| Name: | FAMILY MEDICAL CLINIC, PLLC |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Limited Liability Company |
| Effective Date: | 27 Mar 1998 (27 years ago) |
| Business ID: | 654561 |
| State of Incorporation: | MISSISSIPPI |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FAMILY MEDICAL CLINIC PROFIT SHARING PLAN | 2014 | 640699015 | 2015-08-12 | FAMILY MEDICAL CLINIC | 5 | |||||||||||||||||||||||||||||||||||||||||
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| FAMILY MEDICAL CLINIC PROFIT SHARING PLAN | 2013 | 640699015 | 2014-08-29 | FAMILY MEDICAL CLINIC | 6 | |||||||||||||||||||||||||||||||||||||||||
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| FAMILY MEDICAL CLINIC PROFIT SHARING PLAN | 2012 | 640699015 | 2013-07-30 | FAMILY MEDICAL CLINIC | 6 | |||||||||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-07-30 |
| Name of individual signing | DR PHIL THOMPSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-07-30 |
| Name of individual signing | DR PHIL THOMPSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1997-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6017829801 |
| Plan sponsor’s address | P. O. BOX 10, RALEIGH, MS, 39153 |
Plan administrator’s name and address
| Administrator’s EIN | 640699015 |
| Plan administrator’s name | FAMILY MEDICAL CLINIC |
| Plan administrator’s address | P. O. BOX 10, RALEIGH, MS, 39153 |
| Administrator’s telephone number | 6017829801 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-12 |
| Name of individual signing | DR PHIL THOMPSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2012-10-12 |
| Name of individual signing | DR PHIL THOMPSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1997-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6017829801 |
| Plan sponsor’s address | P. O. BOX 10, RALEIGH, MS, 39153 |
Plan administrator’s name and address
| Administrator’s EIN | 640699015 |
| Plan administrator’s name | FAMILY MEDICAL CLINIC |
| Plan administrator’s address | P. O. BOX 10, RALEIGH, MS, 39153 |
| Administrator’s telephone number | 6017829801 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-10 |
| Name of individual signing | DR PHIL THOMPSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2011-10-10 |
| Name of individual signing | DR PHIL THOMPSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GLENN F MORRIS | Agent | 4290 LAKELAND DR, FLOWOOD, MS 39208 |
| Name | Role | Address |
|---|---|---|
| GLENN F MORRIS | Member | 4290 LAKELAND DR, FLOWOOD, MS 39208 |
| CYNTHIA E ALLEN | Member | 4290 LAKELAND DR, FLOWOOD, MS 39208 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Dissolution | Filed | 2002-06-04 | Dissolution |
| Name Reservation Form | Filed | 1998-03-27 | Name Reservation |
Date of last update: 25 Dec 2024
Sources: Mississippi Secretary of State
