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Gulf Coast Rehabilitation Services, Inc.

Company Details

Name: Gulf Coast Rehabilitation Services, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 12 May 2004 (21 years ago)
Business ID: 855387
ZIP code: 39502
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 1310 25Th Avenue;PO Box 130Gulfport, MS 39502

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GULF COAST REHABILITATION SERVICES, INC. 401(K) PLAN 2009 134282536 2010-10-14 GULF COAST REHABILITATION SERVICES, INC. 10
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 624310
Sponsor’s telephone number 2288653106
Plan sponsor’s address 23441 ARCADIA ROAD, PASS CHRISTIAN, MS, 39571

Plan administrator’s name and address

Administrator’s EIN 134282536
Plan administrator’s name GULF COAST REHABILITATION SERVICES, INC.
Plan administrator’s address 23441 ARCADIA ROAD, PASS CHRISTIAN, MS, 39571
Administrator’s telephone number 2288653106

Signature of

Role Plan administrator
Date 2010-10-13
Name of individual signing KENT NICAUD
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-13
Name of individual signing KENT NICAUD
Valid signature Filed with incorrect/unrecognized electronic signature
GULF COAST REHABILITATION SERVICES, INC. 401(K) PLAN 2009 134282536 2010-10-14 GULF COAST REHABILITATION SERVICES, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 624310
Sponsor’s telephone number 2288653106
Plan sponsor’s address 23441 ARCADIA ROAD, PASS CHRISTIAN, MS, 39571

Plan administrator’s name and address

Administrator’s EIN 134282536
Plan administrator’s name GULF COAST REHABILITATION SERVICES, INC.
Plan administrator’s address 23441 ARCADIA ROAD, PASS CHRISTIAN, MS, 39571
Administrator’s telephone number 2288653106

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing KENT NICAUD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing KENT NICAUD
Valid signature Filed with authorized/valid electronic signature
GULF COAST REHABILITATION SERVICES, INC. 401(K) PLAN 2009 134282536 2010-10-11 GULF COAST REHABILITATION SERVICES, INC. 10
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 624310
Sponsor’s telephone number 2288653106
Plan sponsor’s address 23441 ARCADIA ROAD, PASS CHRISTIAN, MS, 39571

Plan administrator’s name and address

Administrator’s EIN 134282536
Plan administrator’s name GULF COAST REHABILITATION SERVICES, INC.
Plan administrator’s address 23441 ARCADIA ROAD, PASS CHRISTIAN, MS, 39571
Administrator’s telephone number 2288653106

Signature of

Role Plan administrator
Date 2010-10-11
Name of individual signing KENT NICAUD
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-11
Name of individual signing KENT NICAUD
Valid signature Filed with incorrect/unrecognized electronic signature
GULF COAST REHABILITATION SERVICES, INC. 401(K) PLAN 2009 134282536 2010-10-11 GULF COAST REHABILITATION SERVICES, INC. 10
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 624310
Sponsor’s telephone number 2288653106
Plan sponsor’s address 23441 ARCADIA ROAD, PASS CHRISTIAN, MS, 39571

Plan administrator’s name and address

Administrator’s EIN 134282536
Plan administrator’s name GULF COAST REHABILITATION SERVICES, INC.
Plan administrator’s address 23441 ARCADIA ROAD, PASS CHRISTIAN, MS, 39571
Administrator’s telephone number 2288653106

Signature of

Role Plan administrator
Date 2010-10-11
Name of individual signing KENT NICAUD
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-11
Name of individual signing KENT NICAUD
Valid signature Filed with incorrect/unrecognized electronic signature
GULF COAST REHABILITATION SERVICES, INC. 401(K) PLAN 2009 134282536 2010-10-11 GULF COAST REHABILITATION SERVICES, INC. 10
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 624310
Sponsor’s telephone number 2288653106
Plan sponsor’s address 23441 ARCADIA ROAD, PASS CHRISTIAN, MS, 39571

Plan administrator’s name and address

Administrator’s EIN 134282536
Plan administrator’s name GULF COAST REHABILITATION SERVICES, INC.
Plan administrator’s address 23441 ARCADIA ROAD, PASS CHRISTIAN, MS, 39571
Administrator’s telephone number 2288653106

Signature of

Role Plan administrator
Date 2010-10-11
Name of individual signing KENT NICAUD
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-10-11
Name of individual signing KENT NICAUD
Valid signature Filed with incorrect/unrecognized electronic signature
GULF COAST REHABILITATION SERVICES, INC. 401(K) PLAN 2009 134282536 2010-09-27 GULF COAST REHABILITATION SERVICES, INC. 10
Three-digit plan number (PN) 001
Effective date of plan 2004-10-01
Business code 624310
Sponsor’s telephone number 2288653106
Plan sponsor’s address 23441 ARCADIA ROAD, PASS CHRISTIAN, MS, 39571

Plan administrator’s name and address

Administrator’s EIN 134282536
Plan administrator’s name GULF COAST REHABILITATION SERVICES, INC.
Plan administrator’s address 23441 ARCADIA ROAD, PASS CHRISTIAN, MS, 39571
Administrator’s telephone number 2288653106

Signature of

Role Plan administrator
Date 2010-09-27
Name of individual signing KENT NICAUD
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2010-09-27
Name of individual signing KENT NICAUD
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
McLaughlin, Matthew P. Agent 401 East Capitol Street, Suite 200;P.O. Box 22587, Jackson, MS 39225

Incorporator

Name Role Address
Matthew P McLaughlin Incorporator 1310 25Th Avenue, Gulfport, MS 39501

Filings

Type Status Filed Date Description
Problem Report Filed 2007-03-13 Problem Report
Admin Dissolution Filed 2007-01-17 Admin Dissolution
Notice to Dissolve/Revoke Filed 2006-10-19 Notice to Dissolve/Revoke
Amendment Form Filed 2005-12-09 Amendment
Annual Report Filed 2005-07-06 Annual Report
Formation Form Filed 2004-05-12 Formation

Date of last update: 08 Jan 2025

Sources: Mississippi Secretary of State