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  5. ALLIANCE HEALTHCARE SYSTEM, INC.

ALLIANCE HEALTHCARE SYSTEM, INC.

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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

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

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
JEMQW9RAX897
UEI Expiration Date:
2026-03-03

Business Information

Division Name:
1295826337
Activation Date:
2025-03-05
Initial Registration Date:
2025-03-03

National Provider Identifier

NPI Number:
1578956264
Link:
View on NPI website

Authorized Person:

Name:
KENNETH WILLIAMS
Role:
PRESIDENT
Phone:
6622521599

Taxonomy:

Selected Taxonomy:
3336C0002X - Clinic Pharmacy
Is Primary:
Yes

Contacts:

Phone:
+1 662-252-1599
Fax:
6622521986

Form 5500 Series

Employer Identification Number (EIN):
640893154
Plan Year:
2022
Number Of Participants:
0
Sponsors Telephone Number:
6622521212
File:
View File
Plan Year:
2021
Number Of Participants:
109
Sponsors Telephone Number:
6622521212
File:
View File
Plan Year:
2021
Number Of Participants:
68
Sponsors Telephone Number:
6622521212
File:
View File

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.

USAspending Awards / Financial Assistance

Date:
2021-03-13
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
953852.00
Total Face Value Of Loan:
953852.00
Date:
2020-04-18
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-14
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1104207.50
Total Face Value Of Loan:
1104207.50

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
1104207.5
Current Approval Amount:
1104207.5
Race:
Black or African American
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
1115709.66
Date Approved:
2021-03-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
953852
Current Approval Amount:
953852
Race:
Black or African American
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
966474.21

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Date of last update: 03 May 2025

Sources: Company Profile on Mississippi Secretary of State Website

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