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  5. Mississippi Premier Plastic Surgery, PLLC

Mississippi Premier Plastic Surgery, PLLC

Company Details

Name: Mississippi Premier Plastic Surgery, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 25 Sep 2008 (16 years ago)
Business ID: 938731
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 160 Fountains Blvd Ste BMadison, MS 39110
Historical names: Premier Plastic Surgery PLLC

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MS PREMIER PLASTIC SURGERY 401(K) PLAN 2023 263443949 2024-06-14 MISSISSIPPI PREMIER PLASTIC SURGERY, PLLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621112
Sponsor’s telephone number 6019812525
Plan sponsor’s address 160 FOUNTAINS BOULEVARD, SUITE B, MADISON, MS, 39110

Signature of
Role Plan administrator
Date 2024-06-13
Name of individual signing EMILE PICARELLA, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-06-14
Name of individual signing WILLIAM DOTIE JACKSON, MD
Valid signature Filed with authorized/valid electronic signature
MS PREMIER PLASTIC SURGERY 401(K) PLAN 2022 263443949 2023-07-28 MISSISSIPPI PREMIER PLASTIC SURGERY, PLLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621112
Sponsor’s telephone number 6019812525
Plan sponsor’s address 160 FOUNTAINS BOULEVARD, SUITE B, MADISON, MS, 39110

Signature of
Role Plan administrator
Date 2023-07-26
Name of individual signing EMILE PICARELLA, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-28
Name of individual signing WILLIAM DOTIE JACKSON, MD
Valid signature Filed with authorized/valid electronic signature
MS PREMIER PLASTIC SURGERY 401(K) PLAN 2021 263443949 2022-07-13 MISSISSIPPI PREMIER PLASTIC SURGERY, PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621112
Sponsor’s telephone number 6019812525
Plan sponsor’s address 160 FOUNTAINS BOULEVARD, SUITE B, MADISON, MS, 39110

Signature of
Role Plan administrator
Date 2022-06-29
Name of individual signing EMILE PICARELLA, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-13
Name of individual signing WILLIAM DOTIE JACKSON, MD
Valid signature Filed with authorized/valid electronic signature
MS PREMIER PLASTIC SURGERY 401(K) PLAN 2020 263443949 2021-06-15 MISSISSIPPI PREMIER PLASTIC SURGERY, PLLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621112
Sponsor’s telephone number 6019812525
Plan sponsor’s address 160 FOUNTAINS BOULEVARD, SUITE B, MADISON, MS, 39110

Signature of
Role Plan administrator
Date 2021-06-14
Name of individual signing EMILE PICARELLA, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-15
Name of individual signing WILLIAM DOTIE JACKSON, MD
Valid signature Filed with authorized/valid electronic signature
MS PREMIER PLASTIC SURGERY 401(K) PLAN 2019 263443949 2020-04-08 MISSISSIPPI PREMIER PLASTIC SURGERY , PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621112
Sponsor’s telephone number 6019812525
Plan sponsor’s address 160 FOUNTAINS BOULEVARD, SUITE B, MADISON, MS, 39110

Signature of
Role Plan administrator
Date 2020-04-08
Name of individual signing SOMPRASONG SONGCHAROEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-08
Name of individual signing PATRICIA B. BYERS
Valid signature Filed with authorized/valid electronic signature
MS PREMIER PLASTIC SURGERY 401(K) PLAN 2018 263443949 2019-06-14 MISSISSIPPI PREMIER PLASTIC SURGERY , PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621112
Sponsor’s telephone number 6019812525
Plan sponsor’s address 160 FOUNTAINS BOULEVARD, SUITE B, MADISON, MS, 39110

Signature of
Role Plan administrator
Date 2019-06-14
Name of individual signing SOMPRASONG SONGCHAROEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-14
Name of individual signing PATRICIA B. BYERS
Valid signature Filed with authorized/valid electronic signature
MS PREMIER PLASTIC SURGERY 401(K) PLAN 2017 263443949 2018-07-26 MISSISSIPPI PREMIER PLASTIC SURGERY , PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621112
Sponsor’s telephone number 6019812525
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 315, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing SOMPRASONG SONGCHAROEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-25
Name of individual signing PATRICIA B. BYERS
Valid signature Filed with authorized/valid electronic signature
MS PREMIER PLASTIC SURGERY 401(K) PLAN 2016 263443949 2017-07-11 MISSISSIPPI PREMIER PLASTIC SURGERY , PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621112
Sponsor’s telephone number 6019812525
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 315, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2017-07-11
Name of individual signing SOMPRASONG SONGCHAROEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-11
Name of individual signing PATRICIA B. BYERS
Valid signature Filed with authorized/valid electronic signature
MS PREMIER PLASTIC SURGERY 401(K) PLAN 2015 263443949 2016-08-03 MISSISSIPPI PREMIER PLASTIC SURGERY , PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6019812525
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 315, JACKSON, MS, 39216
MS PREMIER PLASTIC SURGERY 401(K) PLAN 2014 263443949 2015-05-20 MISSISSIPPI PREMIER PLASTIC SURGERY , PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6019812525
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 315, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2015-05-20
Name of individual signing G. ELI HOWELL II, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/21/20140521092934P040123342613001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6019812525
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 315, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2014-05-21
Name of individual signing G. ELI HOWELL II, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-21
Name of individual signing SOMPRASONG SONGCHAROEN, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/03/08/20130308082102P030039456437001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6019812525
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 315, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2013-03-08
Name of individual signing G. ELI HOWELL II, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-03-08
Name of individual signing SOMPRASONG SONGCHAROEN, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/15/20120515095325P030000866550001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6019812525
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 315, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 263443949
Plan administrator’s name MISSISSIPPI PREMIER PLASTIC SURGERY , PLLC
Plan administrator’s address 971 LAKELAND DRIVE, SUITE 315, JACKSON, MS, 39216
Administrator’s telephone number 6019812525

