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  5. GRENADA FAMILY MEDICINE CLINIC CORPORATION

GRENADA FAMILY MEDICINE CLINIC CORPORATION

Company Details

Name: GRENADA FAMILY MEDICINE CLINIC CORPORATION
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 17 Sep 1993 (32 years ago)
Business ID: 600655
ZIP code: 38901
County: Grenada
State of Incorporation: MISSISSIPPI
Principal Office Address: 1300 SUNSET, SUITE FGRENADA, MS 38901

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GRENADA FAMILY MEDICINE CLINIC 401(K) PLAN 2015 640835695 2016-03-14 GRENADA FAMILY MEDICINE CLINIC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6622265747
Plan sponsor’s address 1300 SUNSET DRIVE, SUITE F, GRENADA, MS, 38901

Signature of
Role Plan administrator
Date 2016-03-14
Name of individual signing RALPH ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-14
Name of individual signing RALPH ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
GRENADA FAMILY MEDICINE CLINIC 401(K) PLAN 2014 640835695 2015-07-13 GRENADA FAMILY MEDICINE CLINIC 18
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6622265747
Plan sponsor’s address 1300 SUNSET DRIVE, SUITE F, GRENADA, MS, 38901

Signature of
Role Plan administrator
Date 2015-07-13
Name of individual signing RALPH C ARMSTRONG JR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-13
Name of individual signing RALPH C ARMSTRONG JR
Valid signature Filed with authorized/valid electronic signature
GRENADA FAMILY MEDICINE CLINIC 401(K) PLAN 2014 640835695 2015-12-02 GRENADA FAMILY MEDICINE CLINIC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6622265747
Plan sponsor’s address 1300 SUNSET DRIVE, SUITE F, GRENADA, MS, 38901

Signature of
Role Plan administrator
Date 2015-12-02
Name of individual signing RALPH C ARMSTRONG JR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-12-02
Name of individual signing RALPH C ARMSTRONG JR
Valid signature Filed with authorized/valid electronic signature
GRENADA FAMILY MEDICINE CLINIC 401(K) PLAN 2013 640835695 2014-03-20 GRENADA FAMILY MEDICINE CLINIC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6622265747
Plan sponsor’s address 1300 SUNSET DRIVE, SUITE F, GRENADA, MS, 38901

Signature of
Role Plan administrator
Date 2014-03-20
Name of individual signing RALPH ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-20
Name of individual signing RALPH ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
GRENADA FAMILY MEDICINE CLINIC 401(K) PLAN 2012 640835695 2013-04-08 GRENADA FAMILY MEDICINE CLINIC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6622265747
Plan sponsor’s address 1300 SUNSET DRIVE, SUITE F, GRENADA, MS, 38901

Signature of
Role Plan administrator
Date 2013-04-08
Name of individual signing RALPH ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-04-08
Name of individual signing RALPH ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
GRENADA FAMILY MEDICINE CLINIC 401(K) PLAN 2011 640835695 2012-03-22 GRENADA FAMILY MEDICINE CLINIC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6622265747
Plan sponsor’s address 1300 SUNSET DRIVE, SUITE F, GRENADA, MS, 38901

Plan administrator’s name and address
Administrator’s EIN 640835695
Plan administrator’s name GRENADA FAMILY MEDICINE CLINIC
Plan administrator’s address 1300 SUNSET DRIVE, SUITE F, GRENADA, MS, 38901
Administrator’s telephone number 6622265747

Signature of
Role Plan administrator
Date 2012-03-22
Name of individual signing RALPH ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-22
Name of individual signing RALPH ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
GRENADA FAMILY MEDICINE CLINIC 401(K) PLAN 2010 640835695 2011-11-14 GRENADA FAMILY MEDICINE CLINIC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6622265747
Plan sponsor’s address 1300 SUNSET DRIVE, SUITE F, GRENADA, MS, 38901

Plan administrator’s name and address
Administrator’s EIN 640835695
Plan administrator’s name GRENADA FAMILY MEDICINE CLINIC
Plan administrator’s address 1300 SUNSET DRIVE, SUITE F, GRENADA, MS, 38901
Administrator’s telephone number 6622265747

Signature of
Role Plan administrator
Date 2011-11-14
Name of individual signing RALPH ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-11-14
Name of individual signing RALPH ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
GRENADA FAMILY MEDICINE CLINIC 401(K) PLAN 2010 640835695 2011-11-16 GRENADA FAMILY MEDICINE CLINIC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6622265747
Plan sponsor’s address 1300 SUNSET DRIVE, SUITE F, GRENADA, MS, 38901

Plan administrator’s name and address
Administrator’s EIN 640835695
Plan administrator’s name GRENADA FAMILY MEDICINE CLINIC
Plan administrator’s address 1300 SUNSET DRIVE, SUITE F, GRENADA, MS, 38901
Administrator’s telephone number 6622265747

