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  5. MidSouth Medicine, P.C.

MidSouth Medicine, P.C.

Company Details

Name: MidSouth Medicine, P.C.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 13 Aug 2004 (21 years ago)
Business ID: 859586
ZIP code: 38671
County: DeSoto
State of Incorporation: MISSISSIPPI
Principal Office Address: 2149 State Line Rd,WestSouthaven, MS 38671

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MIDSOUTH MEDICINE 401(K) PROFIT 2016 201213308 2017-02-13 MIDSOUTH MEDICINE 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6623421112
Plan sponsor’s address 2149 W STATELINE ROAD, SOUTHAVEN, MS, 38671

Signature of
Role Plan administrator
Date 2017-02-13
Name of individual signing CIAO NEWMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-02-13
Name of individual signing CIAO NEWMAN
Valid signature Filed with authorized/valid electronic signature
MIDSOUTH MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2015 201213308 2017-01-12 MIDSOUTH MEDICINE 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6623421112
Plan sponsor’s address 2149 W STATELINE ROAD, SOUTHAVEN, MS, 38671

Signature of
Role Plan administrator
Date 2017-01-12
Name of individual signing CIAO NEWMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-01-12
Name of individual signing CIAO NEWMAN
Valid signature Filed with authorized/valid electronic signature
MIDSOUTH MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2015 201213308 2016-06-01 MIDSOUTH MEDICINE 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6623421112
Plan sponsor’s address 2149 W STATELINE ROAD, SOUTHAVEN, MS, 38671

Signature of
Role Plan administrator
Date 2016-06-01
Name of individual signing CIAO NEWMAN
Valid signature Filed with authorized/valid electronic signature
MIDSOUTH MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2014 201213308 2015-06-09 MIDSOUTH MEDICINE 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6623421112
Plan sponsor’s address 2149 W STATELINE ROAD, SOUTHAVEN, MS, 38671

Signature of
Role Plan administrator
Date 2015-06-09
Name of individual signing CIAO NEWMAN
Valid signature Filed with authorized/valid electronic signature
MIDSOUTH MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2013 201213308 2014-06-03 MIDSOUTH MEDICINE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6623421112
Plan sponsor’s address 2149 W STATELINE ROAD, SOUTHAVEN, MS, 38671

Signature of
Role Plan administrator
Date 2014-06-03
Name of individual signing CIAO NEWMAN
Valid signature Filed with authorized/valid electronic signature
MIDSOUTH MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2012 201213308 2013-08-20 MIDSOUTH MEDICINE 7
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6623421112
Plan sponsor’s address 2149 W STATELINE ROAD, SOUTHAVEN, MS, 38671

Signature of
Role Plan administrator
Date 2013-08-20
Name of individual signing CIAO NEWMAN
Valid signature Filed with authorized/valid electronic signature
MIDSOUTH MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2012 201213308 2013-09-12 MIDSOUTH MEDICINE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6623421112
Plan sponsor’s address 2149 W STATELINE ROAD, SOUTHAVEN, MS, 38671

Signature of
Role Plan administrator
Date 2013-09-12
Name of individual signing CIAO NEWMAN
Valid signature Filed with authorized/valid electronic signature
MIDSOUTH MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2011 201213308 2012-06-12 MIDSOUTH MEDICINE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6623421112
Plan sponsor’s address 2149 W STATELINE ROAD, SOUTHAVEN, MS, 38671

Plan administrator’s name and address
Administrator’s EIN 201213308
Plan administrator’s name MIDSOUTH MEDICINE
Plan administrator’s address 2149 W STATELINE ROAD, SOUTHAVEN, MS, 38671
Administrator’s telephone number 6623421112

Signature of
Role Plan administrator
Date 2012-06-12
Name of individual signing CIAO NEWMAN
Valid signature Filed with authorized/valid electronic signature
MIDSOUTH MEDICINE 401(K) PROFIT SHARING PLAN & TRUST 2010 201213308 2011-07-18 MIDSOUTH MEDICINE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6623421112
Plan sponsor’s address 2149 W STATELINE ROAD, SOUTHAVEN, MS, 38671

