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  5. Primesource Nursing Services, Inc.

Primesource Nursing Services, Inc.

Headquarter

Company Details

Name: Primesource Nursing Services, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 01 Feb 2005 (20 years ago)
Business ID: 867099
ZIP code: 39507
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 370 Courthouse Rd, Suite 106Gulfport, MS 39507

Links between entities

Type Company Name Company Number State
Headquarter of Primesource Nursing Services, Inc., FLORIDA F17000001730 FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRIMESOURCE NURSING SERVICES, INC. 401(K) PLAN 2023 202282072 2024-07-08 PRIMESOURCE NURSING SERVICES, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 2288651330
Plan sponsor’s address 307 COURTHOUSE ROAD, STE 106, GULFPORT, MS, 39507

Signature of
Role Plan administrator
Date 2024-07-08
Name of individual signing JANA PLAUCHE
Valid signature Filed with authorized/valid electronic signature
PRIMESOURCE NURSING SERVICES, INC. 401(K) PLAN 2022 202282072 2023-07-24 PRIMESOURCE NURSING SERVICES, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 2288651330
Plan sponsor’s address 307 COURTHOUSE ROAD, STE 106, GULFPORT, MS, 39507

Signature of
Role Plan administrator
Date 2023-07-24
Name of individual signing JANA PLAUCHE
Valid signature Filed with authorized/valid electronic signature
PRIMESOURCE NURSING SERVICES, INC. 401(K) PLAN 2021 202282072 2022-07-26 PRIMESOURCE NURSING SERVICES, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 2288651330
Plan sponsor’s address 370 COURTHOUSE ROAD, SUITE 106, GULFPORT, MS, 39507

Signature of
Role Plan administrator
Date 2022-07-26
Name of individual signing JANA PLAUCHE
Valid signature Filed with authorized/valid electronic signature
PRIMESOURCE NURSING SERVICES, INC. 401(K) PLAN 2020 202282072 2021-06-02 PRIMESOURCE NURSING SERVICES, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 2288651330
Plan sponsor’s address 370 COURTHOUSE ROAD, SUITE 106, GULFPORT, MS, 39507

Signature of
Role Plan administrator
Date 2021-06-02
Name of individual signing JANA PLAUCHE
Valid signature Filed with authorized/valid electronic signature
PRIMESOURCE NURSING SERVICES, INC. 401(K) PLAN 2019 202282072 2020-06-18 PRIMESOURCE NURSING SERVICES, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 2288651330
Plan sponsor’s address 38 PASS ROAD, SUITE A, GULFPORT, MS, 39507

Signature of
Role Plan administrator
Date 2020-06-18
Name of individual signing JANA PLAUCHE
Valid signature Filed with authorized/valid electronic signature
PRIMESOURCE NURSING SERVICES, INC. 401(K) PLAN 2018 202282072 2019-06-20 PRIMESOURCE NURSING SERVICES, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 2288651330
Plan sponsor’s address 38 PASS ROAD, SUITE A, GULFPORT, MS, 39507

Signature of
Role Plan administrator
Date 2019-06-20
Name of individual signing JANA PLAUCHE
Valid signature Filed with authorized/valid electronic signature
PRIMESOURCE NURSING SERVICES, INC. 401(K) PLAN 2017 202282072 2018-07-10 PRIMESOURCE NURSING SERVICES, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 2288651330
Plan sponsor’s address 38 PASS ROAD, SUITE A, GULFPORT, MS, 39507

Signature of
Role Plan administrator
Date 2018-07-10
Name of individual signing JANA PLAUCHE
Valid signature Filed with authorized/valid electronic signature
PRIMESOURCE NURSING SERVICES, INC. 401(K) PLAN 2016 202282072 2017-08-08 PRIMESOURCE NURSING SERVICES, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 2288651330
Plan sponsor’s address 38 PASS ROAD, SUITE A, GULFPORT, MS, 39507

Signature of
Role Plan administrator
Date 2017-08-08
Name of individual signing JANA PLAUCHE
Valid signature Filed with authorized/valid electronic signature
PRIMESOURCE NURSING SERVICES, INC. 401(K) PLAN 2015 202282072 2016-10-05 PRIMESOURCE NURSING SERVICES, INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 2288651330
Plan sponsor’s address 38 PASS ROAD, SUITE A, GULFPORT, MS, 39507
PRIMESOURCE NURSING SERVICES, INC. 401(K) PLAN 2014 202282072 2015-10-05 PRIMESOURCE NURSING SERVICES, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 2288651330
Plan sponsor’s address 651 35TH STREET SUITE B, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2015-10-05
Name of individual signing RHETT PLAUCHE'
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/30/20140730144432P040063481591001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 2288651330
Plan sponsor’s address 651 35TH STREET SUITE B, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2014-07-30
Name of individual signing RHETT PLAUCHE'
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-30
Name of individual signing RHETT PLAUCHE'
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/26/20130626071741P030351432753001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 2288651330
Plan sponsor’s address 651 35TH STREET SUITE B, GULFPORT, MS, 39501