Signature of
Role Plan administrator
Date 2011-11-16
Name of individual signing RALPH ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-11-16
Name of individual signing RALPH ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
GRENADA FAMILY MEDICINE CLINIC 401(K) PLAN 2010 640856047 2011-03-31 GRENADA FAMILY MEDICINE CLINIC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6622265747
Plan sponsor’s address 1300 SUNSET DRIVE, SUITE F, GRENADA, MS, 38901

Plan administrator’s name and address
Administrator’s EIN 640856047
Plan administrator’s name GRENADA FAMILY MEDICINE CLINIC
Plan administrator’s address 1300 SUNSET DRIVE, SUITE F, GRENADA, MS, 38901
Administrator’s telephone number 6622265747

Signature of
Role Plan administrator
Date 2011-03-31
Name of individual signing RALPH ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-31
Name of individual signing RALPH ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
GRENADA FAMILY MEDICINE CLINIC 401(K) PLAN 2009 640835695 2011-11-11 GRENADA FAMILY MEDICINE CLINIC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6622265747
Plan sponsor’s address 1300 SUNSET DRIVE, SUITE F, GRENADA, MS, 38901

Plan administrator’s name and address
Administrator’s EIN 640835695
Plan administrator’s name GRENADA FAMILY MEDICINE CLINIC
Plan administrator’s address 1300 SUNSET DRIVE, SUITE F, GRENADA, MS, 38901
Administrator’s telephone number 6622265747

Signature of
Role Plan administrator
Date 2011-11-11
Name of individual signing RALPH ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-11-11
Name of individual signing RALPH ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/10/20100910165500P030167944290001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 6622265747
Plan sponsor’s address 1300 SUNSET DRIVE, SUITE F, GRENADA, MS, 38901

Plan administrator’s name and address
Administrator’s EIN 640856047
Plan administrator’s name GRENADA FAMILY MEDICINE CLINIC
Plan administrator’s address 1300 SUNSET DRIVE, SUITE F, GRENADA, MS, 38901
Administrator’s telephone number 6622265747

Signature of
Role Plan administrator
Date 2010-09-10
Name of individual signing RALPH ARMSTRONG JR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-10
Name of individual signing RALPH ARMSTRONG JR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
RAFE ARMSTRONG Agent 1300 SUNSET STE F, GRENADA, MS 38901

Incorporator

Name Role Address
Robert D Church Jr Incorporator 120 N Congress #112d, Jackson, MS 39201

Director

Name Role Address
Rafe Armstrong Director 1300 Sunset Drive, Ste F, Grenada, MS 38901
Richard Reid Director No data
Todd Lee Director No data

President

Name Role Address
Rafe Armstrong President 1300 Sunset Drive, Ste F, Grenada, MS 38901

Vice President

Name Role
Richard Reid Vice President

Secretary

Name Role
Todd Lee Secretary

Filings

Type Status Filed Date Description
Dissolution Filed 2016-11-23 Dissolution For GRENADA FAMILY MEDICINE CLINIC CORPORATION
Notice to Dissolve/Revoke Filed 2016-09-06 Notice to Dissolve/Revoke
Annual Report Filed 2015-03-25 Annual Report For GRENADA FAMILY MEDICINE CLINIC CORPORATION
Annual Report Filed 2014-03-26 Annual Report
Annual Report Filed 2013-07-22 Annual Report
Notice to Dissolve/Revoke Filed 2013-07-01 Notice to Dissolve/Revoke
Annual Report Filed 2012-05-04 Annual Report
Annual Report Filed 2011-04-28 Annual Report
Annual Report Filed 2010-03-31 Annual Report
Annual Report Filed 2009-03-31 Annual Report

Related by officers

Robert D Church Jr

BROOKHAVEN UROLOGY, P.A. BROOKHAVEN CHILDREN'S CLINIC, P.A. SURGICAL ANESTHESIA ASSOCIATES, P.A. Oxford Clinic for Women PLLC Rebel Computers, LLC Robert D. Church Jr, CPA, LLC Shippers Express Brokerage LLC HealthCare Forensics, LLC

Rafe Armstrong

GRENADA DIAGNOSTIC RADIOLOGY, LLC Grenada Diagnostic Sleep Center LLC

Richard Reid

Reid's Electric Motor Service, Inc. R & J Properties of Smithdale, LLC J & R Retail, LLC Shine's Tasty Freeze, LLC

Todd Lee

Professional Pharmacy Consultant Services, LLC Professional Pharmacy Staffing Services, LLC

Related by address

No related companies by address

Date of last update: 15 Mar 2025

Sources: Mississippi Secretary of State

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