Signature of
Role Plan administrator
Date 2012-05-15
Name of individual signing G. ELI HOWELL II, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-05-15
Name of individual signing SOMPRASONG SONGCHAROEN, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/12/19/20111219091344P040002883153001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6019812525
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 315, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 263443949
Plan administrator’s name MISSISSIPPI PREMIER PLASTIC SURGERY , PLLC
Plan administrator’s address 971 LAKELAND DRIVE, SUITE 315, JACKSON, MS, 39216
Administrator’s telephone number 6019812525

Signature of
Role Plan administrator
Date 2011-12-19
Name of individual signing G. ELI HOWELL II, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-12-19
Name of individual signing SOMPRASONG SONGCHAROEN, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/03/20110803091543P030105766801001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6019812525
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 315, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 343443949
Plan administrator’s name MISSISSIPPI PREMIER PLASTIC SURGERY , PLLC
Plan administrator’s address 971 LAKELAND DRIVE, SUITE 315, JACKSON, MS, 39216
Administrator’s telephone number 6019812525

Signature of
Role Plan administrator
Date 2011-08-03
Name of individual signing G. ELI HOWELL II, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-03
Name of individual signing SOMPRASONG SONGCHAROEN, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/18/20100818150503P030443018321001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6019812525
Plan sponsor’s address 971 LAKELAND DRIVE, SUITE 315, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 343443949
Plan administrator’s name MISSISSIPPI PREMIER PLASTIC SURGERY , PLLC
Plan administrator’s address 971 LAKELAND DRIVE, SUITE 315, JACKSON, MS, 39216
Administrator’s telephone number 6019812525

Signature of
Role Plan administrator
Date 2010-08-18
Name of individual signing G. ELI HOWELL II, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Pam Wilkerson Agent 160 Fountains Blvd Ste B, Madison, MS 39110

Organizer

Name Role Address
William Dotie Jackson Organizer 971 LAKELAND DR, SUITE 315, JACKSON, MS 39216

Member

Name Role Address
Songcharoen Somprasong Member 160 Fountains Blvd Ste B, Madison, MS 39110

Manager

Name Role Address
Pam Wilkerson Manager 160 Fountains Blvd Ste B, Madison, MS 39110

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-02-05 Annual Report For Mississippi Premier Plastic Surgery, PLLC
Annual Report LLC Filed 2023-01-19 Annual Report For Mississippi Premier Plastic Surgery, PLLC
Annual Report LLC Filed 2022-01-12 Annual Report For Mississippi Premier Plastic Surgery, PLLC
Amendment Form Filed 2022-01-12 Amendment For Mississippi Premier Plastic Surgery, PLLC
Annual Report LLC Filed 2021-03-15 Annual Report For Mississippi Premier Plastic Surgery, PLLC
Amendment Form Filed 2021-03-15 Amendment For Mississippi Premier Plastic Surgery, PLLC
Annual Report LLC Filed 2020-02-26 Annual Report For Mississippi Premier Plastic Surgery, PLLC
Annual Report LLC Filed 2019-02-23 Annual Report For Mississippi Premier Plastic Surgery, PLLC
Annual Report LLC Filed 2018-02-03 Annual Report For Mississippi Premier Plastic Surgery, PLLC
Annual Report LLC Filed 2017-02-09 Annual Report For Mississippi Premier Plastic Surgery, PLLC

Related by officers

Pam Wilkerson

S. SONGCHAROEN, M.D., FACS, PLLC William Dotie Jackson, MD, PA Emile Picarella, M.D., P.A. Triple Treasures, LLC Erica H. Bass, M.D., P.A. MSPPS Real Estate, LLC Premier Surgical Center, LLC Jay Songcharoen, MD PA Justin McKinney, DO, P.A.

William Dotie Jackson

MSPPS Real Estate, LLC

Related by address

160 Fountains Blvd Ste BMadison, MS 39110

S. SONGCHAROEN, M.D., FACS, PLLC William Dotie Jackson, MD, PA Emile Picarella, M.D., P.A. Erica H. Bass, M.D., P.A. MSPPS Real Estate, LLC Jay Songcharoen, MD PA Justin McKinney, DO, P.A.

Date of last update: 03 Jan 2025

Sources: Mississippi Secretary of State

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