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  5. Performance Physical Therapy, Inc.

Performance Physical Therapy, Inc.

Company Details

Name: Performance Physical Therapy, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 11 Jun 2007 (18 years ago)
Business ID: 913816
ZIP code: 38829
County: Prentiss
State of Incorporation: MISSISSIPPI
Principal Office Address: 809 North Second StreetBooneville, MS 38829
Historical names: Advanced Physical Therapy of Baldwyn, Inc.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PERFORMANCE PHYSICAL THERAPY, INC. SAFE HARBOR 401(K) PLAN 2023 260580558 2024-07-02 PERFORMANCE PHYSICAL THERAPY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 6623655610
Plan sponsor’s address 715 HWY 45, BALDWYN, MS, 38824

Signature of
Role Plan administrator
Date 2024-07-02
Name of individual signing SCOTT SLACK
Valid signature Filed with authorized/valid electronic signature
PERFORMANCE PHYSICAL THERAPY, INC. SAFE HARBOR 401(K) PLAN 2022 260580558 2023-08-02 PERFORMANCE PHYSICAL THERAPY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 6623655610
Plan sponsor’s address 715 HWY 45, BALDWYN, MS, 38824

Signature of
Role Plan administrator
Date 2023-08-02
Name of individual signing SCOTT SLACK
Valid signature Filed with authorized/valid electronic signature
PERFORMANCE PHYSICAL THERAPY, INC. SAFE HARBOR 401(K) PLAN 2021 260580558 2022-07-21 PERFORMANCE PHYSICAL THERAPY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 6623655610
Plan sponsor’s address 809 N 2ND ST., BOONEVILLE, MS, 38829

Signature of
Role Plan administrator
Date 2022-07-21
Name of individual signing SCOTT SLACK
Valid signature Filed with authorized/valid electronic signature
PERFORMANCE PHYSICAL THERAPY, INC. SAFE HARBOR 401(K) PLAN 2020 260580558 2021-06-15 PERFORMANCE PHYSICAL THERAPY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 6623655610
Plan sponsor’s address 809 N 2ND ST., BOONEVILLE, MS, 38829

Signature of
Role Plan administrator
Date 2021-06-15
Name of individual signing SCOTT SLACK
Valid signature Filed with authorized/valid electronic signature
PERFORMANCE PHYSICAL THERAPY, INC. SAFE HARBOR 401(K) PLAN 2019 260580558 2020-07-22 PERFORMANCE PHYSICAL THERAPY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 6623655610
Plan sponsor’s address 809 N 2ND ST., BOONEVILLE, MS, 38829

Signature of
Role Plan administrator
Date 2020-07-22
Name of individual signing SCOTT SLACK
Valid signature Filed with authorized/valid electronic signature
PERFORMANCE PHYSICAL THERAPY, INC. SAFE HARBOR 401(K) PLAN 2018 260580558 2019-07-22 PERFORMANCE PHYSICAL THERAPY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 6623655610
Plan sponsor’s address 809 N 2ND ST., BOONEVILLE, MS, 38829

Signature of
Role Plan administrator
Date 2019-07-22
Name of individual signing SCOTT SLACK
Valid signature Filed with authorized/valid electronic signature
PERFORMANCE PHYSICAL THERAPY, INC. SAFE HARBOR 401(K) PLAN 2017 260580558 2018-06-19 PERFORMANCE PHYSICAL THERAPY, INC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 6623655610
Plan sponsor’s address 809 N 2ND ST, BOONEVILLE, MS, 38829

Signature of
Role Plan administrator
Date 2018-06-19
Name of individual signing SCOTT SLACK
Valid signature Filed with authorized/valid electronic signature
PERFORMANCE PHYSICAL THERAPY, INC. SAFE HARBOR 401(K) PLAN 2016 260580558 2017-07-07 PERFORMANCE PHYSICAL THERAPY, INC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 6623655610
Plan sponsor’s address 809 N 2ND ST, BOONEVILLE, MS, 38829

