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  5. PRIMARY CARE CLINIC OF RIPLEY, P.A.

PRIMARY CARE CLINIC OF RIPLEY, P.A.

Company Details

Name: PRIMARY CARE CLINIC OF RIPLEY, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 04 Feb 2002 (23 years ago)
Business ID: 712592
ZIP code: 38652
County: Union
State of Incorporation: MISSISSIPPI
Principal Office Address: 460 West Bankhead St.New Albany, MS 38652

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRIMARY CARE CLINIC OF RIPLEY, P. A. 401K PLAN 2022 721520812 2023-10-12 PRIMARY CARE CLINIC OF RIPLEY, P. A. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6628371404
Plan sponsor’s address 1009 CITY AVENUE NORTH, RIPLEY, MS, 38663
PRIMARY CARE CLINIC OF RIPLEY, P. A. 401K PLAN 2021 721520812 2022-08-22 PRIMARY CARE CLINIC OF RIPLEY, P. A. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6628371404
Plan sponsor’s address 1009 CITY AVENUE NORTH, RIPLEY, MS, 38663
PRIMARY CARE CLINIC OF RIPLEY, P. A. 401K PLAN 2020 721520812 2021-09-09 PRIMARY CARE CLINIC OF RIPLEY, P. A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6628371404
Plan sponsor’s address 1009 CITY AVENUE NORTH, RIPLEY, MS, 38663
PRIMARY CARE CLINIC OF RIPLEY, P. A. 401K PLAN 2019 721520812 2020-07-06 PRIMARY CARE CLINIC OF RIPLEY, P. A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6628371404
Plan sponsor’s address 1009 CITY AVENUE NORTH, RIPLEY, MS, 38663
PRIMARY CARE CLINIC OF RIPLEY, P. A. 401K PLAN 2018 721520812 2019-06-14 PRIMARY CARE CLINIC OF RIPLEY, P. A. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6628371404
Plan sponsor’s address 1009 CITY AVENUE NORTH, RIPLEY, MS, 38663
PRIMARY CARE CLINIC OF RIPLEY, P. A. 401K PLAN 2017 721520812 2018-06-12 PRIMARY CARE CLINIC OF RIPLEY, P. A. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6628371404
Plan sponsor’s address 1009 CITY AVENUE NORTH, RIPLEY, MS, 38663
PRIMARY CARE CLINIC OF RIPLEY, P. A. 401K PLAN 2016 721520812 2017-07-24 PRIMARY CARE CLINIC OF RIPLEY, P. A. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6628371404
Plan sponsor’s address 1009 CITY AVENUE NORTH, RIPLEY, MS, 38663
PRIMARY CARE CLINIC OF RIPLEY, P. A. 401K PLAN 2015 721520812 2016-07-13 PRIMARY CARE CLINIC OF RIPLEY, P. A. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6628371404
Plan sponsor’s address 1009 CITY AVENUE NORTH, RIPLEY, MS, 38663
PRIMARY CARE CLINIC OF RIPLEY, P. A. 401K PLAN 2014 721520812 2015-07-20 PRIMARY CARE CLINIC OF RIPLEY, P. A. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6628371404
Plan sponsor’s address 1009 CITY AVENUE NORTH, RIPLEY, MS, 38663
PRIMARY CARE CLINIC OF RIPLEY, P. A. 401K PLAN 2013 721520812 2014-10-08 PRIMARY CARE CLINIC OF RIPLEY, P. A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6628371404
Plan sponsor’s address 1009 CITY AVENUE NORTH, RIPLEY, MS, 38663
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/11/20131011134743P030039209281001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6628371404
Plan sponsor’s address 1009 CITY AVENUE NORTH, RIPLEY, MS, 38663

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing TROY R CAPPLEMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-10-11
Name of individual signing TROY R CAPPLEMAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/10/20121010125921P040001082406001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6628371404
Plan sponsor’s address 1009 CITY AVENUE NORTH, RIPLEY, MS, 38663

