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Mediquik Clinic LLC

Company Details

Name: Mediquik Clinic LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 01 Dec 2023 (a year ago)
Business ID: 1420154
ZIP code: 38943
County: Carroll
State of Incorporation: MISSISSIPPI
Principal Office Address: 52 CR 74McCarley, MS 38943

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDIQUIK CLINIC 401(K) PLAN 2023 842787328 2024-05-10 MEDIQUIK CLINIC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 6622290669
Plan sponsor’s address 1350 SUNSET DRIVE, SUITE B, GRENADA, MS, 38901

Signature of

Role Plan administrator
Date 2024-05-10
Name of individual signing PAM UPCHURCH
Valid signature Filed with authorized/valid electronic signature
MEDIQUIK CLINIC 401(K) PLAN 2022 842787328 2023-07-07 MEDIQUIK CLINIC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 6622290669
Plan sponsor’s address 1350 SUNSET DRIVE, SUITE B, GRENADA, MS, 38901

Signature of

Role Plan administrator
Date 2023-07-07
Name of individual signing PAM UPCHURCH
Valid signature Filed with authorized/valid electronic signature
MEDIQUIK CLINIC 401(K) PLAN 2021 842787328 2022-07-06 MEDIQUIK CLINIC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 6622290669
Plan sponsor’s address 1350 SUNSET DRIVE, SUITE B, GRENADA, MS, 38901

Signature of

Role Plan administrator
Date 2022-07-06
Name of individual signing PAM UPCHURCH
Valid signature Filed with authorized/valid electronic signature
MEDIQUIK CLINIC 401(K) PLAN 2020 842787328 2021-06-21 MEDIQUIK CLINIC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 6622290669
Plan sponsor’s address 1350 SUNSET DRIVE, SUITE B, GRENADA, MS, 38901

Signature of

Role Plan administrator
Date 2021-06-21
Name of individual signing PAM UPCHURCH
Valid signature Filed with authorized/valid electronic signature
MEDIQUIK CLINIC 401(K) PLAN 2019 640901800 2020-07-31 MEDIQUIK CLINIC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 6622290669
Plan sponsor’s address 1350 SUNSET DR STE B, GRENADA, MS, 38901

Signature of

Role Plan administrator
Date 2020-07-31
Name of individual signing PAM UPCHURCH
Valid signature Filed with authorized/valid electronic signature
MEDIQUIK CLINIC 401(K) PLAN 2018 640901800 2019-07-25 MEDIQUIK CLINIC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 6622290669
Plan sponsor’s address 1350 SUNSET DR STE B, GRENADA, MS, 38901

Signature of

Role Plan administrator
Date 2019-07-25
Name of individual signing SHARON F. MEADOWS
Valid signature Filed with authorized/valid electronic signature
MEDIQUIK CLINIC 401(K) PLAN 2017 640901800 2018-07-26 MEDIQUIK CLINIC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 6622290669
Plan sponsor’s address 1350 SUNSET DR STE B, GRENADA, MS, 38901

Signature of

Role Plan administrator
Date 2018-07-26
Name of individual signing SHARON F. MEADOWS
Valid signature Filed with authorized/valid electronic signature
MEDIQUIK CLINIC 401(K) PLAN 2016 640901800 2017-07-18 MEDIQUIK CLINIC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 6622290669
Plan sponsor’s address 1350 SUNSET DR STE B, GRENADA, MS, 38901

Signature of

Role Plan administrator
Date 2017-07-18
Name of individual signing SHARON F. MEADOWS
Valid signature Filed with authorized/valid electronic signature
MEDIQUIK CLINIC 401(K) PLAN 2015 640901800 2016-06-01 MEDIQUIK CLINIC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 6622290669
Plan sponsor’s address 1350 SUNSET DR STE B, GRENADA, MS, 38901
MEDIQUIK CLINIC 401(K) PLAN 2014 640901800 2015-10-07 MEDIQUIK CLINIC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 6622290669
Plan sponsor’s address 1350 SUNSET DR STE B, GRENADA, MS, 38901

Signature of

Role Plan administrator
Date 2015-10-07
Name of individual signing SHARON MEADOWS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/11/20140711105146P030033882647001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 6622290669
Plan sponsor’s address 1350 SUNSET DR STE B, GRENADA, MS, 38901

Signature of

Role Plan administrator
Date 2014-07-11
Name of individual signing SHARON MEADOWS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/29/20130529101056P040082151973001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 6622290669
Plan sponsor’s address 1350 SUNSET DR STE B, GRENADA, MS, 38901

Signature of

Role Plan administrator
Date 2013-05-29
Name of individual signing SHARON MEADOWS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/13/20120713123001P040001366161001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 6622290669
Plan sponsor’s address 1350 SUNSET DR STE B, GRENADA, MS, 38901

Plan administrator’s name and address

Administrator’s EIN 640901800
Plan administrator’s name MEDIQUIK CLINIC
Plan administrator’s address 1350 SUNSET DR STE B, GRENADA, MS, 38901
Administrator’s telephone number 6622290669

Signature of

Role Plan administrator
Date 2012-07-13
Name of individual signing SHARON MEADOWS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/25/20110725092740P030014642546001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 6622290669
Plan sponsor’s address 1350 SUNSET DR STE B, GRENADA, MS, 38901

Plan administrator’s name and address

Administrator’s EIN 640901800
Plan administrator’s name MEDIQUIK CLINIC
Plan administrator’s address 1350 SUNSET DR STE B, GRENADA, MS, 38901
Administrator’s telephone number 6622290669

Signature of

Role Plan administrator
Date 2011-07-25
Name of individual signing SHARON MEADOWS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/10/20100610160824P040030119955001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 6622290669
Plan sponsor’s address 1350 SUNSET DR STE B, GRENADA, MS, 389014079

Plan administrator’s name and address

Administrator’s EIN 640901800
Plan administrator’s name MEDIQUIK CLINIC
Plan administrator’s address 1350 SUNSET DR STE B, GRENADA, MS, 389014079
Administrator’s telephone number 6622290669

Signature of

Role Plan administrator
Date 2010-06-10
Name of individual signing SHARON MEADOWS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-06-10
Name of individual signing SHARON MEADOWS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Robin Y McCormick Agent 297 ROSEDALE DR, WEST POINT, MS 39773

Manager

Name Role Address
Sharon J Ferguson Manager P O Box 94, Carrollton, MS 38917

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-05-16 Annual Report For Mediquik Clinic LLC
Formation Form Filed 2023-11-29 Formation For Mediquik Clinic LLC

Date of last update: 11 Dec 2024

Sources: Mississippi Secretary of State