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DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.

Company Details

Name: DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 26 Apr 1993 (32 years ago)
Business ID: 596896
ZIP code: 39095
County: Holmes
State of Incorporation: MISSISSIPPI
Principal Office Address: 17280 Highway 17 SouthLEXINGTON, MS 39095

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
403(B) THRIFT PLAN OF DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC. 2020 640829371 2021-10-06 DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC. 85
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-12-01
Business code 621399
Sponsor’s telephone number 6628341857
Plan sponsor’s address 17280 HIGHWAY 17, LEXINGTON, MS, 390956614

Signature of

Role Plan administrator
Date 2021-10-06
Name of individual signing LAKITA EDWARDS
Valid signature Filed with authorized/valid electronic signature
403(B) THRIFT PLAN OF DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC. 2019 640829371 2020-08-05 DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-12-01
Business code 621399
Sponsor’s telephone number 6628341857
Plan sponsor’s address 17280 HIGHWAY 17, LEXINGTON, MS, 390956614

Signature of

Role Plan administrator
Date 2020-08-05
Name of individual signing JENISHA PATEL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Clyde Rozell Chapman Agent 17280 Highway 17 South, Lexington, MS 39095

Incorporator

Name Role Address
BENNIE L RAYFORD Incorporator RR 2 BOX 386, LEXINGTON, MS 39095

Director

Name Role Address
Clyde Rozell Chapman Director P O Box 479, Lexington, MS 39095

Filings

Type Status Filed Date Description
Non-Profit Status Report Filed 2021-03-29 Status Report For DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.
Non-Profit Status Report Filed 2016-02-02 Status Report For DR. ARENIA C. MALLORY COMMUNITY HEALTH CENTER, INC.
Amendment Form Filed 2014-04-14 Amendment
Amendment Form Filed 1999-01-07 Amendment
Name Reservation Form Filed 1993-04-26 Name Reservation

Date of last update: 22 Dec 2024

Sources: Mississippi Secretary of State