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  5. CLARKSDALE FAMILY PRACTICE, INC.

CLARKSDALE FAMILY PRACTICE, INC.

Company Details

Name: CLARKSDALE FAMILY PRACTICE, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 19 May 1997 (28 years ago)
Business ID: 642625
ZIP code: 38614
County: Coahoma
State of Incorporation: MISSISSIPPI
Principal Office Address: 122 Westover DriveCLARKSDALE, MS 38614

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLARKSDALE FAMILY PRACTICE, INC. 401(K) SALARY SAVINGS PLAN 2019 721375260 2020-01-07 CLARKSDALE FAMILY PRACTICE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6626276331
Plan sponsor’s address P.O. BOX 1328, CLARKSDALE, MS, 38614

Signature of
Role Plan administrator
Date 2020-01-07
Name of individual signing TOMMY HUGHES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-01-07
Name of individual signing TOMMY HUGHES
Valid signature Filed with authorized/valid electronic signature
CLARKSDALE FAMILY PRACTICE, INC. 401(K) SALARY SAVINGS PLAN 2018 721375260 2019-06-10 CLARKSDALE FAMILY PRACTICE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6626276331
Plan sponsor’s address P.O. BOX 1328, CLARKSDALE, MS, 38614

Signature of
Role Plan administrator
Date 2019-06-08
Name of individual signing TOMMY HUGHES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-08
Name of individual signing TOMMY HUGHES
Valid signature Filed with authorized/valid electronic signature
CLARKSDALE FAMILY PRACTICE, INC. 401(K) SALARY SAVINGS PLAN 2017 721375260 2019-06-10 CLARKSDALE FAMILY PRACTICE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6626276331
Plan sponsor’s address P.O. BOX 1328, CLARKSDALE, MS, 38614

Signature of
Role Plan administrator
Date 2019-06-08
Name of individual signing TOMMY HUGHES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-06-08
Name of individual signing TOMMY HUGHES
Valid signature Filed with authorized/valid electronic signature
CLARKSDALE FAMILY PRACTICE, INC. 401(K) SALARY SAVINGS PLAN 2016 721375260 2017-03-20 CLARKSDALE FAMILY PRACTICE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6626276331
Plan sponsor’s address P. O. BOX 1328, CLARKSDALE, MS, 38614

Signature of
Role Plan administrator
Date 2017-03-20
Name of individual signing TOMMY HUGHES
Valid signature Filed with authorized/valid electronic signature
CLARKSDALE FAMILY PRACTICE, INC. 401(K) SALARY SAVINGS PLAN 2015 721375260 2016-04-22 CLARKSDALE FAMILY PRACTICE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6626276331
Plan sponsor’s address P. O. BOX 1328, CLARKSDALE, MS, 38614

Signature of
Role Plan administrator
Date 2016-04-22
Name of individual signing TOMMY HUGHES
Valid signature Filed with authorized/valid electronic signature
CLARKSDALE FAMILY PRACTICE, INC. 401(K) SALARY SAVINGS PLAN 2014 721375260 2015-04-15 CLARKSDALE FAMILY PRACTICE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6626276331
Plan sponsor’s address P. O. BOX 1328, CLARKSDALE, MS, 38614

Signature of
Role Plan administrator
Date 2015-04-15
Name of individual signing TOMMY HUGHES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-15
Name of individual signing TOMMY HUGHES
Valid signature Filed with authorized/valid electronic signature
CLARKSDALE FAMILY PRACTICE, INC. 401(K) SALARY SAVINGS PLAN 2013 721375260 2014-03-17 CLARKSDALE FAMILY PRACTICE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6626276331
Plan sponsor’s address P. O. BOX 1328, CLARKSDALE, MS, 38614

Signature of
Role Plan administrator
Date 2014-03-15
Name of individual signing TOMMY HUGHES
Valid signature Filed with authorized/valid electronic signature
CLARKSDALE FAMILY PRACTICE, INC. 401(K) SALARY SAVINGS PLAN 2012 721375260 2013-04-02 CLARKSDALE FAMILY PRACTICE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6626276331
Plan sponsor’s address P. O. BOX 1328, CLARKSDALE, MS, 38614

