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Leslie Brooks Gray, M.D., P.A.

Company Details

Name: Leslie Brooks Gray, M.D., P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 21 Nov 2006 (18 years ago)
Business ID: 902535
ZIP code: 39301
County: Lauderdale
State of Incorporation: MISSISSIPPI
Principal Office Address: 2111 14th StreetMeridian, MS 39301

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDICAL ARTS SURGICAL GROUP 401(K) SAFE HARBOR PLAN 2012 205953104 2013-08-07 LESLIE BROOKS GRAY, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6016933834
Plan sponsor’s address 2111 14TH STREET, MERIDIAN, MS, 39301

Signature of

Role Plan administrator
Date 2013-08-07
Name of individual signing LESLIE BROOKS GRAY, M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-07
Name of individual signing LESLIE BROOKS GRAY, M.D.
Valid signature Filed with authorized/valid electronic signature
MEDICAL ARTS SURGICAL GROUP 401(K) SAFE HARBOR PLAN 2011 205953104 2012-07-19 LESLIE BROOKS GRAY, M.D., P.A. 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6016933834
Plan sponsor’s address 2111 14TH STREET, MERIDIAN, MS, 39301

Plan administrator’s name and address

Administrator’s EIN 205953104
Plan administrator’s name LESLIE BROOKS GRAY, M.D., P.A.
Plan administrator’s address 2111 14TH STREET, MERIDIAN, MS, 39301
Administrator’s telephone number 6016933834

Signature of

Role Plan administrator
Date 2012-07-18
Name of individual signing L BROOKS GRAY
Valid signature Filed with authorized/valid electronic signature
MEDICAL ARTS SURGICAL GROUP 401(K) SAFE HARBOR PLAN 2010 205953104 2011-08-01 LESLIE BROOKS GRAY, M.D., P.A. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6016933834
Plan sponsor’s address 2111 14TH STREET, MERIDIAN, MS, 39301

Plan administrator’s name and address

Administrator’s EIN 205953104
Plan administrator’s name LESLIE BROOKS GRAY, M.D., P.A.
Plan administrator’s address 2111 14TH STREET, MERIDIAN, MS, 39301
Administrator’s telephone number 6016933834

Signature of

Role Plan administrator
Date 2011-08-01
Name of individual signing L BROOKS GRAY
Valid signature Filed with authorized/valid electronic signature
MEDICAL ARTS SURGICAL GROUP 401(K) SAFE HARBOR PLAN 2009 205953104 2010-06-09 LESLIE BROOKS GRAY, M.D. P.A. 1
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6016933834
Plan sponsor’s address 2111 14TH STREET, MERIDIAN, MS, 39301

Plan administrator’s name and address

Administrator’s EIN 205953104
Plan administrator’s name LESLIE BROOKS GRAY, M.D. P.A.
Plan administrator’s address 2111 14TH STREET, MERIDIAN, MS, 39301
Administrator’s telephone number 6016933834

Signature of

Role Plan administrator
Date 2010-06-09
Name of individual signing L BROOKS GRAY
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role Address
Walton, Ronnie L Incorporator 1724-a 23rd AvenueP O Box 5514, Meridian, MS 39301

Director

Name Role Address
Leslie B Gray Director 2111 14th Street, Meridian, MS 39301

President

Name Role Address
Leslie B Gray President 2111 14th Street, Meridian, MS 39301

Agent

Name Role Address
Walton, Ronnie L Agent 1724-A 23rd Avenue;P O Box 5514, Meridian, MS 39301

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2021-11-29 Action of Intent to Dissolve: AR: Leslie Brooks Gray, M.D., P.A.
Notice to Dissolve/Revoke Filed 2021-09-07 Notice of Intent to Dissolve: AR: Leslie Brooks Gray, M.D., P.A.
Annual Report Filed 2020-04-15 Annual Report For Leslie Brooks Gray, M.D., P.A.
Annual Report Filed 2019-04-15 Annual Report For Leslie Brooks Gray, M.D., P.A.
Annual Report Filed 2018-04-13 Annual Report For Leslie Brooks Gray, M.D., P.A.
Annual Report Filed 2017-04-10 Annual Report For Leslie Brooks Gray, M.D., P.A.
Annual Report Filed 2016-03-25 Annual Report For Leslie Brooks Gray, M.D., P.A.
Annual Report Filed 2015-03-18 Annual Report For Leslie Brooks Gray, M.D., P.A.
Annual Report Filed 2014-03-20 Annual Report
Annual Report Filed 2013-04-12 Annual Report

Date of last update: 01 Jan 2025

Sources: Mississippi Secretary of State