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FAMILY NURSE CLINIC, INC.

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Company Details

Name: FAMILY NURSE CLINIC, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 14 Jan 2003 (22 years ago)
Business ID: 727830
ZIP code: 38663
County: Tippah
State of Incorporation: MISSISSIPPI
Principal Office Address: 121 Nicky LaneRipley, MS 38663

Agent

Name Role Address
B. SEAN AKINS Agent 108 E JEFFERSON STREET, RIPLEY, MS 38663

Incorporator

Name Role Address
Brenda Lee Shelton Incorporator 121 Nicky Lane, Ripley, MS 38663

Director

Name Role Address
Brenda Lee Shelton Director 121 Nicky Lane, Ripley, MS 38663

President

Name Role Address
Brenda Lee Shelton President 121 Nicky Lane, Ripley, MS 38663

Secretary

Name Role Address
Jeff Shelton Secretary 121 Nicky Lane, Ripley, MS 38663

National Provider Identifier

NPI Number:
1679625115

Authorized Person:

Name:
MRS. BRENDA L SHELTON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6625125403

Form 5500 Series

Employer Identification Number (EIN):
830345069
Plan Year:
2012
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
4
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Dissolution Filed 2014-04-04 Dissolution
Annual Report Filed 2013-05-29 Annual Report
Annual Report Filed 2012-03-26 Annual Report
Annual Report Filed 2011-03-18 Annual Report
Annual Report Filed 2010-03-26 Annual Report
Annual Report Filed 2009-03-06 Annual Report
Annual Report Filed 2008-03-13 Annual Report
Annual Report Filed 2007-04-03 Annual Report
Annual Report Filed 2006-05-09 Annual Report
Annual Report Filed 2005-03-31 Annual Report

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Date of last update: 24 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website