| Name: | Midsouth Internal Medicine Physicians PLLC |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Limited Liability Company |
| Status: | Dissolved |
| Effective Date: | 17 Jan 2007 (18 years ago) |
| Business ID: | 905300 |
| State of Incorporation: | MISSISSIPPI |
| Historical names: |
Mid-South Internal Medicine Physicians PLLC |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MID-SOUTH INTERNAL MEDICINE PHYSICIANS, PLLC RETIREMENT SAVINGS PLAN | 2009 | 208105889 | 2011-11-14 | MID-SOUTH INTERNAL MEDICINE PHYSICIANS, PLLC | 11 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 208105889 |
| Plan administrator’s name | MID-SOUTH INTERNAL MEDICINE PHYSICIANS, PLLC |
| Plan administrator’s address | 7736 AIRWAYS BLVD, SOUTHAVEN, MS, 38671 |
| Administrator’s telephone number | 6625363201 |
Signature of
| Role | Plan administrator |
| Date | 2011-11-14 |
| Name of individual signing | CARRIE BOSWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-10-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6625363201 |
| Plan sponsor’s address | 7736 AIRWAYS BLVD, SOUTHAVEN, MS, 38671 |
Plan administrator’s name and address
| Administrator’s EIN | 208105889 |
| Plan administrator’s name | MID-SOUTH INTERNAL MEDICINE PHYSICIANS, PLLC |
| Plan administrator’s address | 7736 AIRWAYS BLVD, SOUTHAVEN, MS, 38671 |
| Administrator’s telephone number | 6625363201 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-04 |
| Name of individual signing | CARRIE BOSWELL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Thakur, Tapan | Agent | 401 Southcrest Circle Suite 104, Southaven, MS 38671 |
| Name | Role | Address |
|---|---|---|
| Tapan Thakur | Member | 401 Southcrest Circle Suite 104, Southaven, MS 38671 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Failure to File AR | Filed | 2011-12-05 | Failure to File AR |
| Amendment Form | Filed | 2007-05-31 | Amendment |
| Formation Form | Filed | 2007-01-17 | Formation |
Date of last update: 01 Jan 2025
Sources: Mississippi Secretary of State
