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  5. Mississippi Ear, Nose & Throat Surgical Associates, P.C.

Mississippi Ear, Nose & Throat Surgical Associates, P.C.

Company Details

Name: Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 16 Jan 2004 (21 years ago)
Business ID: 850045
ZIP code: 39232
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 2550 Flowood Drive, Suite 303Flowood, MS 39232

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2022 200633548 2023-07-05 MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6017097700
Plan sponsor’s address 2550 FLOWOOD DRIVE SUITE 303, FLOWOOD, MS, 39232

Signature of
Role Plan administrator
Date 2023-07-05
Name of individual signing MELISSA SMITH
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2021 200633548 2022-04-19 MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6017097700
Plan sponsor’s address 2550 FLOWOOD DRIVE, SUITE 303, FLOWOOD, MS, 39232
MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2020 200633548 2021-07-27 MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6017097700
Plan sponsor’s address 2550 FLOWOOD DRIVE, SUITE 303, FLOWOOD, MS, 39232
MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2019 200633548 2020-06-03 MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6017097700
Plan sponsor’s address 2550 FLOWOOD DRIVE, SUITE 303, FLOWOOD, MS, 39232
MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2018 200633548 2019-10-02 MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6017097700
Plan sponsor’s address 2550 FLOWOOD DRIVE, SUITE 303, FLOWOOD, MS, 39232
MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2017 200633548 2018-08-03 MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6017097700
Plan sponsor’s address 2550 FLOWOOD DRIVE, SUITE 303, FLOWOOD, MS, 39232
MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2016 200633548 2017-06-08 MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6017097700
Plan sponsor’s address 2550 FLOWOOD DRIVE, SUITE 303, FLOWOOD, MS, 39232
MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2015 200633548 2016-07-15 MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6017097700
Plan sponsor’s address 2550 FLOWOOD DRIVE, SUITE 303, FLOWOOD, MS, 39232
MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2014 200633548 2015-06-16 MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6017097700
Plan sponsor’s address 2550 FLOWOOD DRIVE, SUITE 303, FLOWOOD, MS, 39232
MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 401(K) PLAN 2013 200633548 2014-04-10 MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6017097700
Plan sponsor’s address 501 MARSHALL STREET, SUITE 501, JACKSON, MS, 39202
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/02/21/20130221111302P030133793729001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6017097700
Plan sponsor’s address 501 MARSHALL STREET, SUITE 501, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2013-02-21
Name of individual signing C. MICHAEL OSBORNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-02-21
Name of individual signing C. MICHAEL OSBORNE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/03/01/20120301091007P030044946113001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6017097700
Plan sponsor’s address 501 MARSHALL STREET, SUITE 501, JACKSON, MS, 39202

Plan administrator’s name and address
Administrator’s EIN 200633548
Plan administrator’s name MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C.
Plan administrator’s address 501 MARSHALL STREET, SUITE 501, JACKSON, MS, 39202
Administrator’s telephone number 6017097700

Signature of
Role Plan administrator
Date 2012-03-01
Name of individual signing C. MICHAEL OSBORNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-01
Name of individual signing C. MICHAEL OSBORNE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/20/20110720084354P030096934545001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6017097700
Plan sponsor’s address 501 MARSHALL STREET, SUITE 501, JACKSON, MS, 39202

Plan administrator’s name and address
Administrator’s EIN 200633548
Plan administrator’s name MISSISSIPPI EAR, NOSE & THROAT SURGICAL ASSOCIATES, P.C.
Plan administrator’s address 501 MARSHALL STREET, SUITE 501, JACKSON, MS, 39202
Administrator’s telephone number 6017097700

Signature of
Role Plan administrator
Date 2011-07-20
Name of individual signing C MICHAEL OSBORNE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-20
Name of individual signing C MICHAEL OSBORNE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/29/20100729143415P030022122006001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-07-01
Business code 621111
Sponsor’s telephone number 6017097700
Plan sponsor’s address 501 MARSHALL STREET, SUITE 501, JACKSON, MS, 39202

Plan administrator’s name and address
Administrator’s EIN 200633548
Plan administrator’s name MISSISSIPPI EAR NOSE THROAT SURGICAL ASSOCIATES
Plan administrator’s address 501 MARSHALL STREET, SUITE 501, JACKSON, MS, 39202
Administrator’s telephone number 6017097700

Signature of
Role Plan administrator
Date 2010-07-29
Name of individual signing CLARENCE MICHAEL OSBORNE, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-29
Name of individual signing CLARENCE MICHAEL OSBORNE, MD
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role Address
G Todd Burwell Incorporator 447 Northpark Drive, Ridgeland, MS 39157

Director

Name Role Address
Stephen F Lee MD Director 2550 Flowood Drive, Suite 303, Flowood, MS 39232
Benjamin T. Jeffcoat Director 2550 Flowood Drive, Suite 303, Flowood, MS 39232
J Peyton Hines, MD Director 2550 Flowood Drive, Suite 303, Flowood, MS 39232

President

Name Role Address
Stephen F Lee MD President 2550 Flowood Drive, Suite 303, Flowood, MS 39232

Vice President

Name Role Address
Benjamin T. Jeffcoat Vice President 2550 Flowood Drive, Suite 303, Flowood, MS 39232

Secretary

Name Role Address
J Peyton Hines, MD Secretary 2550 Flowood Drive, Suite 303, Flowood, MS 39232

Treasurer

Name Role Address
J Peyton Hines, MD Treasurer 2550 Flowood Drive, Suite 303, Flowood, MS 39232

Agent

Name Role Address
Burwell, G Todd Agent 618 Crescent Blvd, Suite 200, Ridgeland, MS 39157

Filings

Type Status Filed Date Description
Annual Report Filed 2024-01-30 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Annual Report Filed 2023-05-18 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Annual Report Filed 2023-01-19 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Annual Report Filed 2022-03-09 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Annual Report Filed 2021-03-01 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Annual Report Filed 2020-04-21 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Annual Report Filed 2019-01-07 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Annual Report Filed 2018-04-02 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Annual Report Filed 2017-01-17 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.
Annual Report Filed 2016-03-15 Annual Report For Mississippi Ear, Nose & Throat Surgical Associates, P.C.

Related by officers

G Todd Burwell

HICKORY CREEK CORPORATION ADVANCED ORTHOPEDIC ASSOCIATES, P.C. G TODD BURWELL, P.A. BURWELL PROPERTIES, LLC Central Coast Realty, LLC Southern Accent Homes, Inc. Four Boys Aviation, LLC Greer Properties, LLC Ark, LLC South Central Properties, LLC

Stephen F Lee MD

Stephen F. Lee, M.D., PLLC

Burwell, G Todd

SECURITY & INTEGRATED SYSTEMS SUPPORT, INC. Brown & White, LLC Service Plus Communications of Mississippi, LLC Central Coast Realty, LLC Oxford Urology Associates, PLLC Oxford Urology Associates, PLLC Spinacare Systems of Mississippi, LLC Four Boys Aviation, LLC E-hance, LLC

Related by address

2550 Flowood Drive, Suite 303Flowood, MS 39232

Scott E. Harrison, M.D., PLLC Benjamin T. Jeffcoat, M.D., PLLC Stephen F. Lee, M.D., PLLC C. Michael Osborne, M.D., PLLC

Date of last update: 07 Jan 2025

Sources: Mississippi Secretary of State

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