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  5. NORTH MISSISSIPPI MEDICAL CLINICS, INC.

NORTH MISSISSIPPI MEDICAL CLINICS, INC.

Company Details

Name: NORTH MISSISSIPPI MEDICAL CLINICS, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 29 May 1990 (35 years ago)
Business ID: 661842
ZIP code: 38801
County: Lee
State of Incorporation: DELAWARE
Principal Office Address: 830 SOUTH GLOSTER STREETTUPELO, MS 38801

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH MISSISSIPPI MEDICAL CLINICS, INC. MONEY PURCHASE PENSION PLAN 2009 640787918 2010-10-18 NORTH MISSISSIPPI MEDICAL CLINICS, INC. 1004
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1979-01-01
Business code 621111
Sponsor’s telephone number 6628413056
Plan sponsor’s mailing address 845 SOUTH MADISON, TUPELO, MS, 38801
Plan sponsor’s address 845 SOUTH MADISON, TUPELO, MS, 38801

Plan administrator’s name and address
Administrator’s EIN 640787918
Plan administrator’s name NORTH MISSISSIPPI MEDICAL CLINICS, INC.
Plan administrator’s address 845 SOUTH MADISON, TUPELO, MS, 38801
Administrator’s telephone number 6628413056

Number of participants as of the end of the plan year
Active participants 743
Other retired or separated participants entitled to future benefits 259
Number of participants with account balances as of the end of the plan year 993
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2010-10-18
Name of individual signing PENNY R. WOOD
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI MEDICAL CLINICS, INC. SAVINGS PLAN 2009 640787918 2010-10-18 NORTH MISSISSIPPI MEDICAL CLINICS, INC. 791
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-10-01
Business code 621111
Sponsor’s telephone number 6623773056
Plan sponsor’s mailing address 845 SOUTH MADISON, TUPELO, MS, 38801
Plan sponsor’s address 845 SOUTH MADISON, TUPELO, MS, 38801

Plan administrator’s name and address
Administrator’s EIN 640787918
Plan administrator’s name NORTH MISSISSIPPI MEDICAL CLINICS, INC.
Plan administrator’s address 845 SOUTH MADISON, TUPELO, MS, 38801
Administrator’s telephone number 6623773056

Number of participants as of the end of the plan year
Active participants 709
Other retired or separated participants entitled to future benefits 258
Number of participants with account balances as of the end of the plan year 884

Signature of
Role Plan administrator
Date 2010-10-18
Name of individual signing PENNY R. WOOD
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI MEDICAL CLINICS, INC. MONEY PURCHASE PENSION PLAN 2009 640787918 2010-10-14 NORTH MISSISSIPPI MEDICAL CLINICS, INC. 1004
Three-digit plan number (PN) 002
Effective date of plan 1979-01-01
Business code 621111
Sponsor’s telephone number 6628413056
Plan sponsor’s mailing address 845 SOUTH MADISON, TUPELO, MS, 38801
Plan sponsor’s address 845 SOUTH MADISON, TUPELO, MS, 38801

Plan administrator’s name and address
Administrator’s EIN 640787918
Plan administrator’s name NORTH MISSISSIPPI MEDICAL CLINICS, INC.
Plan administrator’s address 845 SOUTH MADISON, TUPELO, MS, 38801
Administrator’s telephone number 6628413056

Number of participants as of the end of the plan year
Active participants 743
Other retired or separated participants entitled to future benefits 259
Number of participants with account balances as of the end of the plan year 993
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 1

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing PENNY R. WOOD
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI MEDICAL CLINICS, INC. SAVINGS PLAN 2009 640787918 2010-10-14 NORTH MISSISSIPPI MEDICAL CLINICS, INC. 791
Three-digit plan number (PN) 001
Effective date of plan 1993-10-01
Business code 621111
Sponsor’s telephone number 6623773056
Plan sponsor’s mailing address 845 SOUTH MADISON, TUPELO, MS, 38801
Plan sponsor’s address 845 SOUTH MADISON, TUPELO, MS, 38801

Plan administrator’s name and address
Administrator’s EIN 640787918
Plan administrator’s name NORTH MISSISSIPPI MEDICAL CLINICS, INC.
Plan administrator’s address 845 SOUTH MADISON, TUPELO, MS, 38801
Administrator’s telephone number 6623773056

Number of participants as of the end of the plan year
Active participants 709
Other retired or separated participants entitled to future benefits 258
Number of participants with account balances as of the end of the plan year 884

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing PENNY R. WOOD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BRUCE J. TOPPIN Agent 830 S. GLOSTER, TUPELO, MS 38801

Director

Name Role Address
David Barber Director 830 S. Gloster St, Tupelo, MS 38801
Bruce J Toppin Director 830 S. Gloster St., Tueplo, MS 38801