Signature of
Role Plan administrator
Date 2013-06-26
Name of individual signing RHETT PLAUCHE'
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-26
Name of individual signing RHETT PLAUCHE'
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/30/20120730084937P030001077509001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 2288651330
Plan sponsor’s address 651 35TH STREET SUITE B, GULFPORT, MS, 39501

Plan administrator’s name and address
Administrator’s EIN 202282072
Plan administrator’s name PRIMESOURCE NURSING SERVICES, INC.
Plan administrator’s address 651 35TH STREET SUITE B, GULFPORT, MS, 39501
Administrator’s telephone number 2288651330

Signature of
Role Plan administrator
Date 2012-07-30
Name of individual signing RHETT PLAUCHE'
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-30
Name of individual signing RHETT PLAUCHE'
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 2288651330
Plan sponsor’s address 651 35TH STREET SUITE B, GULFPORT, MS, 39501

Plan administrator’s name and address
Administrator’s EIN 202282072
Plan administrator’s name PRIMESOURCE NURSING SERVICES, INC.
Plan administrator’s address 651 35TH STREET SUITE B, GULFPORT, MS, 39501
Administrator’s telephone number 2288651330

Signature of
Role Plan administrator
Date 2012-06-25
Name of individual signing RHETT PLAUCHE'
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-25
Name of individual signing RHETT PLAUCHE'
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/09/20110809113428P040112229569001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 2288651330
Plan sponsor’s address 651 35TH STREET SUITE B, GULFPORT, MS, 39501

Plan administrator’s name and address
Administrator’s EIN 202282072
Plan administrator’s name PRIMESOURCE NURSING SERVICES, INC.
Plan administrator’s address 651 35TH STREET SUITE B, GULFPORT, MS, 39501
Administrator’s telephone number 2288651330

Signature of
Role Plan administrator
Date 2011-08-09
Name of individual signing RHETT PLAUCHE'
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-09
Name of individual signing RHETT PLAUCHE'
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/09/20101009135323P070008447714001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 2288651330
Plan sponsor’s address 651 35TH STREET SUITE B, GULFPORT, MS, 39501

Plan administrator’s name and address
Administrator’s EIN 202282072
Plan administrator’s name PRIMESOURCE NURSING SERVICES, INC.
Plan administrator’s address 651 35TH STREET SUITE B, GULFPORT, MS, 39501
Administrator’s telephone number 2288651330

Signature of
Role Plan administrator
Date 2010-10-09
Name of individual signing FRANK HARRISON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Jana Plauche Agent 370 Courthouse Rd, Ste 106, GULFPORT, MS 39507

Incorporator

Name Role Address
Plauche, Jana Incorporator 651 35th Street, Suite B, Gulfport, MS 39501

Director

Name Role Address
Rhett Plauche Director PO Box 6705, Gulfport, MS 39501

President

Name Role Address
Rhett Plauche President PO Box 6705, Gulfport, MS 39501

Vice President

Name Role Address
Jana Plauche Vice President 370 Courthouse Rd, Ste 108, Gulfport, MS 39507

Filings

Type Status Filed Date Description
Annual Report Filed 2024-04-03 Annual Report For Primesource Nursing Services, Inc.
Annual Report Filed 2023-04-13 Annual Report For Primesource Nursing Services, Inc.
Annual Report Filed 2022-03-04 Annual Report For Primesource Nursing Services, Inc.
Amendment Form Filed 2021-04-13 Amendment For Primesource Nursing Services, Inc.
Annual Report Filed 2021-04-13 Annual Report For Primesource Nursing Services, Inc.
Annual Report Filed 2020-03-09 Annual Report For Primesource Nursing Services, Inc.
Annual Report Filed 2019-04-04 Annual Report For Primesource Nursing Services, Inc.
Annual Report Filed 2018-10-25 Annual Report For Primesource Nursing Services, Inc.
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Annual Report Filed 2017-04-10 Annual Report For Primesource Nursing Services, Inc.

Related by officers

Jana Plauche

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Plauche, Jana

PNS Family Clinic LLC

Rhett Plauche

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Related by address

No related companies by address

Date of last update: 09 Jan 2025

Sources: Mississippi Secretary of State

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