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  5. THE GREENVILLE CLINIC, P.A.

THE GREENVILLE CLINIC, P.A.

Company Details

Name: THE GREENVILLE CLINIC, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 22 Sep 1992 (32 years ago)
Business ID: 591181
ZIP code: 38701
County: Washington
State of Incorporation: MISSISSIPPI
Principal Office Address: 1502 SOUTH COLORADO STREETGREENVILLE, MS 38701

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THE GREENVILLE CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2023 640819268 2024-10-07 THE GREENVILLE CLINIC, P.A. 80
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6623329872
Plan sponsor’s address 1502 SOUTH COLORADO STREET, GREENVILLE, MS, 38703
THE GREENVILLE CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2022 640819268 2023-07-07 THE GREENVILLE CLINIC, P.A. 81
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6623329872
Plan sponsor’s address 1502 SOUTH COLORADO STREET, GREENVILLE, MS, 38703
THE GREENVILLE CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2021 640819268 2022-09-21 THE GREENVILLE CLINIC, P.A. 84
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6623329872
Plan sponsor’s address 1502 SOUTH COLORADO STREET, GREENVILLE, MS, 38703

Signature of
Role Plan administrator
Date 2022-09-21
Name of individual signing BENJAMIN FOLK
Valid signature Filed with authorized/valid electronic signature
THE GREENVILLE CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2020 640819268 2021-09-27 THE GREENVILLE CLINIC, P.A. 85
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6623329872
Plan sponsor’s address 1502 SOUTH COLORADO STREET, GREENVILLE, MS, 38703

Signature of
Role Plan administrator
Date 2021-09-27
Name of individual signing BENJAMIN FOLK
Valid signature Filed with authorized/valid electronic signature
THE GREENVILLE CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2019 640819268 2020-08-04 THE GREENVILLE CLINIC, P.A. 82
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6623329872
Plan sponsor’s address 1502 SOUTH COLORADO STREET, GREENVILLE, MS, 38703

Signature of
Role Plan administrator
Date 2020-08-04
Name of individual signing ALLEN THOMPSON
Valid signature Filed with authorized/valid electronic signature
THE GREENVILLE CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2018 640819268 2019-12-20 THE GREENVILLE CLINIC, P.A. 63
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6623329872
Plan sponsor’s address 1502 SOUTH COLORADO STREET, GREENVILLE, MS, 38703

Signature of
Role Plan administrator
Date 2019-12-20
Name of individual signing ALLEN THOMPSON
Valid signature Filed with authorized/valid electronic signature
THE GREENVILLE CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2018 640819268 2019-10-02 THE GREENVILLE CLINIC, P.A. 63
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6623329872
Plan sponsor’s address 1502 SOUTH COLORADO STREET, GREENVILLE, MS, 38703

Signature of
Role Plan administrator
Date 2019-10-02
Name of individual signing ALLEN THOMPSON
Valid signature Filed with authorized/valid electronic signature
THE GREENVILLE CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2017 640819268 2018-10-08 THE GREENVILLE CLINIC, P.A. 87
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6623329872
Plan sponsor’s address 1502 SOUTH COLORADO STREET, GREENVILLE, MS, 38703

Signature of
Role Plan administrator
Date 2018-10-08
Name of individual signing ALLEN THOMPSON
Valid signature Filed with authorized/valid electronic signature
THE GREENVILLE CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2016 640819268 2017-09-01 THE GREENVILLE CLINIC, P.A. 92
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6623329872
Plan sponsor’s address 1502 SOUTH COLORADO STREET, GREENVILLE, MS, 38703

Signature of
Role Plan administrator
Date 2017-09-01
Name of individual signing ALLEN THOMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-09-01
Name of individual signing ALLEN THOMPSON
Valid signature Filed with authorized/valid electronic signature
THE GREENVILLE CLINIC, P.A. 401(K) PROFIT SHARING PLAN 2015 640819268 2016-07-20 THE GREENVILLE CLINIC, P.A. 92
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6623329872
Plan sponsor’s address 1502 SOUTH COLORADO STREET, GREENVILLE, MS, 38703

Signature of
Role Plan administrator
Date 2016-07-20
Name of individual signing ALLEN THOMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-20
Name of individual signing ALLEN THOMPSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/20/20150720095936P040124885953001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6623329872
Plan sponsor’s address 1502 SOUTH COLORADO STREET, GREENVILLE, MS, 38703

