| Name: | David Carroll M.D., PLLC |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Limited Liability Company |
| Status: | Good Standing |
| Effective Date: | 26 Sep 2005 (20 years ago) |
| Business ID: | 878601 |
| ZIP code: | 39216 |
| County: | Hinds |
| State of Incorporation: | MISSISSIPPI |
| Principal Office Address: | 971 Lakeland Dr, Suite 1460Jackson, MS 39216 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID CARROLL, M.D., PLLC 401(K) PLAN | 2014 | 203540507 | 2015-07-21 | DAVID CARROLL, M.D.,PLLC | 16 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2015-07-21 |
| Name of individual signing | MICHELLE CAMPBELL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2002-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6013666606 |
| Plan sponsor’s address | 1020 RIVER OAKS DR, SUITE 100, FLOWOOD, MS, 39232 |
Plan administrator’s name and address
| Administrator’s EIN | 203540507 |
| Plan administrator’s name | DAVID CARROLL, M.D.,PLLC |
| Plan administrator’s address | 1020 RIVER OAKS DR SUITE 100, FLOWOOD, MS, 39232 |
| Administrator’s telephone number | 6013666606 |
Signature of
| Role | Plan administrator |
| Date | 2014-07-31 |
| Name of individual signing | MICHELLE CAMPBELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Carroll, David R | Agent | 971 Lakeland Dr., Suite 1460, Jackson, MS 39216 |
| Name | Role | Address |
|---|---|---|
| David R. Carroll | Member | 971 Lakeland Drive, Suite 1460, Jackson, MS 39216 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Annual Report LLC | Filed | 2025-02-04 | Annual Report For David Carroll M.D., PLLC |
| Annual Report LLC | Filed | 2024-01-30 | Annual Report For David Carroll M.D., PLLC |
| Amendment Form | Filed | 2024-01-02 | Amendment For David Carroll M.D., PLLC |
| Annual Report LLC | Filed | 2023-01-24 | Annual Report For David Carroll M.D., PLLC |
| Annual Report LLC | Filed | 2022-02-14 | Annual Report For David Carroll M.D., PLLC |
| Annual Report LLC | Filed | 2021-03-02 | Annual Report For David Carroll M.D., PLLC |
| Annual Report LLC | Filed | 2020-01-15 | Annual Report For David Carroll M.D., PLLC |
| Annual Report LLC | Filed | 2019-02-25 | Annual Report For David Carroll M.D., PLLC |
| Annual Report LLC | Filed | 2018-01-30 | Annual Report For David Carroll M.D., PLLC |
| Annual Report LLC | Filed | 2017-01-23 | Annual Report For David Carroll M.D., PLLC |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3984597100 | 2020-04-12 | 0470 | PPP | 971 LAKELAND DR, JACKSON, MS, 39216-4600 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 6621608407 | 2021-02-10 | 0470 | PPS | 971 Lakeland Dr, Jackson, MS, 39216-4643 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 20 Mar 2025
Sources: Mississippi Secretary of State
