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  5. EAST METRO FAMILY MEDICAL CLINIC, INC.

EAST METRO FAMILY MEDICAL CLINIC, INC.

Company Details

Name: EAST METRO FAMILY MEDICAL CLINIC, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Effective Date: 03 Mar 1993 (32 years ago)
Business ID: 595365
ZIP code: 39218
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 811 HWY 49 SRICHLAND, MS 39218

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAST METRO FAMILY MEDICAL CLINIC, INC. PROFIT SHARING PLAN 2011 640839084 2012-05-23 EAST METRO FAMILY MEDICAL CLINIC, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 6019325060
Plan sponsor’s address 811 HIGHWAY 49 SOUTH, RICHLAND, MS, 39218

Plan administrator’s name and address
Administrator’s EIN 640839084
Plan administrator’s name EAST METRO FAMILY MEDICAL CLINIC, INC.
Plan administrator’s address 811 HIGHWAY 49 SOUTH, RICHLAND, MS, 39218
Administrator’s telephone number 6019325060

Signature of
Role Plan administrator
Date 2012-05-23
Name of individual signing KATHLEEN LARSON
Valid signature Filed with authorized/valid electronic signature
EAST METRO FAMILY MEDICAL CLINIC, INC. PROFIT SHARING PLAN 2011 640839084 2012-12-14 EAST METRO FAMILY MEDICAL CLINIC, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 6019325060
Plan sponsor’s address 811 HIGHWAY 49 SOUTH, RICHLAND, MS, 39218

Plan administrator’s name and address
Administrator’s EIN 640839084
Plan administrator’s name EAST METRO FAMILY MEDICAL CLINIC, INC.
Plan administrator’s address 811 HIGHWAY 49 SOUTH, RICHLAND, MS, 39218
Administrator’s telephone number 6019325060

Signature of
Role Plan administrator
Date 2012-12-14
Name of individual signing KATHLEEN LARSON
Valid signature Filed with authorized/valid electronic signature
EAST METRO FAMILY MEDICAL CLINIC, INC. PROFIT SHARING PLAN 2010 640839084 2011-09-27 EAST METRO FAMILY MEDICAL CLINIC, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 6019325060
Plan sponsor’s address 811 HIGHWAY 49 SOUTH, RICHLAND, MS, 39218

Plan administrator’s name and address
Administrator’s EIN 640839084
Plan administrator’s name EAST METRO FAMILY MEDICAL CLINIC, INC.
Plan administrator’s address 811 HIGHWAY 49 SOUTH, RICHLAND, MS, 39218
Administrator’s telephone number 6019325060

Signature of
Role Plan administrator
Date 2011-09-27
Name of individual signing KATHLEEN LARSON
Valid signature Filed with authorized/valid electronic signature
EAST METRO FAMILY MEDICAL CLINIC, INC. PROFIT SHARING PLAN 2009 640839084 2010-10-06 EAST METRO FAMILY MEDICAL CLINIC, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1983-01-01
Business code 621111
Sponsor’s telephone number 6019325060
Plan sponsor’s address 811 HIGHWAY 49 SOUTH, RICHLAND, MS, 39218

Plan administrator’s name and address
Administrator’s EIN 640839084
Plan administrator’s name EAST METRO FAMILY MEDICAL CLINIC, INC.
Plan administrator’s address 811 HIGHWAY 49 SOUTH, RICHLAND, MS, 39218
Administrator’s telephone number 6019325060

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing KATHLEEN LARSON
Valid signature Filed with authorized/valid electronic signature

Director

Name Role Address
DON A GIBSON, M.D. Director 811 HIGHWAY 49 SOUTH, RICHLAND, MS 39218

Vice President

Name Role Address
VIVIAN JOYCE GIBSON Vice President 1086 DEVONNSHIRE DR, JACKSON, MS 39206

President

Name Role Address
DON ALBERT GIBSON President 811 HWY 49 S, RICHLAND, MS 39218
DON A GIBSON, M.D. President 811 HIGHWAY 49 SOUTH, RICHLAND, MS 39218

Incorporator

Name Role Address
DON ALBERT GIBSON Incorporator 811 HWY 49 S, RICHLAND, MS 39218
VIVIAN JOYCE GIBSON Incorporator 811 HWY 49 S, RICHLAND, MS 39218

Agent

Name Role Address
DON ALBERT GIBSON Agent 811 HWY 49 S, RICHLAND, MS 39218 811 HWY 49 S, RICHLAND, MS 39218

Filings

Type Status Filed Date Description
Reinstatement Filed 2004-06-02 Reinstatement
Amendment Form Filed 1996-09-11 Amendment
Name Reservation Form Filed 1993-03-03 Name Reservation

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 22 Dec 2024

Sources: Mississippi Secretary of State

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