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  5. COCKRELL FAMILY MEDICAL CENTER, P.C.

COCKRELL FAMILY MEDICAL CENTER, P.C.

Company Details

Name: COCKRELL FAMILY MEDICAL CENTER, P.C.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 08 Feb 2002 (23 years ago)
Business ID: 712791
ZIP code: 38668
County: Tate
State of Incorporation: MISSISSIPPI
Principal Office Address: 120 Norfleet DriveSenatobia, MS 38668

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COCKRELL FAMILY MEDICAL CENTER 401(K) PROFIT SHARING PLAN 2023 043595646 2024-07-10 COCKRELL FAMILY MEDICAL CENTER 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625196505
Plan sponsor’s address 120 NORFLEET DR, SENATOBIA, MS, 38668

Signature of
Role Plan administrator
Date 2024-07-10
Name of individual signing MICHAEL COCKRELL
Valid signature Filed with authorized/valid electronic signature
COCKRELL FAMILY MEDICAL CENTER 401(K) PROFIT SHARING PLAN 2022 043595646 2023-07-26 COCKRELL FAMILY MEDICAL CENTER 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625196505
Plan sponsor’s address 120 NORFLEET DR, SENATOBIA, MS, 38668

Signature of
Role Plan administrator
Date 2023-07-26
Name of individual signing MICHAEL COCKRELL
Valid signature Filed with authorized/valid electronic signature
COCKRELL FAMILY MEDICAL CENTER 401(K) PROFIT SHARING PLAN 2021 043595646 2022-05-24 COCKRELL FAMILY MEDICAL CENTER 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625196505
Plan sponsor’s address 120 NORFLEET DR, SENATOBIA, MS, 38668

Signature of
Role Plan administrator
Date 2022-05-24
Name of individual signing MICHAEL COCKRELL
Valid signature Filed with authorized/valid electronic signature
COCKRELL FAMILY MEDICAL CENTER 401(K) PROFIT SHARING PLAN 2020 043595646 2021-09-07 COCKRELL FAMILY MEDICAL CENTER 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625196505
Plan sponsor’s address 120 NORFLEET DR, SENATOBIA, MS, 38668

Signature of
Role Plan administrator
Date 2021-09-07
Name of individual signing MICHAEL COCKRELL
Valid signature Filed with authorized/valid electronic signature
COCKRELL FAMILY MEDICAL CENTER 401(K) PROFIT SHARING PLAN 2019 043595646 2020-07-08 COCKRELL FAMILY MEDICAL CENTER 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625196505
Plan sponsor’s address 120 NORFLEET DR, SENATOBIA, MS, 38668

Signature of
Role Plan administrator
Date 2020-07-08
Name of individual signing MICHAEL COCKRELL
Valid signature Filed with authorized/valid electronic signature
COCKRELL FAMILY MEDICAL CENTER 401(K) PROFIT SHARING PLAN 2018 043595646 2019-07-29 COCKRELL FAMILY MEDICAL CENTER 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625196505
Plan sponsor’s address 120 NORFLEET DR, SENATOBIA, MS, 38668

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing MICHAEL COCKRELL
Valid signature Filed with authorized/valid electronic signature
COCKRELL FAMILY MEDICAL CENTER 401(K) PROFIT SHARING PLAN 2017 043595646 2018-06-12 COCKRELL FAMILY MEDICAL CENTER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625196505
Plan sponsor’s address 120 NORFLEET DR, SENATOBIA, MS, 38668

Signature of
Role Plan administrator
Date 2018-06-12
Name of individual signing MICHAEL COCKRELL
Valid signature Filed with authorized/valid electronic signature
COCKRELL FAMILY MEDICAL CENTER 401(K) PROFIT SHARING PLAN 2016 043595646 2017-05-30 COCKRELL FAMILY MEDICAL CENTER 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625196505
Plan sponsor’s address 120 NORFLEET DR, SENATOBIA, MS, 38668

Signature of
Role Plan administrator
Date 2017-05-30
Name of individual signing MICHAEL COCKRELL
Valid signature Filed with authorized/valid electronic signature
COCKRELL FAMILY MEDICAL CENTER 401(K) PROFIT SHARING PLAN 2015 043595646 2016-06-09 COCKRELL FAMILY MEDICAL CENTER 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625196505
Plan sponsor’s address 120 NORFLEET DR, SENATOBIA, MS, 38668