Signature of
Role Plan administrator
Date 2017-07-07
Name of individual signing SCOTT SLACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-07
Name of individual signing SCOTT SLACK
Valid signature Filed with authorized/valid electronic signature
PERFORMANCE PHYSICAL THERAPY, INC. SAFE HARBOR 401(K) PLAN 2015 260580558 2016-04-25 PERFORMANCE PHYSICAL THERAPY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 6623655610
Plan sponsor’s address P. O. BOX 366, BALDWYN, MS, 38824
PERFORMANCE PHYSICAL THERAPY, INC. SAFE HARBOR 401(K) PLAN 2014 260580558 2015-05-21 PERFORMANCE PHYSICAL THERAPY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 6623655610
Plan sponsor’s address 809 NORTH 2ND STREET, BOONEVILLE, MS, 38829
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/17/20140717150048P030043795543001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 6623655610
Plan sponsor’s address P. O. BOX 366, BALDWYN, MS, 38824
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/27/20130827133238P040136359893001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 6623655610
Plan sponsor’s address P. O. BOX 366, BALDWYN, MS, 38824

Signature of
Role Plan administrator
Date 2013-08-27
Name of individual signing SCOTT SLACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-27
Name of individual signing SCOTT SLACK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/11/20120711141341P030001157906001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 6623655610
Plan sponsor’s address P. O. BOX 366, BALDWYN, MS, 38824

Plan administrator’s name and address
Administrator’s EIN 260580558
Plan administrator’s name PERFORMANCE PHYSICAL THERAPY, INC.
Plan administrator’s address P. O. BOX 366, BALDWYN, MS, 38824
Administrator’s telephone number 6623655610

Signature of
Role Plan administrator
Date 2012-07-11
Name of individual signing SCOTT SLACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-11
Name of individual signing SCOTT SLACK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/19/20110719094356P030014082434001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 6623655610
Plan sponsor’s address P. O. BOX 366, BALDWYN, MS, 38824

Plan administrator’s name and address
Administrator’s EIN 260580558
Plan administrator’s name PERFORMANCE PHYSICAL THERAPY, INC.
Plan administrator’s address P. O. BOX 366, BALDWYN, MS, 38824
Administrator’s telephone number 6623655610

Signature of
Role Plan administrator
Date 2011-07-19
Name of individual signing ROBERT SLACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-19
Name of individual signing ROBERT SLACK
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/30/20100930164838P040001177121001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621340
Sponsor’s telephone number 6623655610
Plan sponsor’s address P. O. BOX 366, BALDWYN, MS, 38824

Plan administrator’s name and address
Administrator’s EIN 260580558
Plan administrator’s name PERFORMANCE PHYSICAL THERAPY, INC.
Plan administrator’s address P. O. BOX 366, BALDWYN, MS, 38824
Administrator’s telephone number 6623655610

Signature of
Role Plan administrator
Date 2010-09-30
Name of individual signing ROBERT S. SLACK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-30
Name of individual signing ROBERT S. SLACK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Slack, Scott Agent 50 CR 5361, Booneville, MS 38829

Incorporator

Name Role Address
Scott Slack Incorporator 50 County Road 5361, Booneville, MS 38829

President

Name Role Address
Scott Slack President 50 CR 5361, Booneville, MS 38829

Vice President

Name Role Address
Jason Yarber Vice President 191 Cr 7301, Booneville, MS 38829

Director

Name Role Address
Scott Slack Director 50 CR 5361, Booneville, MS 38829

Filings

Type Status Filed Date Description
Annual Report Filed 2024-02-20 Annual Report For Performance Physical Therapy, Inc.
Annual Report Filed 2023-02-24 Annual Report For Performance Physical Therapy, Inc.
Annual Report Filed 2022-04-14 Annual Report For Performance Physical Therapy, Inc.
Annual Report Filed 2021-04-15 Annual Report For Performance Physical Therapy, Inc.
Annual Report Filed 2020-02-28 Annual Report For Performance Physical Therapy, Inc.
Annual Report Filed 2019-03-28 Annual Report For Performance Physical Therapy, Inc.
Annual Report Filed 2018-01-31 Annual Report For Performance Physical Therapy, Inc.
Annual Report Filed 2017-03-02 Annual Report For Performance Physical Therapy, Inc.
Annual Report Filed 2016-02-09 Annual Report For Performance Physical Therapy, Inc.
Annual Report Filed 2015-06-22 Annual Report For Performance Physical Therapy, Inc.

Related by officers

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Jason Yarber

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Related by address

No related companies by address

Date of last update: 02 Jan 2025

Sources: Mississippi Secretary of State

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