| Name: | ALLIANCE HEALTHCARE SYSTEM, INC. |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Profit Corporation |
| Status: | Good Standing |
| Effective Date: | 19 Mar 1998 (27 years ago) |
| Business ID: | 680945 |
| ZIP code: | 38634 |
| County: | Marshall |
| State of Incorporation: | DELAWARE |
| Principal Office Address: | 1430 HIGHWAY 4 EASTHOLLY SPRINGS, MS 38634 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALLIANCE HEALTHCARE SYSTEM INC MEDOVA LIFESTYLE HEALTH CARE | 2022 | 640893154 | 2023-06-02 | ALLIANCE HEALTHCARE SYSTEM INC | 0 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 200200514 |
| Plan administrator’s name | RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s address | 510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number | 6153700051 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-01 |
| Name of individual signing | ROBERT MOORE |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2003-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 6622521212 |
| Plan sponsor’s address | 1430 HIGHWAY 4 E, HOLLY SPRINGS, MS, 38635 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-11 |
| Name of individual signing | KENNETH WILLIAMS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 2021-02-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 6622521212 |
| Plan sponsor’s address | 1430 HIGHWAY 4 E, HOLLY SPRINGS, MS, 386352140 |
Plan administrator’s name and address
| Administrator’s EIN | 200200514 |
| Plan administrator’s name | RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s address | 510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number | 6153700051 |
Signature of
| Role | Plan administrator |
| Date | 2022-11-14 |
| Name of individual signing | ROBERT MOORE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| KENNETH WILLIAMS | Agent | 1430 HWY 4 EAST, HOLLY SPRINGS, MS 38634 |
| Name | Role | Address |
|---|---|---|
| Kenneth Williams | Director | 1430 Hwy 4 E, Holly Springs, MS 38635 |
| Regina Z Williams | Director | 1430 Hwy 4 E, Holly Springs, MS 38635 |
| Ethel Thompson | Director | 1430 Hwy 4 E, Holly Springs, MS 38635 |
| Name | Role | Address |
|---|---|---|
| Kenneth Williams | President | 1430 Hwy 4 E, Holly Springs, MS 38635 |
| Name | Role | Address |
|---|---|---|
| Regina Z Williams | Secretary | 1430 Hwy 4 E, Holly Springs, MS 38635 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Annual Report | Filed | 2024-02-08 | Annual Report For ALLIANCE HEALTHCARE SYSTEM, INC. |
| Annual Report | Filed | 2023-01-27 | Annual Report For ALLIANCE HEALTHCARE SYSTEM, INC. |
| Annual Report | Filed | 2022-02-07 | Annual Report For ALLIANCE HEALTHCARE SYSTEM, INC. |
| Annual Report | Filed | 2021-03-10 | Annual Report For ALLIANCE HEALTHCARE SYSTEM, INC. |
| Annual Report | Filed | 2020-02-21 | Annual Report For ALLIANCE HEALTHCARE SYSTEM, INC. |
| Annual Report | Filed | 2019-02-26 | Annual Report For ALLIANCE HEALTHCARE SYSTEM, INC. |
| Annual Report | Filed | 2018-03-28 | Annual Report For ALLIANCE HEALTHCARE SYSTEM, INC. |
| Annual Report | Filed | 2017-01-26 | Annual Report For ALLIANCE HEALTHCARE SYSTEM, INC. |
| Annual Report | Filed | 2016-03-24 | Annual Report For ALLIANCE HEALTHCARE SYSTEM, INC. |
| Reinstatement | Filed | 2015-01-06 | Reinstatement For ALLIANCE HEALTHCARE SYSTEM, INC. |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7170277108 | 2020-04-14 | 0470 | PPP | 1430 HIGHWAY 4, HOLLY SPRINGS, MS, 38635 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2039408609 | 2021-03-13 | 0470 | PPS | 1430 Highway 4 E, Holly Springs, MS, 38635-2140 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 18 Mar 2025
Sources: Mississippi Secretary of State
