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  5. CHILDREN'S CLINIC OF CLARKSDALE, P.A.

CHILDREN'S CLINIC OF CLARKSDALE, P.A.

Company Details

Name: CHILDREN'S CLINIC OF CLARKSDALE, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 24 Jun 1994 (31 years ago)
Business ID: 608527
ZIP code: 38614
County: Coahoma
State of Incorporation: MISSISSIPPI
Principal Office Address: 2245 n state streetCLARKSDALE, MS 38614

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHILDREN'S CLINIC OF CLARKSDALE, P.A. 401(K) PLAN 2022 640847938 2023-02-28 CHILDREN'S CLINIC OF CLARKSDALE, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6626274131
Plan sponsor’s address P.O. BOX 1447, CLARKSDALE, MS, 38614

Signature of
Role Plan administrator
Date 2023-02-28
Name of individual signing PEGGY WELLS
Valid signature Filed with authorized/valid electronic signature
CHILDREN'S CLINIC OF CLARKSDALE, P.A. 401(K) PLAN 2022 640847938 2023-05-10 CHILDREN'S CLINIC OF CLARKSDALE, P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6626274131
Plan sponsor’s address P.O. BOX 1447, CLARKSDALE, MS, 38614

Signature of
Role Plan administrator
Date 2023-05-10
Name of individual signing PEGGY WELLS
Valid signature Filed with authorized/valid electronic signature
CHILDREN'S CLINIC OF CLARKSDALE, P.A. 401(K) PLAN 2021 640847938 2022-08-02 CHILDREN'S CLINIC OF CLARKSDALE, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6626274131
Plan sponsor’s address P.O. BOX 1447, CLARKSDALE, MS, 38614

Signature of
Role Plan administrator
Date 2022-08-02
Name of individual signing PEGGY WELLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-02
Name of individual signing PEGGY WELLS
Valid signature Filed with authorized/valid electronic signature
CHILDREN'S CLINIC OF CLARKSDALE, P.A. 401(K) PLAN 2020 640847938 2021-03-26 CHILDREN'S CLINIC OF CLARKSDALE, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6626274131
Plan sponsor’s address P.O. BOX 1447, CLARKSDALE, MS, 38614

Signature of
Role Plan administrator
Date 2021-03-26
Name of individual signing BRENDA TURNER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-03-26
Name of individual signing BRENDA TURNER
Valid signature Filed with authorized/valid electronic signature
CHILDREN'S CLINIC OF CLARKSDALE, P.A. 401(K) PLAN 2019 640847938 2020-03-25 CHILDREN'S CLINIC OF CLARKSDALE, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6626274131
Plan sponsor’s address P.O. BOX 1447, CLARKSDALE, MS, 38614

Signature of
Role Plan administrator
Date 2020-03-25
Name of individual signing PEGGY WELLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-25
Name of individual signing PEGGY WELLS
Valid signature Filed with authorized/valid electronic signature
CHILDREN'S CLINIC OF CLARKSDALE, P.A. 401(K) PLAN 2018 640847938 2019-03-27 CHILDREN'S CLINIC OF CLARKSDALE, P.A. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6626274131
Plan sponsor’s address P.O. BOX 1447, CLARKSDALE, MS, 38614

Signature of
Role Plan administrator
Date 2019-03-27
Name of individual signing PEGGY WELLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-27
Name of individual signing PEGGY WELLS
Valid signature Filed with authorized/valid electronic signature
CHILDREN'S CLINIC OF CLARKSDALE, P.A. 401(K) PLAN 2017 640847938 2018-03-28 CHILDREN'S CLINIC OF CLARKSDALE, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 6626274131
Plan sponsor’s address P.O. BOX 1447, CLARKSDALE, MS, 38614

Signature of
Role Plan administrator
Date 2018-03-28
Name of individual signing PEGGY WELLS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-03-28
Name of individual signing PEGGY WELLS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Mangrem, Carole Agent 2245 N. State Street;PO Box 1447, Clarksdale, MS 38614

Incorporator

Name Role Address
Tom T Ross Jr Incorporator 123 Court St, P O Box 1196, Clarksdale, MS 38614
Debbi Bennett Incorporator 123 Court St, P O Box 1196, Clarksdale, MS 38614

President

Name Role Address
Peggy J Wells President PO Box1447, Clarksdale, MS 38614

Director

Name Role Address
Carole Mangrem Director PO Box 1447, Clarksdale, MS 38614
Peggy J Wells Director PO Box1447, Clarksdale, MS 38614

Vice President

Name Role Address
Carole Mangrem Vice President PO Box 1447, Clarksdale, MS 38614

Filings

Type Status Filed Date Description
Annual Report Filed 2024-03-11 Annual Report For CHILDREN'S CLINIC OF CLARKSDALE, P.A.
Annual Report Filed 2023-02-06 Annual Report For CHILDREN'S CLINIC OF CLARKSDALE, P.A.
Annual Report Filed 2022-05-13 Annual Report For CHILDREN'S CLINIC OF CLARKSDALE, P.A.
Annual Report Filed 2021-04-15 Annual Report For CHILDREN'S CLINIC OF CLARKSDALE, P.A.
Annual Report Filed 2020-05-23 Annual Report For CHILDREN'S CLINIC OF CLARKSDALE, P.A.
Annual Report Filed 2019-04-30 Annual Report For CHILDREN'S CLINIC OF CLARKSDALE, P.A.
Annual Report Filed 2018-04-24 Annual Report For CHILDREN'S CLINIC OF CLARKSDALE, P.A.
Annual Report Filed 2017-05-02 Annual Report For CHILDREN'S CLINIC OF CLARKSDALE, P.A.
Annual Report Filed 2016-05-23 Annual Report For CHILDREN'S CLINIC OF CLARKSDALE, P.A.
Annual Report Filed 2015-06-09 Annual Report For CHILDREN'S CLINIC OF CLARKSDALE, P.A.

Related by officers

Tom T Ross Jr

LANDRY'S, INC. DELTA PROPERTY MANAGEMENT, INC. BOSWELL DESIGN, INC. Hunt Ross & Allen, A Professional Association MOON LAKE BUILDING SUPPLY, INC. SAF T CART, INC. AGOSTINELLI PLANTING COMPANY, INC. GAS PRODUCTS, INC. JAW LAND COMPANY, INC. OASIS SOD FARMS, INC.

Debbi Bennett

HUGGINS AND WALKER, INC. DELTA PROPERTY MANAGEMENT, INC. BOSWELL DESIGN, INC. MOON LAKE BUILDING SUPPLY, INC. AGOSTINELLI PLANTING COMPANY, INC. GAS PRODUCTS, INC. JAW LAND COMPANY, INC. OASIS SOD FARMS, INC. NORTH DELTA GRAIN, INC. EASTOVER PLANTATION, INC.

Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Mississippi Secretary of State

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