Signature of
Role Plan administrator
Date 2016-06-09
Name of individual signing MICHAEL COCKRELL
Valid signature Filed with authorized/valid electronic signature
COCKRELL FAMILY MEDICAL CENTER 401(K) PROFIT SHARING PLAN 2014 043595646 2015-06-05 COCKRELL FAMILY MEDICAL CENTER 11
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625196505
Plan sponsor’s address 120 NORFLEET DR, SENATOBIA, MS, 38668

Signature of
Role Plan administrator
Date 2015-06-04
Name of individual signing MICHAEL COCKRELL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/27/20140527110849P040365039827001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625196505
Plan sponsor’s address 120 NORFLEET DR, SENATOBIA, MS, 38668

Signature of
Role Plan administrator
Date 2014-05-27
Name of individual signing MICHAEL COCKRELL
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625196505
Plan sponsor’s address 120 NORFLEET DR, SENATOBIA, MS, 38668

Signature of
Role Plan administrator
Date 2013-08-20
Name of individual signing MICHAEL COCKRELL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/21/20130821111121P040359999427001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625196505
Plan sponsor’s address 120 NORFLEET DR, SENATOBIA, MS, 38668

Signature of
Role Plan administrator
Date 2013-08-21
Name of individual signing MICHAEL COCKRELL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/17/20120717142214P030000642131001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625196505
Plan sponsor’s address 120 NORFLEET DR, SENATOBIA, MS, 38668

Plan administrator’s name and address
Administrator’s EIN 043595646
Plan administrator’s name COCKRELL FAMILY MEDICAL CENTER
Plan administrator’s address 120 NORFLEET DR, SENATOBIA, MS, 38668
Administrator’s telephone number 6625196505

Signature of
Role Plan administrator
Date 2012-07-17
Name of individual signing MICHAEL COCKRELL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/05/20110705154114P040013318402001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6625196505
Plan sponsor’s address 120 NORFLEET DR, SENATOBIA, MS, 38668

Plan administrator’s name and address
Administrator’s EIN 043595646
Plan administrator’s name COCKRELL FAMILY MEDICAL CENTER
Plan administrator’s address 120 NORFLEET DR, SENATOBIA, MS, 38668
Administrator’s telephone number 6625196505

Signature of
Role Plan administrator
Date 2011-07-05
Name of individual signing MICHAEL COCKRELL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/28/20100628114259P030113502770001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 6623011128
Plan sponsor’s address 120 NORFLEET DRIVE, SENATOBIA, MS, 38668

Plan administrator’s name and address
Administrator’s EIN 043595646
Plan administrator’s name COCKRELL FAMILY MEDICAL CENTER, P.C.
Plan administrator’s address 120 NORFLEET DRIVE, SENATOBIA, MS, 38668
Administrator’s telephone number 6623011128

Signature of
Role Plan administrator
Date 2010-06-28
Name of individual signing JESSIE COCKRELL
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
J M COCKRELL Agent 24972 Hwy 51 S, Como, MS 38619

Incorporator

Name Role Address
J M Cockrell Incorporator 27972 Hwy 51 S, Como, MS 38619

President

Name Role Address
J M Cockrell President 1930 Holston Road, Como, MS 38619

Director

Name Role Address
J M Cockrell Director 1930 Holston Road, Como, MS 38619

Filings

Type Status Filed Date Description
Annual Report Filed 2024-03-07 Annual Report For COCKRELL FAMILY MEDICAL CENTER, P.C.
Annual Report Filed 2023-05-16 Annual Report For COCKRELL FAMILY MEDICAL CENTER, P.C.
Annual Report Filed 2022-04-05 Annual Report For COCKRELL FAMILY MEDICAL CENTER, P.C.
Annual Report Filed 2021-06-15 Annual Report For COCKRELL FAMILY MEDICAL CENTER, P.C.
Annual Report Filed 2020-03-18 Annual Report For COCKRELL FAMILY MEDICAL CENTER, P.C.
Annual Report Filed 2019-02-20 Annual Report For COCKRELL FAMILY MEDICAL CENTER, P.C.
Annual Report Filed 2018-07-13 Annual Report For COCKRELL FAMILY MEDICAL CENTER, P.C.
Annual Report Filed 2017-03-03 Annual Report For COCKRELL FAMILY MEDICAL CENTER, P.C.
Annual Report Filed 2016-09-27 Annual Report For COCKRELL FAMILY MEDICAL CENTER, P.C.
Notice to Dissolve/Revoke Filed 2016-09-06 Notice to Dissolve/Revoke

Related by officers

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Related by address

No related companies by address

Date of last update: 28 Dec 2024

Sources: Mississippi Secretary of State

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