Signature of
Role Plan administrator
Date 2013-04-02
Name of individual signing TOMMY HUGHES
Valid signature Filed with authorized/valid electronic signature
CLARKSDALE FAMILY PRACTICE, INC. 401(K) SALARY SAVINGS PLAN 2011 721375260 2012-05-07 CLARKSDALE FAMILY PRACTICE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6626276331
Plan sponsor’s address P. O. BOX 1328, CLARKSDALE, MS, 38614

Plan administrator’s name and address
Administrator’s EIN 721375260
Plan administrator’s name CLARKSDALE FAMILY PRACTICE, INC.
Plan administrator’s address P. O. BOX 1328, CLARKSDALE, MS, 38614
Administrator’s telephone number 6626276331

Signature of
Role Plan administrator
Date 2012-05-05
Name of individual signing TOMMY HUGHES
Valid signature Filed with authorized/valid electronic signature
CLARKSDALE FAMILY PRACTICE, INC. 401(K) SALARY SAVINGS PLAN 2010 721375260 2011-04-11 CLARKSDALE FAMILY PRACTICE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6626276331
Plan sponsor’s address P. O. BOX 1328, CLARKSDALE, MS, 38614

Plan administrator’s name and address
Administrator’s EIN 721375260
Plan administrator’s name CLARKSDALE FAMILY PRACTICE, INC.
Plan administrator’s address P. O. BOX 1328, CLARKSDALE, MS, 38614
Administrator’s telephone number 6626276331

Signature of
Role Plan administrator
Date 2011-04-10
Name of individual signing TOMMY HUGHES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/14/20100614135130P040077024744001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 6626276331
Plan sponsor’s address P. O. BOX 1328, CLARKSDALE, MS, 38614

Plan administrator’s name and address
Administrator’s EIN 721375260
Plan administrator’s name CLARKSDALE FAMILY PRACTICE, INC.
Plan administrator’s address P. O. BOX 1328, CLARKSDALE, MS, 38614
Administrator’s telephone number 6626276331

Signature of
Role Plan administrator
Date 2010-06-12
Name of individual signing TOMMY HUGHES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
V THOMAS HUGHES JR Agent 122 Westover Drive;P O Box 1328, Clarksdale, MS 38614

Incorporator

Name Role Address
Philip A Sherman Incorporator 110 Yazoo Ave Room 204, Clarksdale, MS 38614
V Thomas Hughes Jr Incorporator 122 Westover Drive, Po Box 1328, Clarksdale, MS 38614

Director

Name Role Address
V. Thomas Hughes Jr. Director 122 Westover DriveP.o. Box 1328, Clarksdale, MS 38614
Sue Anne Hughes Director 122 Westover DriveP.o. Box 1328, Clarksdale, MS 38614

President

Name Role Address
V. Thomas Hughes Jr. President 122 Westover DriveP.o. Box 1328, Clarksdale, MS 38614

Vice President

Name Role Address
Sue Anne Hughes Vice President 122 Westover DriveP.o. Box 1328, Clarksdale, MS 38614

Filings

Type Status Filed Date Description
Annual Report Filed 2024-01-30 Annual Report For CLARKSDALE FAMILY PRACTICE, INC.
Annual Report Filed 2023-01-19 Annual Report For CLARKSDALE FAMILY PRACTICE, INC.
Annual Report Filed 2022-02-07 Annual Report For CLARKSDALE FAMILY PRACTICE, INC.
Annual Report Filed 2021-02-06 Annual Report For CLARKSDALE FAMILY PRACTICE, INC.
Annual Report Filed 2020-02-20 Annual Report For CLARKSDALE FAMILY PRACTICE, INC.
Annual Report Filed 2019-02-24 Annual Report For CLARKSDALE FAMILY PRACTICE, INC.
Annual Report Filed 2018-01-30 Annual Report For CLARKSDALE FAMILY PRACTICE, INC.
Annual Report Filed 2017-01-21 Annual Report For CLARKSDALE FAMILY PRACTICE, INC.
Annual Report Filed 2016-02-02 Annual Report For CLARKSDALE FAMILY PRACTICE, INC.
Annual Report Filed 2015-03-21 Annual Report For CLARKSDALE FAMILY PRACTICE, INC.

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 24 Dec 2024

Sources: Mississippi Secretary of State

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