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MESA MEDICAL GROUP, PLLC

Company Details

Name: MESA MEDICAL GROUP, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 10 Aug 1999 (26 years ago)
Organization Date: 10 Aug 1999 (26 years ago)
Last Annual Report: 04 Jun 2024 (9 months ago)
Managed By: Managers
Organization Number: 0478491
Industry: Health Services
Number of Employees: Small (0-19)
Principal Office: 265 BROOKVIEW CENTRE WAY SUITE 203, KNOXVILLE, TN 37919
Place of Formation: KENTUCKY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARSHALL EMERGENCY SERVICES ASSOCIATES, P.S.C. PROFIT SHARING 401K PLAN 2010 611352937 2011-10-17 MARSHALL EMERGENCY SERVICES ASSOCIATES, P.S.C. 114
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8593359041
Plan sponsor’s address 3205 SUMMIT SQUARE PLACE, SUITE 100, LEXINGTON, KY, 40509

Plan administrator’s name and address

Administrator’s EIN 611352937
Plan administrator’s name MARSHALL EMERGENCY SERVICES ASSOCIATES, P.S.C.
Plan administrator’s address 3205 SUMMIT SQUARE PLACE, SUITE 100, LEXINGTON, KY, 40509
Administrator’s telephone number 8593359041

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing MICHAEL D. KITCHEN
Valid signature Filed with authorized/valid electronic signature
MARSHALL EMERGENCY SERVICES ASSOCIATES, P.S.C. PROFIT SHARING 401K PLAN 2009 611352937 2010-10-14 MARSHALL EMERGENCY SERVICES ASSOCIATES, P.S.C. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 8593359041
Plan sponsor’s address 3205 SUMMIT SQUARE PLACE, SUITE 100, LEXINGTON, KY, 40509

Plan administrator’s name and address

Administrator’s EIN 611352937
Plan administrator’s name MARSHALL EMERGENCY SERVICES ASSOCIATES, P.S.C.
Plan administrator’s address 3205 SUMMIT SQUARE PLACE, SUITE 100, LEXINGTON, KY, 40509
Administrator’s telephone number 8593359041

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing JOHN M. MULLINS, M.D.
Valid signature Filed with authorized/valid electronic signature

Manager

Name Role
Randal Dabbs Manager

Incorporator

Name Role
JOHN MULLINS Incorporator

Organizer

Name Role
AMY E. BROWN Organizer

Member

Name Role
Marshall PLLC Holdings, LLC Member

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Former Company Names

Name Action
MARSHALL EMERGENCY SERVICES ASSOCIATES, PLLC Old Name
MARSHALL EMERGENCY SERVICES ASSOCIATES, P.S.C. Type Conversion

Filings

Name File Date
Annual Report 2024-06-04
Annual Report 2023-05-31
Principal Office Address Change 2023-05-31
Principal Office Address Change 2022-06-08
Annual Report 2022-06-08
Annual Report 2021-06-22
Annual Report 2020-06-11
Annual Report 2019-06-13
Annual Report 2018-06-07
Annual Report 2017-06-19

Sources: Kentucky Secretary of State