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ALLIANCE HEALTHCARE SYSTEM, INC.

Company Details

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

form 5500

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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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 2023-06-01
Name of individual signing ROBERT MOORE
Valid signature Filed with authorized/valid electronic signature
ALLIANCE HEALTHCARE SYSTEM INC MEDOVA LIFESTYLE HEALTH CARE 2021 640893154 2022-11-14 ALLIANCE HEALTHCARE SYSTEM INC 68
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
ALLIANCE HEALTHCARE SYSTEM, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2021 640893154 2022-10-11 ALLIANCE HEALTHCARE SYSTEM, INC. 109
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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

Agent

Name Role Address
KENNETH WILLIAMS Agent 1430 HWY 4 EAST, HOLLY SPRINGS, MS 38634

Director

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

President

Name Role Address
Kenneth Williams President 1430 Hwy 4 E, Holly Springs, MS 38635

Secretary

Name Role Address
Regina Z Williams Secretary 1430 Hwy 4 E, Holly Springs, MS 38635

Filings

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.

Date of last update: 26 Dec 2024

Sources: Mississippi Secretary of State