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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

Related by officers

PLACID EZE

EZE P'S FAMILY MEDICAL CLINIC, PLLC

Carmen McNeal

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Placid M Eze

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Related by address

No related companies by address

Date of last update: 27 Dec 2024

Sources: Mississippi Secretary of State

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