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  5. MISSISSIPPI SPINE CLINIC, PLLC

MISSISSIPPI SPINE CLINIC, PLLC

Company Details

Name: MISSISSIPPI SPINE CLINIC, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 03 Jul 2003 (22 years ago)
Business ID: 735969
ZIP code: 39216
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 971 LAKELAND DRIVE, SUITE 950JACKSON, MS 39216

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MISSISSIPPI SPINE CLINIC, PLLC 2014 200098413 2015-05-19 MISSISSIPPI SPINE CLINIC, PLLC 3
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6019827811
Plan sponsor’s address P. O. BOX 9328, JACKSON, MS 39286, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2015-05-19
Name of individual signing BRAD HATCHETT
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI SPINE CLINIC, PLLC 2014 200098413 2015-05-20 MISSISSIPPI SPINE CLINIC, PLLC 3
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6019827811
Plan sponsor’s address P. O. BOX 9328, JACKSON, MS 39286, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2015-05-20
Name of individual signing BRAD HATCHETT
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI SPINE CLINIC, PLLC 2014 200098413 2015-05-20 MISSISSIPPI SPINE CLINIC, PLLC 3
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6019827811
Plan sponsor’s address P. O. BOX 9328, JACKSON, MS 39286, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2015-05-20
Name of individual signing BRAD HATCHETT
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI SPINE CLINIC, PLLC 401(K) PLAN 2014 200098413 2015-04-14 MISSISSIPPI SPINE CLINIC, PLLC 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6019827811
Plan sponsor’s address P. O. BOX 9328, JACKSON, MS 39286, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2015-04-14
Name of individual signing BRAD HATCHETT
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI SPINE CLINIC, PLLC 401(K) PLAN 2013 200098413 2014-10-13 MISSISSIPPI SPINE CLINIC, PLLC 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6019827811
Plan sponsor’s address P. O. BOX 9328, JACKSON, MS 39286, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing BRADFORD C. HATCHETT
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI SPINE CLINIC, PLLC 401(K) PLAN 2012 200098413 2013-05-22 MISSISSIPPI SPINE CLINIC, PLLC 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6019827811
Plan sponsor’s address P. O. BOX 9328, JACKSON, MS 39286, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2013-05-22
Name of individual signing MISSISSIPPI SPINE CLINIC, PLLC
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI SPINE CLINIC, PLLC 401(K) PLAN 2011 200098413 2012-02-21 MISSISSIPPI SPINE CLINIC, PLLC 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6019827811
Plan sponsor’s address P. O. BOX 9328, JACKSON, MS 39286, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 200098413
Plan administrator’s name MISSISSIPPI SPINE CLINIC, PLLC
Plan administrator’s address P. O. BOX 9328, JACKSON, MS 39286, JACKSON, MS, 39216
Administrator’s telephone number 6019827811

Signature of
Role Plan administrator
Date 2012-02-21
Name of individual signing J. PATRICK BARRETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-02-21
Name of individual signing J. PATRICK BARRETT
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI SPINE CLINIC, PLLC 401(K) PLAN 2010 200098413 2011-05-26 MISSISSIPPI SPINE CLINIC, PLLC 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6019827811
Plan sponsor’s address P. O. BOX 9328, JACKSON, MS 39286, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 200098413
Plan administrator’s name MISSISSIPPI SPINE CLINIC, PLLC
Plan administrator’s address P. O. BOX 9328, JACKSON, MS 39286, JACKSON, MS, 39216
Administrator’s telephone number 6019827811

Signature of
Role Plan administrator
Date 2011-05-26
Name of individual signing J. PATRICK BARRETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-26
Name of individual signing J. PATRICK BARRETT
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI SPINE CLINIC, PLLC 401(K) PLAN 2009 200098413 2010-05-13 MISSISSIPPI SPINE CLINIC, PLLC 13
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6019827811
Plan sponsor’s address P. O. BOX 9328, JACKSON, MS 39286, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 200098413
Plan administrator’s name MISSISSIPPI SPINE CLINIC, PLLC
Plan administrator’s address P. O. BOX 9328, JACKSON, MS 39286, JACKSON, MS, 39216
Administrator’s telephone number 6019827811

Signature of
Role Plan administrator
Date 2010-05-13
Name of individual signing J. PATRICK BARRETT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Stubblefield & Yelverton, PLLC Agent 281 Trace Colony Park Drive, Suite C, Ridgeland, MS 39157

Manager

Name Role Address
J Patrick Barrett MD Manager 3 Highland Park Court, Jackson, MS 39211

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-03-19 Annual Report For MISSISSIPPI SPINE CLINIC, PLLC
Registered Agent Change of Address Filed 2024-03-05 Agent Address Change For Stubblefield & Yelverton, PLLC
Annual Report LLC Filed 2023-03-09 Annual Report For MISSISSIPPI SPINE CLINIC, PLLC
Annual Report LLC Filed 2022-03-14 Annual Report For MISSISSIPPI SPINE CLINIC, PLLC
Annual Report LLC Filed 2021-04-05 Annual Report For MISSISSIPPI SPINE CLINIC, PLLC
Annual Report LLC Filed 2020-01-21 Annual Report For MISSISSIPPI SPINE CLINIC, PLLC
Annual Report LLC Filed 2019-02-11 Annual Report For MISSISSIPPI SPINE CLINIC, PLLC
Annual Report LLC Filed 2018-02-17 Annual Report For MISSISSIPPI SPINE CLINIC, PLLC
Annual Report LLC Filed 2017-03-16 Annual Report For MISSISSIPPI SPINE CLINIC, PLLC
Annual Report LLC Filed 2016-09-27 Annual Report For MISSISSIPPI SPINE CLINIC, PLLC

Related by officers

Stubblefield & Yelverton, PLLC

MINNIE J. BOZEMAN FAMILY LIMITED PARTNERSHIP Harbour Properties, LLC ACCESS CONTROL PLUS, INC. BELLWEATHER FARMS, LLC DAYBREAK PLANTATION, LLC J. PATRICK BARRETT, M.D., P.A. HEARN SISTERS, LLC HEARN/HARRELL, LLC Vortex Energy Systems, LLC Spinal USA Holdings, Inc.

J Patrick Barrett MD

J. PATRICK BARRETT, M.D., P.A.

Related by address

No related companies by address

Date of last update: 07 Jan 2025

Sources: Mississippi Secretary of State

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