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Oxford Urology Associates, PLLC

Company Details

Name: Oxford Urology Associates, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Name Reservation
Status: Expired
Effective Date: 20 Jul 2005 (20 years ago)
Business ID: 875407
ZIP code: 38655
County: Lafayette
State of Incorporation: MISSISSIPPI
Principal Office Address: 1201 MEDICAL PARK DRIVEOXFORD, MS 38655

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OXFORD UROLOGY ASSOCIATES, PLLC 401(K) PLAN 2023 203188670 2024-09-10 OXFORD UROLOGY ASSOCIATES, PLLC 83
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 2168 S LAMAR BLVD, OXFORD, MS, 38655
OXFORD UROLOGY ASSOCIATES, PLLC 401(K) PLAN 2022 203188670 2023-08-29 OXFORD UROLOGY ASSOCIATES, PLLC 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 2168 S LAMAR BLVD, OXFORD, MS, 38655
OXFORD UROLOGY ASSOCIATES, PLLC 401(K) PLAN 2021 203188670 2022-09-29 OXFORD UROLOGY ASSOCIATES, PLLC 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 2168 S LAMAR BLVD, OXFORD, MS, 38655
OXFORD UROLOGY ASSOCIATES, PLLC 401(K) PLAN 2020 203188670 2021-11-17 OXFORD UROLOGY ASSOCIATES, PLLC 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655

Signature of

Role Plan administrator
Date 2021-11-17
Name of individual signing DOYLE LAND RENFROE
Valid signature Filed with authorized/valid electronic signature
OXFORD UROLOGY ASSOCIATES, PLLC 401(K) PLAN 2019 203188670 2020-08-18 OXFORD UROLOGY ASSOCIATES, PLLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655

Signature of

Role Plan administrator
Date 2020-08-18
Name of individual signing DOYLE LAND RENFROE
Valid signature Filed with authorized/valid electronic signature
OXFORD UROLOGY ASSOCIATES, PLLC 401(K) PLAN 2018 203188670 2019-07-10 OXFORD UROLOGY ASSOCIATES, PLLC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655

Signature of

Role Plan administrator
Date 2019-07-10
Name of individual signing DOYLE LAND RENFROE
Valid signature Filed with authorized/valid electronic signature
OXFORD UROLOGY ASSOCIATES, PLLC 401(K) PLAN 2017 203188670 2018-07-31 OXFORD UROLOGY ASSOCIATES, PLLC 35
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655

Signature of

Role Plan administrator
Date 2018-07-31
Name of individual signing DOYLE LAND RENFROE
Valid signature Filed with authorized/valid electronic signature
OXFORD UROLOGY ASSOCIATES, PLLC 401(K) PLAN 2017 203188670 2019-10-31 OXFORD UROLOGY ASSOCIATES, PLLC 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655

Signature of

Role Plan administrator
Date 2019-10-31
Name of individual signing DOYLE LAND RENFROE
Valid signature Filed with authorized/valid electronic signature
OXFORD UROLOGY ASSOCIATES, PLLC 401(K) PLAN 2016 203188670 2017-07-19 OXFORD UROLOGY ASSOCIATES, PLLC 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655

Signature of

Role Plan administrator
Date 2017-07-19
Name of individual signing DOYLE LAND RENFROE
Valid signature Filed with authorized/valid electronic signature
OXFORD UROLOGY ASSOCIATES, PLLC 401(K) PLAN 2015 203188670 2016-09-14 OXFORD UROLOGY ASSOCIATES, PLLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/12/20151012143933P030040168423001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655

Signature of

Role Plan administrator
Date 2015-10-12
Name of individual signing LAND RENFROE MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/15/20141015171255P030021418461001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing LAND RENFROE MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-15
Name of individual signing LAND RENFROE MD
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655

Signature of

Role Plan administrator
Date 2013-10-16
Name of individual signing LAND RENFROE MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-16
Name of individual signing LAND RENFROE MD
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655

Signature of

Role Plan administrator
Date 2013-07-08
Name of individual signing LAND RENFROE MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-08
Name of individual signing LAND RENFROE MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/11/01/20131101083459P030063619331001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655

Signature of

Role Plan administrator
Date 2013-11-01
Name of individual signing LAND RENFROE MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-11-01
Name of individual signing LAND RENFROE MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/18/20120718080050P040000496467001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655

Plan administrator’s name and address

Administrator’s EIN 203188670
Plan administrator’s name OXFORD UROLOGY ASSOCIATES, PLLC
Plan administrator’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655
Administrator’s telephone number 6622341448

Signature of

Role Plan administrator
Date 2012-07-13
Name of individual signing LAND RENFROE MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-13
Name of individual signing LAND RENFROE MD
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655

Plan administrator’s name and address

Administrator’s EIN 203188670
Plan administrator’s name OXFORD UROLOGY ASSOCIATES, PLLC
Plan administrator’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655
Administrator’s telephone number 6622341448

Signature of

Role Plan administrator
Date 2012-07-13
Name of individual signing LAND RENFROE MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-13
Name of individual signing LAND RENFROE MD
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655

Plan administrator’s name and address

Administrator’s EIN 203188670
Plan administrator’s name OXFORD UROLOGY ASSOCIATES, PLLC
Plan administrator’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655
Administrator’s telephone number 6622341448

Signature of

Role Plan administrator
Date 2011-10-27
Name of individual signing LAND RENFROE, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-27
Name of individual signing LAND RENFROE, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/06/20120606155620P040030543650001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655

Plan administrator’s name and address

Administrator’s EIN 203188670
Plan administrator’s name OXFORD UROLOGY ASSOCIATES, PLLC
Plan administrator’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655
Administrator’s telephone number 6622341448

Signature of

Role Plan administrator
Date 2012-06-06
Name of individual signing FRANK HARRISON
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655

Plan administrator’s name and address

Administrator’s EIN 203188670
Plan administrator’s name OXFORD UROLOGY ASSOCIATES, PLLC
Plan administrator’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655
Administrator’s telephone number 6622341448

Signature of

Role Plan administrator
Date 2011-09-26
Name of individual signing LAND RENFROE, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-26
Name of individual signing LAND RENFROE, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/18/20100818160051P030019231365001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6622341448
Plan sponsor’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655

Plan administrator’s name and address

Administrator’s EIN 203188670
Plan administrator’s name OXFORD UROLOGY ASSOCIATES, PLLC
Plan administrator’s address 1201 MEDICAL PARK DR, OXFORD, MS, 38655
Administrator’s telephone number 6622341448

Signature of

Role Plan administrator
Date 2010-08-18
Name of individual signing LAND RENFROE, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Burwell, G Todd Agent 124 One Madison Plaza, Suite 2100, Madison, MS 39110

Member

Name Role Address
Spell, Robert L. Member 618 Crescent Blvd Ste 200, Ridgeland, MS 39157
Land Renfroe Member 1201 MEDICAL PARK DRIVE, OXFORD, MS 38655

Filings

Type Status Filed Date Description
Registered Agent Change of Address Filed 2022-06-14 Agent Address Change For Burwell, G Todd
Name Reservation Form Filed 2005-07-19 Name Reservation

Date of last update: 30 Dec 2024

Sources: Mississippi Secretary of State