| Name: | MISSISSIPPI ACADEMY OF FAMILY PHYSICIANS |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Non Profit Corporation |
| Status: | Good Standing |
| Effective Date: | 25 Nov 1992 (32 years ago) |
| Business ID: | 592799 |
| ZIP code: | 39157 |
| County: | Madison |
| State of Incorporation: | MISSISSIPPI |
| Principal Office Address: | 755 Avignon DriveRidgeland, MS 39157 |
| Name | Role | Address |
|---|---|---|
| Embry, Beth | Agent | 755 Avignon Drive, Ridgeland, MS 39157 |
| Name | Role | Address |
|---|---|---|
| Stephen C. Hammack MD | President | 205 Sawyer Bend, Madison, MS 39110 |
| Name | Role | Address |
|---|---|---|
| John PFH Vanderloo MD | Vice President | 536 River Thames Road, Jackson, MS 39211 |
| Name | Role | Address |
|---|---|---|
| Chrystal A. Sumrall MD | Treasurer | 2313 Highway 15 N, Laurel, MS 39440 |
| Name | Role | Address |
|---|---|---|
| James W. Ervin MD | Director | 104 W. Railroad Avenue Sourth, Crystal Springs, MS 39059 |
| Name | Role | Address |
|---|---|---|
| Beth G. Embry | Chief Executive Officer | 755 Avignon Drive, Ridgeland, MS 39157 |
| Name | Role | Address |
|---|---|---|
| Paul M Pavlov MD | Chairman | 3911A Government Street, Ocean Springs, MS 39564 |
| Name | Role | Address |
|---|---|---|
| LEONTINE D STEVENS | Incorporator | 4800 MCWILLIE CIRCLE, # A-1, JACKSON, MS 39206 |
| Name | Role | Address |
|---|---|---|
| Bradley J Suggs MD | Secretary | 603 Inheritance Pt, Flowood, MS 39232 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Non-Profit Status Report | Filed | 2023-10-02 | Status Report For MISSISSIPPI ACADEMY OF FAMILY PHYSICIANS |
| Non-Profit Status Report | Filed | 2015-12-03 | Status Report For MISSISSIPPI ACADEMY OF FAMILY PHYSICIANS |
| Amendment Form | Filed | 2006-09-22 | Amendment |
| Name Reservation Form | Filed | 1992-11-25 | Name Reservation |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7554227310 | 2020-04-30 | 0470 | PPP | 755 AVIGNON DR, RIDGELAND, MS, 39157 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 15 Mar 2025
Sources: Mississippi Secretary of State
