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  5. North Mississippi Primary Health Care, Inc.

North Mississippi Primary Health Care, Inc.

Company Details

Name: North Mississippi Primary Health Care, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 17 Jan 1984 (41 years ago)
Business ID: 513919
ZIP code: 38603
County: Benton
State of Incorporation: MISSISSIPPI
Principal Office Address: 15921 Boundary Drive, PO Box 92Ashland, MS 38603-0092
Historical names: NORTH BENTON COUNTY HEALTH CARE, INC.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH MISSISSIPPI PRIMARY HEALTH CARE INC 401(K) PLAN 2023 640686443 2024-10-14 NORTH MISSISSIPPI PRIMARY HEALTH CARE INC. 109
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-08-01
Business code 621111
Sponsor’s telephone number 6625023153
Plan sponsor’s address 15921 WEST BOUNDARY DR, ASHLAND, MS, 38603

Signature of
Role Plan administrator
Date 2024-10-14
Name of individual signing ROB JETER
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC 401(K) PLAN 2022 640686443 2023-05-23 NORTH MISSISSIPPI PRIMARY HEALTH CARE INC. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-08-01
Business code 621111
Sponsor’s telephone number 6622248951
Plan sponsor’s address 15921 WEST BOUNDARY DR, ASHLAND, MS, 38603

Signature of
Role Plan administrator
Date 2023-05-23
Name of individual signing TAMMY G CHAPMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-23
Name of individual signing TAMMY G CHAPMAN
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC 401(K) PLAN 2021 640686443 2022-05-09 NORTH MISSISSIPPI PRIMARY HEALTH CARE INC. 96
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-08-01
Business code 621111
Sponsor’s telephone number 6622248951
Plan sponsor’s address 15921 WEST BOUNDARY DR, ASHLAND, MS, 38603

Signature of
Role Plan administrator
Date 2022-05-09
Name of individual signing TAMMY G CHAPMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-09
Name of individual signing TAMMY G CHAPMAN
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC 401(K) PLAN 2020 640686443 2021-05-04 NORTH MISSISSIPPI PRIMARY HEALTH CARE INC. 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-08-01
Business code 621111
Sponsor’s telephone number 6622248951
Plan sponsor’s address 15921 WEST BOUNDARY DR, ASHLAND, MS, 38603

Signature of
Role Plan administrator
Date 2021-05-04
Name of individual signing TAMMY CHAPMAN
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC 401(K) PLAN 2019 640686443 2020-04-27 NORTH MISSISSIPPI PRIMARY HEALTH CARE INC. 80
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-08-01
Business code 621111
Sponsor’s telephone number 6622248951
Plan sponsor’s address 15921 WEST BOUNDARY DR, ASHLAND, MS, 38603

Signature of
Role Plan administrator
Date 2020-04-27
Name of individual signing TAMMY CHAPMAN
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC 401(K) PLAN 2018 640686443 2019-05-13 NORTH MISSISSIPPI PRIMARY HEALTH CARE INC. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-08-01
Business code 621111
Sponsor’s telephone number 6622248951
Plan sponsor’s address 15921 WEST BOUNDARY DR, ASHLAND, MS, 38603

Signature of
Role Plan administrator
Date 2019-05-13
Name of individual signing TAMMY G CHAPMAN
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC 401(K) PLAN 2017 640686443 2018-05-08 NORTH MISSISSIPPI PRIMARY HEALTH CARE INC. 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-08-01
Business code 621111
Sponsor’s telephone number 6622248951
Plan sponsor’s address 15921 WEST BOUNDARY DR, ASHLAND, MS, 38603

Signature of
Role Plan administrator
Date 2018-05-08
Name of individual signing JAMES D NUNNALLY
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC 401(K) PLAN 2016 640686443 2017-05-19 NORTH MISSISSIPPI PRIMARY HEALTH CARE INC 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-08-01
Business code 621111
Sponsor’s telephone number 6622248951
Plan sponsor’s address 15921 WEST BOUNDARY DR, ASHLAND, MS, 38603

Signature of
Role Plan administrator
Date 2017-05-19
Name of individual signing JAMES D NUNNALLY
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC 401(K) PLAN 2015 640686443 2016-05-26 NORTH MISSISSIPPI PRIMARY HEALTH CARE INC 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-08-01
Business code 621111
Sponsor’s telephone number 6622248951
Plan sponsor’s address PO BOX 92, 15921 BOUNDARY DR, ASHLAND, MS, 38603

Signature of
Role Plan administrator
Date 2016-05-26
Name of individual signing TAMMY G CHAPMAN
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC 401(K) PLAN 2014 640686443 2015-05-26 NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC 64
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-08-01
Business code 621111
Sponsor’s telephone number 6622248951
Plan sponsor’s address 15921 BOUNDARY DR, PO BOX 92, ASHLAND, MS, 38603

