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Lafayette Pediatric Clinic, LLC

Company Details

Name: Lafayette Pediatric Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 25 Sep 2007 (17 years ago)
Business ID: 919799
ZIP code: 38655
County: Lafayette
State of Incorporation: MISSISSIPPI
Principal Office Address: 1115 MIMOSA DR.OXFORD, MS 38655

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
LAFAYETTE PEDIATRIC CLINIC 401(K) & PROFIT SHARING PLAN 2023 562676244 2024-09-04 LAFAYETTE PEDIATRIC CLINIC, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6622363939
Plan sponsor’s address 1300 ACCESS ROAD, SUITE 400, OXFORD, MS, 38655
LAFAYETTE PEDIATRIC CLINIC 401(K) & PROFIT SHARING PLAN 2022 562676244 2023-09-21 LAFAYETTE PEDIATRIC CLINIC, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6622363939
Plan sponsor’s address 1300 ACCESS ROAD, SUITE 400, OXFORD, MS, 38655
LAFAYETTE PEDIATRIC CLINIC 401(K) & PROFIT SHARING PLAN 2021 562676244 2022-09-19 LAFAYETTE PEDIATRIC CLINIC, LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6622363939
Plan sponsor’s address 1300 ACCESS ROAD, SUITE 400, OXFORD, MS, 38655
LAFAYETTE PEDIATRIC CLINIC 401(K) & PROFIT SHARING PLAN 2020 562676244 2021-08-06 LAFAYETTE PEDIATRIC CLINIC, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6622363939
Plan sponsor’s address 1300 ACCESS ROAD, SUITE 400, OXFORD, MS, 38655

Signature of

Role Plan administrator
Date 2021-08-06
Name of individual signing DR. TANYA FITTS
Valid signature Filed with authorized/valid electronic signature
LAFAYETTE PEDIATRIC CLINIC 401(K) & PROFIT SHARING PLAN 2019 562676244 2020-09-28 LAFAYETTE PEDIATRIC CLINIC, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6622363939
Plan sponsor’s address 1300 ACCESS ROAD, SUITE 400, OXFORD, MS, 38655
LAFAYETTE PEDIATRIC CLINIC 401(K) & PROFIT SHARING PLAN 2018 562676244 2019-10-02 LAFAYETTE PEDIATRIC CLINIC, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 6622363939
Plan sponsor’s address 1300 ACCESS ROAD, SUITE 400, OXFORD, MS, 38655

Agent

Name Role Address
Fitts King, Tanya Jean Agent 527 Exbury Dr, PO Box 1592, Oxford, MS 38655

Member

Name Role Address
Tanya Fitts Member PO BOX 1592, 527 EXBURY DR., OXFORD, MS 38655
Tanya Jean Fitts King Member 527 Exbury Dr, PO Box 1592, Oxford, MS 38655

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-01-19 Annual Report For Lafayette Pediatric Clinic, LLC
Annual Report LLC Filed 2023-01-19 Annual Report For Lafayette Pediatric Clinic, LLC
Annual Report LLC Filed 2022-01-19 Annual Report For Lafayette Pediatric Clinic, LLC
Annual Report LLC Filed 2021-01-26 Annual Report For Lafayette Pediatric Clinic, LLC
Annual Report LLC Filed 2020-01-10 Annual Report For Lafayette Pediatric Clinic, LLC
Annual Report LLC Filed 2019-01-08 Annual Report For Lafayette Pediatric Clinic, LLC
Annual Report LLC Filed 2018-01-05 Annual Report For Lafayette Pediatric Clinic, LLC
Annual Report LLC Filed 2017-03-31 Annual Report For Lafayette Pediatric Clinic, LLC
Annual Report LLC Filed 2016-06-22 Annual Report For Lafayette Pediatric Clinic, LLC
Annual Report LLC Filed 2015-04-01 Annual Report For Lafayette Pediatric Clinic, LLC

Date of last update: 02 Jan 2025

Sources: Mississippi Secretary of State