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  5. JACKSON ORTHOPAEDIC CLINIC, P.A.

JACKSON ORTHOPAEDIC CLINIC, P.A.

Company Details

Name: JACKSON ORTHOPAEDIC CLINIC, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 19 Nov 2003 (21 years ago)
Business ID: 742061
ZIP code: 39216
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 971 Lakeland Drive, Suite 1252Jackson, MS 39216

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSON ORTHOPAEDIC CLINIC, P.A. 401(K) PLAN 2023 200408310 2024-09-20 JACKSON ORTHOPAEDIC CLINIC, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019817212
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1252, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2024-09-20
Name of individual signing KIMBERLY WILLIAMS
Valid signature Filed with authorized/valid electronic signature
JACKSON ORTHOPAEDIC CLINIC, P.A. 401(K) PLAN 2022 200408310 2023-10-16 JACKSON ORTHOPAEDIC CLINIC, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019817212
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1252, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2023-10-16
Name of individual signing KIMBERLY WILLIAMS
Valid signature Filed with authorized/valid electronic signature
JACKSON ORTHOPAEDIC CLINIC, P.A. 401(K) PLAN 2021 200408310 2022-10-13 JACKSON ORTHOPAEDIC CLINIC, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019817212
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1252, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2022-10-13
Name of individual signing KIMBERLY WILLIAMS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-13
Name of individual signing KIMBERLY WILLIAMS
Valid signature Filed with authorized/valid electronic signature
JACKSON ORTHOPAEDIC CLINIC, P.A. 401(K) PLAN 2020 200408310 2021-09-03 JACKSON ORTHOPAEDIC CLINIC, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019817212
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1252, JACKSON, MS, 39216
JACKSON ORTHOPAEDIC CLINIC, P.A. 401(K) PLAN 2019 200408310 2020-09-25 JACKSON ORTHOPAEDIC CLINIC, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019817212
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1252, JACKSON, MS, 39216
JACKSON ORTHOPAEDIC CLINIC, P.A. 401(K) PLAN 2018 200408310 2019-10-07 JACKSON ORTHOPAEDIC CLINIC, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019817212
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1252, JACKSON, MS, 39216
JACKSON ORTHOPAEDIC CLINIC, P.A. 401(K) PLAN 2017 200408310 2018-10-12 JACKSON ORTHOPAEDIC CLINIC, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019817212
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1252, JACKSON, MS, 39216
JACKSON ORTHOPAEDIC CLINIC, P.A. 401(K) PLAN 2016 200408310 2017-10-12 JACKSON ORTHOPAEDIC CLINIC, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019817212
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1252, JACKSON, MS, 39216
JACKSON ORTHOPAEDIC CLINIC, P.A. 401(K) PLAN 2015 200408310 2016-10-11 JACKSON ORTHOPAEDIC CLINIC, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019817212
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 1252, JACKSON, MS, 39216
JACKSON ORTHOPAEDIC CLINIC, P.A. 401(K) PLAN 2014 200408310 2015-10-05 JACKSON ORTHOPAEDIC CLINIC, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019817212
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 950, JACKSON, MS, 39216
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/11/20141011094831P040042755399001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019817212
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 950, JACKSON, MS, 39216
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/07/20131007104037P030011629029001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019817212
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 950, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2013-10-07
Name of individual signing DAVID J. GANDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-07
Name of individual signing DAVID J. GANDY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/08/20121008102647P030000623892001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019817212
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 950, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 200408310
Plan administrator’s name JACKSON ORTHOPAEDIC CLINIC, P.A.
Plan administrator’s address 971 LAKELAND DRIVE, SUITE 950, JACKSON, MS, 39216
Administrator’s telephone number 6019817212

Signature of
Role Plan administrator
Date 2012-10-08
Name of individual signing DAVID J. GANDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-08
Name of individual signing DAVID J. GANDY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/15/20110715143111P040014239378001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019817212
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 950, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 200408310
Plan administrator’s name JACKSON ORTHOPAEDIC CLINIC, P.A.
Plan administrator’s address 971 LAKELAND DRIVE, SUITE 950, JACKSON, MS, 39216
Administrator’s telephone number 6019817212

Signature of
Role Plan administrator
Date 2011-07-15
Name of individual signing DAVID J. GANDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-15
Name of individual signing DAVID J. GANDY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/23/20100723150009P070022218930001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6019817212
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 950, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 200408310
Plan administrator’s name JACKSON ORTHOPAEDIC CLINIC, P.A.
Plan administrator’s address 971 LAKELAND DRIVE, SUITE 950, JACKSON, MS, 39216
Administrator’s telephone number 6019817212

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing DAVID J. GANDY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-23
Name of individual signing DAVID J. GANDY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JERRY L. MILLS Agent 800 Avery Blvd. North, Suite 101, Ridgeland, MS 39157

Incorporator

Name Role Address
David P Gandy Incorporator 1048 Northpointe, Jackson, MS 39211

Director

Name Role Address
James A Smitherman Director 971 Lakeland Drive, Suite 1252, Jackson, MS 39216

President

Name Role Address
James A Smitherman President 971 Lakeland Drive, Suite 1252, Jackson, MS 39216

Treasurer

Name Role Address
James A Smitherman Treasurer 971 Lakeland Drive, Suite 1252, Jackson, MS 39216

Filings

Type Status Filed Date Description
Annual Report Filed 2024-03-25 Annual Report For JACKSON ORTHOPAEDIC CLINIC, P.A.
Annual Report Filed 2023-01-16 Annual Report For JACKSON ORTHOPAEDIC CLINIC, P.A.
Annual Report Filed 2022-02-18 Annual Report For JACKSON ORTHOPAEDIC CLINIC, P.A.
Annual Report Filed 2021-03-01 Annual Report For JACKSON ORTHOPAEDIC CLINIC, P.A.
Annual Report Filed 2020-01-26 Annual Report For JACKSON ORTHOPAEDIC CLINIC, P.A.
Annual Report Filed 2019-02-07 Annual Report For JACKSON ORTHOPAEDIC CLINIC, P.A.
Annual Report Filed 2018-01-09 Annual Report For JACKSON ORTHOPAEDIC CLINIC, P.A.
Amendment Form Filed 2017-08-31 Amendment For JACKSON ORTHOPAEDIC CLINIC, P.A.
Annual Report Filed 2017-01-30 Annual Report For JACKSON ORTHOPAEDIC CLINIC, P.A.
Annual Report Filed 2016-03-15 Annual Report For JACKSON ORTHOPAEDIC CLINIC, P.A.

Related by officers

JERRY L. MILLS

MILLS & SCANLON, 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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