| Name: | Simpson Community Healthcare, Inc. |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Non Profit Corporation |
| Status: | Good Standing |
| Effective Date: | 04 Jan 2005 (20 years ago) |
| Business ID: | 865776 |
| State of Incorporation: | MISSISSIPPI |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SIMPSON GENERAL HOSPITAL 403(B) PLAN | 2009 | 870741588 | 2010-10-14 | SIMPSON COMMUNITY HEALTHCARE | 93 | |||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 870741588 |
| Plan administrator’s name | SIMPSON COMMUNITY HEALTHCARE |
| Plan administrator’s address | 1842 SIMPSON HIGHWAY 149, MENDENHALL, MS, 39114 |
| Administrator’s telephone number | 6018472221 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-14 |
| Name of individual signing | JUDY GOBER |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-07-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 6018472221 |
| Plan sponsor’s address | 1842 SIMPSON HIGHWAY 149, MENDENHALL, MS, 39114 |
Plan administrator’s name and address
| Administrator’s EIN | 870741588 |
| Plan administrator’s name | SIMPSON COMMUNITY HEALTHCARE |
| Plan administrator’s address | 1842 SIMPSON HIGHWAY 149, MENDENHALL, MS, 39114 |
| Administrator’s telephone number | 6018472221 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-14 |
| Name of individual signing | JUDY GOBER |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Role | Employer/plan sponsor |
| Date | 2010-10-14 |
| Name of individual signing | JUDY GOBER |
| Valid signature | Filed with incorrect/unrecognized electronic signature |
| Name | Role | Address |
|---|---|---|
| Smith, William H, III | Agent | 1634 Simpson Hwy 149;P O Box 606, Mendenhall, MS 39114 |
| Name | Role | Address |
|---|---|---|
| William H Smith III | Incorporator | 1634 Simpson Hwy 149, Mendenhall, MS 39114 |
| James M Nester | Incorporator | 116 Johnny Rawls Road, Mendenhall, MS 39114 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Formation Form | Filed | 2005-01-04 | Formation |
Date of last update: 09 Jan 2025
Sources: Mississippi Secretary of State