Signature of
Role Plan administrator
Date 2015-05-26
Name of individual signing TAMMY G. CHAPMAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/21/20140521110807P030349435923001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-08-01
Business code 621111
Sponsor’s telephone number 6622248951
Plan sponsor’s address 15921 WEST BOUNDARY DR, PO BOX 92, ASHLAND, MS, 38603

Signature of
Role Plan administrator
Date 2014-05-21
Name of individual signing TAMMY G CHAPMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-21
Name of individual signing TAMMY G CHAPMAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/13/20130513164331P030073862645001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-08-01
Business code 621111
Sponsor’s telephone number 6622248951
Plan sponsor’s address 15921 BOUNDARY DRIVE, PO BOX 92, ASHLAND, MS, 38603

Signature of
Role Plan administrator
Date 2013-05-13
Name of individual signing JAMES D. NUNNALLY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/08/20120508124110P030010024482001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-08-01
Business code 621111
Sponsor’s telephone number 6622248951
Plan sponsor’s address 15921 WEST BOUNDARY DR, ASHLAND, MS, 38603

Plan administrator’s name and address
Administrator’s EIN 640686443
Plan administrator’s name NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC
Plan administrator’s address 15921 WEST BOUNDARY DR, ASHLAND, MS, 38603
Administrator’s telephone number 6622248951

Signature of
Role Plan administrator
Date 2012-05-08
Name of individual signing JAMES D. NUNNALLY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/04/18/20110418093322P040007754902001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-08-01
Business code 621111
Sponsor’s telephone number 6622248951
Plan sponsor’s address 15921 BOUNDARY DRIVE, PO BOX 92, ASHLAND, MS, 38603

Plan administrator’s name and address
Administrator’s EIN 640686443
Plan administrator’s name NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC
Plan administrator’s address 15921 BOUNDARY DRIVE, PO BOX 92, ASHLAND, MS, 38603
Administrator’s telephone number 6622248951

Signature of
Role Plan administrator
Date 2011-04-18
Name of individual signing TAMMY CHAPMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-04-18
Name of individual signing TAMMY G. CHAPMAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/03/20100603205350P030014046388001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-08-01
Business code 621111
Sponsor’s telephone number 6622248951
Plan sponsor’s address 15921 WEST BOUNDARY DR, ASHLAND, MS, 38603

Plan administrator’s name and address
Administrator’s EIN 640686443
Plan administrator’s name NORTH MISSISSIPPI PRIMARY HEALTH CARE, INC
Plan administrator’s address 15921 WEST BOUNDARY DR, ASHLAND, MS, 38603
Administrator’s telephone number 6622248951

Signature of
Role Plan administrator
Date 2010-06-03
Name of individual signing TAMMY G. CHAPMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Bill Stone Agent 61 East St, Ashland, MS 38603

Chief Executive Officer

Name Role Address
Bill Stone Chief Executive Officer PO Box 92, Ashland, MS 38603

Director

Name Role Address
Steve Bostick Director PO Box 92, Ashland, MS 38603
Billy J Taylor Director PO Box 92, Ashland, MS 38603
Anthony L Farese Director PO Box 92, Ashland, MS 38603
Willie Ruth Daugherty Director PO Box 92, Ashland, MS 38603
Mary Carolyn Tucker Director PO Box 92, Ashland, MS 38603
Lewis Davis Director PO Box 92, Ashland, MS 38603
Gary Dunnam Director PO Box 92, Ashland, MS 38603
Bonnie Martindale Director PO Box 92, Ashland, MS 38603
Shelley Akins Director PO Box 92, Ashland, MS 38603
Tim Watson Director PO Box 92, Ashland, MS 38603

Filings

Type Status Filed Date Description
Registered Agent Change of Address Filed 2024-09-30 Agent Address Change For Bill Stone
Non-Profit Status Report Filed 2023-07-30 Status Report For North Mississippi Primary Health Care, Inc.
Non-Profit Status Report Filed 2023-07-25 Status Report For North Mississippi Primary Health Care, Inc.
Non-Profit Status Report Filed 2023-01-18 Status Report For North Mississippi Primary Health Care, Inc.
Amendment Form Filed 2009-06-11 Amendment
Amendment Form Filed 1989-06-23 Amendment
See File Filed 1985-01-22 See File
Amendment Form Filed 1985-01-22 Amendment
Name Reservation Form Filed 1984-01-17 Name Reservation
Undetermined Event Filed 1983-12-21 Undetermined Event

Related by officers

Bill Stone

Bill Stone and Associates, Incorporated Stone Property Holdings, LLC

Gary Dunnam

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Bonnie Martindale

MARTINDALE & MARTINDALE, P. A.

Related by address

No related companies by address

Date of last update: 19 Dec 2024

Sources: Mississippi Secretary of State

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