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Diva Weight Loss, LLC

Company Details

Name: Diva Weight Loss, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 25 Feb 2011 (14 years ago)
Business ID: 979190
ZIP code: 39157
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 680 Highway 51, Suite DRidgeland, MS 39157
Fictitious names: Performance Health and Wellness

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
401K EMPLOYEE RETIREMENT PLAN 2021 275174445 2022-07-14 DIVA WEIGHT LOSS, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-07-01
Business code 812990
Sponsor’s telephone number 7692511040
Plan sponsor’s address 680 HWY 51, STE C, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2022-07-14
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2020 275174445 2021-07-27 DIVA WEIGHT LOSS, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-07-01
Business code 812990
Sponsor’s telephone number 7692511040
Plan sponsor’s address 680 HWY 51, STE C, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2021-07-27
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2019 275174445 2020-07-22 DIVA WEIGHT LOSS, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-07-01
Business code 812990
Sponsor’s telephone number 7692511040
Plan sponsor’s address 680 HWY 51, STE C, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2020-07-22
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2018 275174445 2019-07-26 DIVA WEIGHT LOSS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-07-01
Business code 812990
Sponsor’s telephone number 7692511040
Plan sponsor’s address 680 HWY 51, STE C, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2019-07-26
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2017 275174445 2018-07-30 DIVA WEIGHT LOSS, LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-07-01
Business code 812990
Sponsor’s telephone number 7692511040
Plan sponsor’s address 680 HWY 51, STE C, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2018-07-30
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2016 275174445 2017-07-05 DIVA WEIGHT LOSS, LLC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-07-01
Business code 812990
Sponsor’s telephone number 7692511040
Plan sponsor’s address 680 HWY 51, STE C, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2017-07-05
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2015 275174445 2016-06-30 DIVA WEIGHT LOSS, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-07-01
Business code 812990
Sponsor’s telephone number 7692511040
Plan sponsor’s address 680 HWY 51, STE C, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2016-06-30
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Johnson, Alison Agent 680 Highway 51, Ste D, Ridgeland, MS 39157

Manager

Name Role Address
Alison Johnson Manager 192 Wrights Mill Drive, Madison, MS 39110

President

Name Role Address
Alison Johnson President 192 Wrights Mill Drive, Madison, MS 39110

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-02-14 Annual Report For Diva Weight Loss, LLC
Annual Report LLC Filed 2023-12-05 Annual Report For Diva Weight Loss, LLC
Notice to Dissolve/Revoke Filed 2023-09-08 Notice of Intent to Dissolve: AR: Diva Weight Loss, LLC
Fictitious Name Registration Filed 2022-05-24 Fictitious Name Registration For Diva Weight Loss, LLC
Annual Report LLC Filed 2022-02-09 Annual Report For Diva Weight Loss, LLC
Annual Report LLC Filed 2021-03-08 Annual Report For Diva Weight Loss, LLC
Amendment Form Filed 2021-03-08 Amendment For Diva Weight Loss, LLC
Reinstatement Filed 2020-06-17 Reinstatement For Diva Weight Loss, LLC
Admin Dissolution Filed 2017-12-06 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke

Date of last update: 05 Jan 2025

Sources: Mississippi Secretary of State