| Name: | INTERNAL MEDICINE CLINIC OF CLARKSDALE, P.C. |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Profit Corporation |
| Status: | Good Standing |
| Effective Date: | 09 Apr 1999 (26 years ago) |
| Business ID: | 669406 |
| ZIP code: | 38614 |
| County: | Coahoma |
| State of Incorporation: | MISSISSIPPI |
| Principal Office Address: | 785 Ohio Ste 2bClarksdale, MS 38614 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| INTERNAL MEDICINE CLINIC OF CLARKSDALE, PC 401(K) PLAN | 2010 | 640908745 | 2011-10-14 | INTERNAL MEDICINE CLINIC OF CLARKSDALE, P.C. | 6 | |||||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 640908745 |
| Plan administrator’s name | INTERNAL MEDICINE CLINIC OF CLARKSDALE, P.C. |
| Plan administrator’s address | 785 OHIO ST, STE. 2B, CLARKSDALE, MS, 38614 |
| Administrator’s telephone number | 6626245481 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-14 |
| Name of individual signing | IRENE BUCKNER, MD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6626245481 |
| Plan sponsor’s address | 785 OHIO ST, STE. 2B, CLARKSDALE, MS, 38614 |
Plan administrator’s name and address
| Administrator’s EIN | 640908745 |
| Plan administrator’s name | INTERNAL MEDICINE CLINIC OF CLARKSDALE, P.C. |
| Plan administrator’s address | 785 OHIO ST, STE. 2B, CLARKSDALE, MS, 38614 |
| Administrator’s telephone number | 6626245481 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-12 |
| Name of individual signing | IRENE BUCKNER, MD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Buckner, Irene | Agent | 785 Ohio Street, #2b, Clarksdale, MS 38614 |
| Name | Role | Address |
|---|---|---|
| Irene S Buckner | Incorporator | 785 Ohio St #2b, Clarksdale, MS 38614 |
| Name | Role | Address |
|---|---|---|
| Irene S Buckner | Director | 785 Ohio St #2b, Clarksdale, MS 38614 |
| Premi Buckner | Director | No data |
| Yvonne Buckner | Director | No data |
| Name | Role | Address |
|---|---|---|
| Irene S Buckner | President | 785 Ohio St #2b, Clarksdale, MS 38614 |
| Name | Role |
|---|---|
| Premi Buckner | Vice President |
| Name | Role |
|---|---|
| Yvonne Buckner | Secretary |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Annual Report | Filed | 2024-04-30 | Annual Report For INTERNAL MEDICINE CLINIC OF CLARKSDALE, P.C. |
| Annual Report | Filed | 2023-02-20 | Annual Report For INTERNAL MEDICINE CLINIC OF CLARKSDALE, P.C. |
| Annual Report | Filed | 2022-05-25 | Annual Report For INTERNAL MEDICINE CLINIC OF CLARKSDALE, P.C. |
| Annual Report | Filed | 2021-04-28 | Annual Report For INTERNAL MEDICINE CLINIC OF CLARKSDALE, P.C. |
| Annual Report | Filed | 2020-05-23 | Annual Report For INTERNAL MEDICINE CLINIC OF CLARKSDALE, P.C. |
| Annual Report | Filed | 2019-05-01 | Annual Report For INTERNAL MEDICINE CLINIC OF CLARKSDALE, P.C. |
| Annual Report | Filed | 2018-04-24 | Annual Report For INTERNAL MEDICINE CLINIC OF CLARKSDALE, P.C. |
| Annual Report | Filed | 2017-05-08 | Annual Report For INTERNAL MEDICINE CLINIC OF CLARKSDALE, P.C. |
| Annual Report | Filed | 2016-05-20 | Annual Report For INTERNAL MEDICINE CLINIC OF CLARKSDALE, P.C. |
| Annual Report | Filed | 2015-06-17 | Annual Report For INTERNAL MEDICINE CLINIC OF CLARKSDALE, P.C. |
Date of last update: 26 Dec 2024
Sources: Mississippi Secretary of State