Plan administrator’s name and address
Administrator’s EIN 721520812
Plan administrator’s name PRIMARY CARE CLINIC OF RIPLEY, P. A.
Plan administrator’s address 1009 CITY AVENUE NORTH, RIPLEY, MS, 38663
Administrator’s telephone number 6628371404

Signature of
Role Plan administrator
Date 2012-10-10
Name of individual signing TROY R CAPPLEMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-10
Name of individual signing TROY R CAPPLEMAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/27/20110927183432P030138145937001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6628371404
Plan sponsor’s address 1009 CITY AVENUE NORTH, RIPLEY, MS, 38663

Plan administrator’s name and address
Administrator’s EIN 721520812
Plan administrator’s name PRIMARY CARE CLINIC OF RIPLEY, P. A.
Plan administrator’s address 1009 CITY AVENUE NORTH, RIPLEY, MS, 38663
Administrator’s telephone number 6628371404

Signature of
Role Plan administrator
Date 2011-09-27
Name of individual signing TROY R CAPPLEMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-27
Name of individual signing TROY R CAPPLEMAN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/14/20101014094200P070012425154001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6628371404
Plan sponsor’s address 1009 CITY AVENUE NORTH, RIPLEY, MS, 38663

Plan administrator’s name and address
Administrator’s EIN 721520812
Plan administrator’s name PRIMARY CARE CLINIC OF RIPLEY, P. A.
Plan administrator’s address 1009 CITY AVENUE NORTH, RIPLEY, MS, 38663
Administrator’s telephone number 6628371404

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing TROY R CAPPLEMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing TROY R CAPPLEMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
TROY R CAPPLEMAN Agent 460 West Bankhead Street, New Albany, MS 38652

Incorporator

Name Role Address
Charles M Elliott Incorporator 1009 City Ave, Ripley, MS 38663
Troy R Cappleman Incorporator 1009 City Ave North, Ripley, MS 38663
Horton G Taylor Jr Incorporator 111-a Hospital St, Ripley, MS 38663

Director

Name Role Address
Troy R Cappleman Director 460 West Bankhead Street, New Albany, MS 38652

President

Name Role Address
Troy R Cappleman President 460 West Bankhead Street, New Albany, MS 38652

Filings

Type Status Filed Date Description
Annual Report Filed 2024-04-02 Annual Report For PRIMARY CARE CLINIC OF RIPLEY, P.A.
Amendment Form Filed 2023-09-29 Amendment For PRIMARY CARE CLINIC OF RIPLEY, P.A.
Annual Report Filed 2023-03-06 Annual Report For PRIMARY CARE CLINIC OF RIPLEY, P.A.
Annual Report Filed 2022-02-21 Annual Report For PRIMARY CARE CLINIC OF RIPLEY, P.A.
Annual Report Filed 2021-03-29 Annual Report For PRIMARY CARE CLINIC OF RIPLEY, P.A.
Annual Report Filed 2020-01-20 Annual Report For PRIMARY CARE CLINIC OF RIPLEY, P.A.
Annual Report Filed 2019-01-17 Annual Report For PRIMARY CARE CLINIC OF RIPLEY, P.A.
Annual Report Filed 2018-01-08 Annual Report For PRIMARY CARE CLINIC OF RIPLEY, P.A.
Annual Report Filed 2017-01-23 Annual Report For PRIMARY CARE CLINIC OF RIPLEY, P.A.
Annual Report Filed 2016-04-18 Annual Report For PRIMARY CARE CLINIC OF RIPLEY, P.A.

Related by officers

TROY R CAPPLEMAN

HEALTH CARE ASSOCIATES, P.A.

Troy R Cappleman

HEALTH CARE ASSOCIATES, P.A.

Horton G Taylor Jr

TIPPAH COUNTY MEDICAL GROUP, P.A. TAYLOR FAMILY FARMS OF CALHOUN COUNTY, MISSISSIPPI, INC.

Related by address

No related companies by address

Date of last update: 28 Dec 2024

Sources: Mississippi Secretary of State

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