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  5. EZE FAMILY MEDICAL CLINIC, PLLC

EZE FAMILY MEDICAL CLINIC, PLLC

Company Details

Name: EZE FAMILY MEDICAL CLINIC, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 18 May 2001 (24 years ago)
Business ID: 706935
ZIP code: 39759
County: Oktibbeha
State of Incorporation: MISSISSIPPI
Principal Office Address: 807 Hwy 12WSTARKVILLE, MS 39759

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EZE FAMILY MEDICAL CLINIC 401K PLAN 2023 640940768 2024-07-26 EZE FAMILY MEDICAL CLINIC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6623234400
Plan sponsor’s address 900 STARK ROAD, STARKVILLE, MS, 39759
EZE FAMILY MEDICAL CLINIC 401K PLAN 2022 640940768 2023-10-16 EZE FAMILY MEDICAL CLINIC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6623234400
Plan sponsor’s address 900 STARK ROAD, STARKVILLE, MS, 39759
EZE FAMILY MEDICAL CLINIC 401K PLAN 2021 640940768 2022-08-03 EZE FAMILY MEDICAL CLINIC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6623234400
Plan sponsor’s address 900 STARK RD, STARKVILLE, MS, 39759
EZE FAMILY MEDICAL CLINIC 401K PLAN 2020 640940768 2021-10-15 EZE FAMILY MEDICAL CLINIC 11
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6623234400
Plan sponsor’s address 900 STARK RD, STARKVILLE, MS, 39759
EZE FAMILY MEDICAL CLINIC 401K PLAN 2020 640940768 2021-10-15 EZE FAMILY MEDICAL CLINIC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6623234400
Plan sponsor’s address 900 STARK RD, STARKVILLE, MS, 39759
EZE FAMILY MEDICAL CLINIC 401K PLAN 2019 461802762 2020-04-28 EZE FAMILY MEDICAL CLINIC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6623234400
Plan sponsor’s address 900 STARK RD, STARKVILLE, MS, 39759
EZE FAMILY MEDICAL CLINIC 401K PLAN 2018 461802762 2019-10-10 EZE FAMILY MEDICAL CLINIC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6623234400
Plan sponsor’s address 900 STARK RD, STARKVILLE, MS, 39759
EZE FAMILY MEDICAL CLINIC 401(K) PS PLAN 2017 640940768 2018-02-16 EZE FAMILY MEDICAL CLINIC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6623234400
Plan sponsor’s address 900 STARK RD., STARKVILLE, MS, 39759

Plan administrator’s name and address
Administrator’s EIN 640940768
Plan administrator’s name EZE FAMILY MEDICAL CLINIC
Plan administrator’s address 900 STARK RD., STARKVILLE, MS, 39759
Administrator’s telephone number 6623234400

Signature of
Role Plan administrator
Date 2018-02-16
Name of individual signing PLACID EZE
Valid signature Filed with authorized/valid electronic signature
EZE FAMILY MEDICAL CLINIC 401(K) PS PLAN 2017 640940768 2018-03-09 EZE FAMILY MEDICAL CLINIC 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6623234400
Plan sponsor’s address 900 STARK RD., STARKVILLE, MS, 39759

Plan administrator’s name and address
Administrator’s EIN 640940768
Plan administrator’s name EZE FAMILY MEDICAL CLINIC
Plan administrator’s address 900 STARK RD., STARKVILLE, MS, 39759
Administrator’s telephone number 6623234400

Signature of
Role Plan administrator
Date 2018-03-09
Name of individual signing PLACID EZE
Valid signature Filed with authorized/valid electronic signature
EZE FAMILY MEDICAL CLINIC 401(K) PS PLAN 2017 640940768 2018-02-16 EZE FAMILY MEDICAL CLINIC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6623234400
Plan sponsor’s address 900 STARK RD., STARKVILLE, MS, 39759

Plan administrator’s name and address
Administrator’s EIN 640940768
Plan administrator’s name EZE FAMILY MEDICAL CLINIC
Plan administrator’s address 900 STARK RD., STARKVILLE, MS, 39759
Administrator’s telephone number 6623234400

Signature of
Role Plan administrator
Date 2018-02-16
Name of individual signing PLACID EZE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/08/15/20180815154406P040005390149001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6623234400
Plan sponsor’s address 900 STARK RD, STARKVILLE, MS, 39759
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/02/16/20180216135429P030086872487001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6623234400
Plan sponsor’s address 900 STARK RD., STARKVILLE, MS, 39759

Plan administrator’s name and address
Administrator’s EIN 640940768
Plan administrator’s name EZE FAMILY MEDICAL CLINIC
Plan administrator’s address 900 STARK RD., STARKVILLE, MS, 39759
Administrator’s telephone number 6623234400