President

Name Role Address
David Barber President 830 S. Gloster St, Tupelo, MS 38801

Secretary

Name Role Address
Bruce J Toppin Secretary 830 S. Gloster St., Tueplo, MS 38801

Filings

Type Status Filed Date Description
Non-Profit Status Report Filed 2017-01-12 Status Report For NORTH MISSISSIPPI MEDICAL CLINICS, INC.
Amendment Form Filed 1998-10-01 Amendment
Amendment Form Filed 1996-07-16 Amendment
Name Reservation Form Filed 1990-05-29 Name Reservation

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PURCHASE ORDER AWARD W9127Q10P0081 2010-02-26 2010-02-26 2010-02-26
Unique Award Key CONT_AWD_W9127Q10P0081_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Award Amounts
Obligated Amount 5450.00
Current Award Amount 5450.00
Potential Award Amount 5450.00

Description
Title MEDICAL EXAMS
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details
Recipient NORTH MISSISSIPPI MEDICAL CLINICS INC
UEI LHLNERRPNUH3
Legacy DUNS 114719482
Recipient Address 450 E PRESIDENT ST, TUPELO, LEE, MISSISSIPPI, 388015599, UNITED STATES

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
64-0787918 Corporation Unconditional Exemption 830 S GLOSTER ST, TUPELO, MS, 38801-4934 1992-07
In Care of Name % KRISTY DUKE
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-09
Asset 50,000,000 to greater
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 207320466
Income Amount 55414901
Form 990 Revenue Amount 55414901
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name NORTH MISSISSIPPI MEDICAL CLINICS INC
EIN 64-0787918
Tax Period 202209
Filing Type E
Return Type 990
File View File
Organization Name NORTH MISSISSIPPI MEDICAL CLINICS INC
EIN 64-0787918
Tax Period 202109
Filing Type E
Return Type 990
File View File
Organization Name NORTH MISSISSIPPI MEDICAL CLINICS INC
EIN 64-0787918
Tax Period 201909
Filing Type E
Return Type 990
File View File
Organization Name NORTH MISSISSIPPI MEDICAL CLINICS INC
EIN 64-0787918
Tax Period 201809
Filing Type E
Return Type 990
File View File
Organization Name NORTH MISSISSIPPI MEDICAL CLINICS INC
EIN 64-0787918
Tax Period 201709
Filing Type E
Return Type 990
File View File
Organization Name NORTH MISSISSIPPI MEDICAL CLINICS INC
EIN 64-0787918
Tax Period 201609
Filing Type E
Return Type 990
File View File

Related by officers

BRUCE J. TOPPIN

NORTH MISSISSIPPI DIALYSIS SERVICES, INC. NORTH MISSISSIPPI HEALTH SERVICES, INC. TUPELO SERVICE FINANCE, INC. CLAY COUNTY MEDICAL CORPORATION NORTH MISSISSIPPI MEDICAL CENTER, INC. NORTH MISSISSIPPI SURGERY CENTER, INC. TISHOMINGO HEALTH SERVICES, INC. NORTH MISSISSIPPI MANAGEMENT SERVICES, INC. ITAWAMBA HEALTH SERVICES, INC. NORTH MISSISSIPPI EMERGENCY SERVICES, INC.

David Barber

BARBER MINERALS, INC. PROFESSIONAL PRACTICE MANAGEMENT, INC. First Family Mortgage, Inc. National Rural ACO 18 LLC Southern Snow Shoppe Co Nexus Group, LLC

Bruce J Toppin

TUPELO SERVICE FINANCE, INC. NORTH MISSISSIPPI ENTERPRISES, INC. NORTH MISSISSIPPI MANAGEMENT SERVICES, INC. NORTH MISSISSIPPI EMERGENCY SERVICES, INC. WEBSTER HEALTH SERVICES, INC. PROFESSIONAL PRACTICE MANAGEMENT, INC. THE IMAGING CENTER AT GLOSTER CREEK VILLAGE, LLC NORTH MISSISSIPPI JOINT VENTURES, LLC NORTH MISSISSIPPI AMBULATORY SURGERY CENTER, LLC North Mississippi Pain Management Center, LLC

Related by address

830 SOUTH GLOSTER STREETTUPELO, MS 38801

BMC, INC. NORTH MISSISSIPPI ENTERPRISES, INC. NORTH MISSISSIPPI FAMILY MEDICAL CLINICS, INC. PROFESSIONAL PRACTICE MANAGEMENT, INC. HEALTH CARE FOUNDATION OF NORTH MISSISSIPPI

Date of last update: 17 Mar 2025

Sources: Mississippi Secretary of State

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