Plan administrator’s name and address
Administrator’s EIN 201213308
Plan administrator’s name MIDSOUTH MEDICINE
Plan administrator’s address 2149 W STATELINE ROAD, SOUTHAVEN, MS, 38671
Administrator’s telephone number 6623421112

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing CIAO NEWMAN
Valid signature Filed with authorized/valid electronic signature
MIDSOUTH MEDICINE 401 K PROFIT SHARING PLAN & TRUST 2009 201213308 2012-01-25 MIDSOUTH MEDICINE No data
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Plan sponsor’s mailing address 2149 STATELINE RD W, SOUTHHAVEN, MS, 38671
Plan sponsor’s address 2149 STATELINE RD W, SOUTHHAVEN, MS, 38671

Plan administrator’s name and address
Administrator’s EIN 201213308
Plan administrator’s name MIDSOUTH MEDICINE
Plan administrator’s address 2149 STATELINE RD W, SOUTHHAVEN, MS, 38671
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/19/20100719150121P030130310674001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6623421112
Plan sponsor’s address 2149 STATELINE RD W, SOUTHAVEN, MS, 386710000

Plan administrator’s name and address
Administrator’s EIN 201213308
Plan administrator’s name MIDSOUTH MEDICINE
Plan administrator’s address 2149 STATELINE RD W, SOUTHAVEN, MS, 386710000
Administrator’s telephone number 6623421112

Signature of
Role Plan administrator
Date 2010-07-19
Name of individual signing MIDSOUTH MEDICINE
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role Address
Ciao Zheng Newman Incorporator 391 Southcrest Suite 104, Southaven, MS 38671

Director

Name Role Address
Ciao Zheng Newman Director 2149 Stateline Rd. W., Southaven, MS 38671
David Newman Director 2149 W Stateline Rd, Southaven, MS 38671

President

Name Role Address
Ciao Zheng Newman President 2149 Stateline Rd. W., Southaven, MS 38671

Vice President

Name Role Address
David Newman Vice President 2149 W Stateline Rd, Southaven, MS 38671

Agent

Name Role Address
Newman, Ciao Zheng Agent 2149 W State Line Rd., Southaven , MS 38671

Filings

Type Status Filed Date Description
Annual Report Filed 2025-02-10 Annual Report For MidSouth Medicine, P.C.
Annual Report Filed 2024-02-01 Annual Report For MidSouth Medicine, P.C.
Annual Report Filed 2023-01-23 Annual Report For MidSouth Medicine, P.C.
Annual Report Filed 2022-02-09 Annual Report For MidSouth Medicine, P.C.
Annual Report Filed 2021-03-25 Annual Report For MidSouth Medicine, P.C.
Annual Report Filed 2020-05-14 Annual Report For MidSouth Medicine, P.C.
Annual Report Filed 2019-05-19 Annual Report For MidSouth Medicine, P.C.
Annual Report Filed 2018-04-04 Annual Report For MidSouth Medicine, P.C.
Annual Report Filed 2017-04-05 Annual Report For MidSouth Medicine, P.C.
Notice to Dissolve/Revoke Filed 2016-09-06 Notice to Dissolve/Revoke

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7016037010 2020-04-07 0470 PPP 2149 Stateline Road West, SOUTHAVEN, MS, 38671-1222
Loan Status Date 2020-12-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 261100
Loan Approval Amount (current) 261100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39217
Servicing Lender Name Community Bank of Mississippi
Servicing Lender Address 1905, Community Bank Way, Flowood, MS, 39232
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address SOUTHAVEN, DESOTO, MS, 38671-1222
Project Congressional District MS-01
Number of Employees 21
NAICS code 621111
Borrower Race Asian
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 39217
Originating Lender Name Community Bank of Mississippi
Originating Lender Address Flowood, MS
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 262709.52
Forgiveness Paid Date 2020-11-23

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Related by address

No related companies by address

Date of last update: 27 Mar 2025

Sources: Mississippi Secretary of State

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