Signature of
Role Plan administrator
Date 2018-02-16
Name of individual signing PLACID EZE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/02/16/20180216135205P030086848647001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6623234400
Plan sponsor’s address 900 STARK RD., STARKVILLE, MS, 39759

Plan administrator’s name and address
Administrator’s EIN 640940768
Plan administrator’s name EZE FAMILY MEDICAL CLINIC
Plan administrator’s address 900 STARK RD., STARKVILLE, MS, 39759
Administrator’s telephone number 6623234400

Signature of
Role Plan administrator
Date 2018-02-16
Name of individual signing PLACID EZE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/10/16/20171016094428P030176566877001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6623234400
Plan sponsor’s address 900 STARK RD, STARKVILLE, MS, 39759
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6623234400
Plan sponsor’s address 900 STARK RD, STARKVILLE, MS, 39759
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/09/30/20160930110454P040002188599001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6623234400
Plan sponsor’s address 900 STARK RD, STARKVILLE, MS, 39759

Signature of
Role Plan administrator
Date 2016-09-30
Name of individual signing PLACID M. EZE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/15/20151015135836P040021273391001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6623234400
Plan sponsor’s address 900 STARK RD, STARKVILLE, MS, 39759

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing PLACID M. EZE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/03/19/20180319094702P040000304575001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6623234400
Plan sponsor’s address 900 STARK RD., STARKVILLE, MS, 39759

Plan administrator’s name and address
Administrator’s EIN 640940768
Plan administrator’s name EZE FAMILY MEDICAL CLINIC
Plan administrator’s address 900 STARK RD., STARKVILLE, MS, 39759
Administrator’s telephone number 6623234400

Signature of
Role Plan administrator
Date 2018-03-19
Name of individual signing PLACID EZE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PLACID EZE Agent 105 STRANGE RD, STARKVILLE, MS 39759

Organizer

Name Role Address
Carmen McNeal Organizer 900 STARK ROAD, STARKVILLE, MS 39759

Member

Name Role Address
Placid M Eze Member PO Box 452, STARKVILLE, MS 39759-0452

President

Name Role Address
Placid M Eze President PO Box 452, STARKVILLE, MS 39759-0452

Manager

Name Role Address
Athelia B Eze Manager PO Box 452, STARKVILLE, MS 39759-0452

Filings

Type Status Filed Date Description
Dissolution Filed 2024-01-02 Dissolution For EZE FAMILY MEDICAL CLINIC, PLLC
Annual Report LLC Filed 2024-01-02 Annual Report For EZE FAMILY MEDICAL CLINIC, PLLC
Annual Report LLC Filed 2023-01-19 Annual Report For EZE FAMILY MEDICAL CLINIC, PLLC
Annual Report LLC Filed 2022-01-20 Annual Report For EZE FAMILY MEDICAL CLINIC, PLLC
Reinstatement Filed 2021-01-19 Reinstatement For EZE FAMILY MEDICAL CLINIC, PLLC
Admin Dissolution Filed 2020-11-27 Action of EZE FAMILY MEDICAL CLINIC, PLLC: AR
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report LLC Filed 2019-04-16 Annual Report For EZE FAMILY MEDICAL CLINIC, PLLC
Reinstatement Filed 2018-01-02 Reinstatement For EZE FAMILY MEDICAL CLINIC, PLLC
Admin Dissolution Filed 2017-12-06 Admin Dissolution: AR

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7001508405 2021-02-11 0470 PPS 900 Stark Rd, Starkville, MS, 39759-3613
Loan Status Date 2022-01-06
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 61147
Loan Approval Amount (current) 61147
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39670
Servicing Lender Name The Citizens Bank of Philadelphia
Servicing Lender Address 521 Main St, PHILADELPHIA, MS, 39350-2544
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Starkville, OKTIBBEHA, MS, 39759-3613
Project Congressional District MS-03
Number of Employees 5
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 39670
Originating Lender Name The Citizens Bank of Philadelphia
Originating Lender Address PHILADELPHIA, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 61612.72
Forgiveness Paid Date 2021-12-01
3348897302 2020-04-29 0470 PPP 900 STARK RD, STARKVILLE, MS, 39759-3613
Loan Status Date 2021-03-04
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 37548.52
Loan Approval Amount (current) 37548.52
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39670
Servicing Lender Name The Citizens Bank of Philadelphia
Servicing Lender Address 521 Main St, PHILADELPHIA, MS, 39350-2544
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Unanswered
Project Address STARKVILLE, OKTIBBEHA, MS, 39759-3613
Project Congressional District MS-03
Number of Employees 12
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 39670
Originating Lender Name The Citizens Bank of Philadelphia
Originating Lender Address PHILADELPHIA, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 37843.76
Forgiveness Paid Date 2021-02-11

Related by officers

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Related by address

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Date of last update: 19 Mar 2025

Sources: Mississippi Secretary of State

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