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  5. Medworx Home Medical Supplies, LLC

Medworx Home Medical Supplies, LLC

Company Details

Name: Medworx Home Medical Supplies, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 22 Nov 2010 (14 years ago)
Business ID: 974887
ZIP code: 39157
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 800 Woodland Pkwy, Suite 207RIDGELAND, MS 39157
Historical names: DMEdical

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDWORX CASH BALANCE PLAN 2021 273982681 2022-09-20 MEDWORX HOME MEDICAL SUPPLIES, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 446190
Sponsor’s telephone number 6015739712
Plan sponsor’s address 950 E. COUNTY LINE ROAD, SUITE C, RIDGELAND, MS, 39157
MEDWORX CASH BALANCE PLAN 2021 273982681 2022-11-30 MEDWORX HOME MEDICAL SUPPLIES, LLC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 446190
Sponsor’s telephone number 6015739712
Plan sponsor’s address 950 E. COUNTY LINE ROAD, SUITE C, RIDGELAND, MS, 39157
MEDWORX CASH BALANCE PLAN 2020 273982681 2022-08-19 MEDWORX HOME MEDICAL SUPPLIES, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 446190
Sponsor’s telephone number 6015739712
Plan sponsor’s address 950 E. COUNTY LINE ROAD, SUITE C, RIDGELAND, MS, 39157
MEDWORX 401(K) PLAN 2019 273982681 2020-10-09 MEDWORX HOME MEDICAL SUPPLIES, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446190
Sponsor’s telephone number 6016654094
Plan sponsor’s address 950 E COUNTY LINE RD, STE C, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing DARON WALTERS
Valid signature Filed with authorized/valid electronic signature
MEDWORX CASH BALANCE PLAN 2019 273982681 2020-10-12 MEDWORX HOME MEDICAL SUPPLIES, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 446190
Sponsor’s telephone number 6015739712
Plan sponsor’s address 950 E. COUNTY LINE ROAD, SUITE C, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing DARON WALTERS
Valid signature Filed with authorized/valid electronic signature
MEDWORX 401(K) PLAN 2018 273982681 2019-07-23 MEDWORX HOME MEDICAL SUPPLIES, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446190
Sponsor’s telephone number 6016654094
Plan sponsor’s address 950 E COUNTY LINE RD, STE C, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2019-07-23
Name of individual signing DARON WALTERS
Valid signature Filed with authorized/valid electronic signature
MEDWORX CASH BALANCE PLAN 2018 273982681 2019-07-20 MEDWORX HOME MEDICAL SUPPLIES, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 446190
Sponsor’s telephone number 6016654094
Plan sponsor’s address 950 E COUNTY LINE RD, STE C, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2019-07-20
Name of individual signing DARON WALTERS
Valid signature Filed with authorized/valid electronic signature
MEDWORX CASH BALANCE PLAN 2017 273982681 2018-10-02 MEDWORX HOME MEDICAL SUPPLIES, LLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 446190
Sponsor’s telephone number 6015739712
Plan sponsor’s address 950 E. COUNTY LINE ROAD, SUITE C, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2018-10-02
Name of individual signing DARON WALTERS
Valid signature Filed with authorized/valid electronic signature
MEDWORX 401(K) PLAN 2017 273982681 2018-10-15 MEDWORX HOME MEDICAL SUPPLIES, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446190
Sponsor’s telephone number 6016654094
Plan sponsor’s address 950 E COUNTY LINE RD, STE C, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing DARON WALTERS
Valid signature Filed with authorized/valid electronic signature
MEDWORX 401(K) PLAN 2016 273982681 2017-07-31 MEDWORX HOME MEDICAL SUPPLIES, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446190
Sponsor’s telephone number 6016654094
Plan sponsor’s address 950 E COUNTY LINE RD, STE C, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing DARON WALTERS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/10/16/20171016163049P030222505601001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 446190
Sponsor’s telephone number 6015739712
Plan sponsor’s address 950 E. COUNTY LINE ROAD, SUITE C, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing DARON WALTERS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/09/29/20160929085520P030000577281001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 446190
Sponsor’s telephone number 6016654094
Plan sponsor’s address 950 EAST COUNTY LINE ROAD, SUITE C, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2016-09-29
Name of individual signing DARON WALTERS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/09/30/20160930153209P030002387191001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 446190
Sponsor’s telephone number 6015739712
Plan sponsor’s address 950 E. COUNTY LINE ROAD, SUITE C, RIDGELAND, MS, 39157

Signature of
Role Plan administrator
Date 2016-09-30
Name of individual signing DARON WALTERS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Harrelson, Pam Agent 159 Sycamore Ridge, Madison, MS 39110

Manager

Name Role Address
Mark Julian Manager 800 Woodland Pkwy, Suite 207, RIDGELAND, MS 39157

Member

Name Role Address
Mark Julian Member 800 Woodland Pkwy, Suite 207, RIDGELAND, MS 39157

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-05-01 Annual Report For Medworx Home Medical Supplies, LLC
Annual Report LLC Filed 2023-03-14 Annual Report For Medworx Home Medical Supplies, LLC
Annual Report LLC Filed 2022-09-15 Annual Report For Medworx Home Medical Supplies, LLC
Amendment Form Filed 2022-02-01 Amendment For Medworx Home Medical Supplies, LLC
Annual Report LLC Filed 2022-02-01 Annual Report For Medworx Home Medical Supplies, LLC
Annual Report LLC Filed 2021-01-22 Annual Report For Medworx Home Medical Supplies, LLC
Annual Report LLC Filed 2020-01-08 Annual Report For Medworx Home Medical Supplies, LLC
Amendment Form Filed 2019-04-10 Amendment For Medworx Home Medical Supplies, LLC
Annual Report LLC Filed 2019-04-10 Annual Report For Medworx Home Medical Supplies, LLC
Fictitious Name Registration Filed 2018-02-06 Fictitious Name Registration For Medworx Home Medical Supplies, LLC

Related by officers

Harrelson, Pam

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Related by address

No related companies by address

Date of last update: 05 Jan 2025

Sources: Mississippi Secretary of State

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