Signature of
Role Plan administrator
Date 2015-07-20
Name of individual signing ALLEN THOMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-20
Name of individual signing ALLEN THOMPSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/24/20140724085834P040017486223001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6623329872
Plan sponsor’s address 1502 SOUTH COLORADO STREET, GREENVILLE, MS, 38703

Signature of
Role Plan administrator
Date 2014-07-24
Name of individual signing ALLAN H THOMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-24
Name of individual signing ALLAN H THOMPSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/10/20130610113607P030246927987001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6623329872
Plan sponsor’s address 1502 SOUTH COLORADO STREET, GREENVILLE, MS, 38703

Signature of
Role Plan administrator
Date 2013-06-10
Name of individual signing REGINA SPRATLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-10
Name of individual signing REGINA SPRATLIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/26/20120726144652P040038187200001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6623329872
Plan sponsor’s address 1502 SOUTH COLORADO STREET, GREENVILLE, MS, 38703

Plan administrator’s name and address
Administrator’s EIN 640819268
Plan administrator’s name THE GREENVILLE CLINIC, P.A.
Plan administrator’s address 1502 SOUTH COLORADO STREET, GREENVILLE, MS, 38703
Administrator’s telephone number 6623329872

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing ALLAN THOMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-26
Name of individual signing ALLAN THOMPSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/03/20110803150020P040108850193001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6623329872
Plan sponsor’s address 1502 SOUTH COLORADO STREET, GREENVILLE, MS, 38703

Plan administrator’s name and address
Administrator’s EIN 640819268
Plan administrator’s name THE GREENVILLE CLINIC, P.A.
Plan administrator’s address 1502 SOUTH COLORADO STREET, GREENVILLE, MS, 38703
Administrator’s telephone number 6623329872

Signature of
Role Plan administrator
Date 2011-08-03
Name of individual signing ALLAN THOMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-03
Name of individual signing ALLAN THOMPSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/09/20100909100613P040119805864001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6623329872
Plan sponsor’s address 1502 SOUTH COLORADO STREET, GREENVILLE, MS, 38703

Plan administrator’s name and address
Administrator’s EIN 640819268
Plan administrator’s name THE GREENVILLE CLINIC, P.A.
Plan administrator’s address 1502 SOUTH COLORADO STREET, GREENVILLE, MS, 38703
Administrator’s telephone number 6623329872

Signature of
Role Plan administrator
Date 2010-09-09
Name of individual signing ALLAN THOMPSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-09
Name of individual signing ALLAN THOMPSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BEN P. FOLK, III Agent 1502 SOUTH COLORADO STREET, GREENVILLE, MS 38703

Incorporator

Name Role Address
James T Cox Incorporator 123 N State St, Jackson, MS 39201

Director

Name Role Address
Ben Folk III Director 1502 S Colorado St, Greenville, MS 38703
J Barry Gillespie Director 1502 S Colorado St, Greenville, MS 38703

President

Name Role Address
Ben Folk III President 1502 S Colorado St, Greenville, MS 38703

Vice President

Name Role Address
J Barry Gillespie Vice President 1502 S Colorado St, Greenville, MS 38703

Filings

Type Status Filed Date Description
Annual Report Filed 2024-04-18 Annual Report For THE GREENVILLE CLINIC, P.A.
Annual Report Filed 2023-04-22 Annual Report For THE GREENVILLE CLINIC, P.A.
Annual Report Filed 2022-04-29 Annual Report For THE GREENVILLE CLINIC, P.A.
Annual Report Filed 2021-05-21 Annual Report For THE GREENVILLE CLINIC, P.A.
Annual Report Filed 2020-09-02 Annual Report For THE GREENVILLE CLINIC, P.A.
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report Filed 2019-05-21 Annual Report For THE GREENVILLE CLINIC, P.A.
Annual Report Filed 2018-04-10 Annual Report For THE GREENVILLE CLINIC, P.A.
Annual Report Filed 2017-10-09 Annual Report For THE GREENVILLE CLINIC, P.A.
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke

Related by officers

James T Cox

MERIDIAN HEART SERVICES, INC. THE GREENVILLE CLINIC PROPERTIES, INC. RUSH CARE, INC. Pear Orchard, Inc. RAHUL VOHRA, M.D., P.A. PRIVATE CAR SERVICE, LLC SOUTH MISSISSIPPI HOME HEALTH, INC. - REGION III JEMANI, LLC Private Car, LLC Cox Law Group, PLLC

Ben Folk III

THE GREENVILLE CLINIC PROPERTIES, INC.

Related by address

No related companies by address

Date of last update: 22 Dec 2024

Sources: Mississippi Secretary of State

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