN, MS, 396012326
Administrator’s telephone number 6018333822

Signature of

Role Plan administrator
Date 2010-07-06
Name of individual signing BRAXTER IRBY, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Paul G. Dykes MD Agent 513-C BROOKMAN DR, BROOKHAVEN, MS 39601

Manager

Name Role Address
Paul G. Dykes MD Manager 513-C Brookman Drive, Brookhaven, MS 39601

Member

Name Role Address
Paul G. Dykes MD Member 513-C Brookman Drive, Brookhaven, MS 39601
Richard Eric Miller MD Member 513-C Brookman Drive, BROOKHAVEN, MS 39601

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-02-08 Annual Report For Southwest MS Nephrology, PLLC
Annual Report LLC Filed 2023-02-23 Annual Report For Southwest MS Nephrology, PLLC
Annual Report LLC Filed 2022-02-24 Annual Report For Southwest MS Nephrology, PLLC
Annual Report LLC Filed 2021-02-18 Annual Report For Southwest MS Nephrology, PLLC
Annual Report LLC Filed 2020-04-14 Annual Report For Southwest MS Nephrology, PLLC
Annual Report LLC Filed 2020-03-30 Annual Report For Southwest MS Nephrology, PLLC
Amendment Form Filed 2020-03-30 Amendment For Southwest MS Nephrology, PLLC
Annual Report LLC Filed 2019-04-15 Annual Report For Southwest MS Nephrology, PLLC
Annual Report LLC Filed 2018-02-15 Annual Report For Southwest MS Nephrology, PLLC
Annual Report LLC Filed 2017-02-16 Annual Report For Southwest MS Nephrology, PLLC

Date of last update: 07 Jan 2025

Sources: Mississippi Secretary of State