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  5. FAMILY NURSE CLINIC, INC.

FAMILY NURSE CLINIC, INC.

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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY NURSE CLINIC, INC. 401(K) PLAN 2012 830345069 2013-07-23 FAMILY NURSE CLINIC, INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 6625121685
Plan sponsor’s address 121 NICKY LANE, RIPLEY, MS, 38663

Plan administrator’s name and address
Administrator’s EIN 830345069
Plan administrator’s name FAMILY NURSE CLINIC, INC.
Plan administrator’s address 121 NICKY LANE, RIPLEY, MS, 38663
Administrator’s telephone number 6625121685

Signature of
Role Plan administrator
Date 2013-07-23
Name of individual signing BRENDA SHELTON
Valid signature Filed with authorized/valid electronic signature
FAMILY NURSE CLINIC, INC 401K PLAN 2012 830345069 2013-07-23 FAMILY NURSE CLINIC, INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 6625121685
Plan sponsor’s address 121 NICKY LANE, RIPLEY, MS, 38663

Plan administrator’s name and address
Administrator’s EIN 830345069
Plan administrator’s name FAMILY NURSE CLINIC, INC.
Plan administrator’s address 121 NICKY LAN, RIPLEY, MS, 38663
Administrator’s telephone number 6625121685

Signature of
Role Plan administrator
Date 2013-07-23
Name of individual signing BRENDA SHELTON
Valid signature Filed with authorized/valid electronic signature
FAMILY NURSE CLINIC, INC. 401(K) PLAN 2011 830345069 2012-07-30 FAMILY NURSE CLINIC, INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 6625121685
Plan sponsor’s address 121 NICKY LANE, RIPLEY, MS, 38663

Plan administrator’s name and address
Administrator’s EIN 830345069
Plan administrator’s name FAMILY NURSE CLINIC, INC.
Plan administrator’s address 121 NICKY LANE, RIPLEY, MS, 38663
Administrator’s telephone number 6625121685

Signature of
Role Plan administrator
Date 2012-07-30
Name of individual signing BRENDA SHELTON
Valid signature Filed with authorized/valid electronic signature
FAMILY NURSE CLINIC, INC. 401(K) PLAN 2010 830345069 2011-03-14 FAMILY NURSE CLINIC, INC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 6625121685
Plan sponsor’s address 121 NICKY LANE, RIPLEY, MS, 38663

Plan administrator’s name and address
Administrator’s EIN 830345069
Plan administrator’s name FAMILY NURSE CLINIC, INC.
Plan administrator’s address 121 NICKY LANE, RIPLEY, MS, 38663
Administrator’s telephone number 6625121685

Signature of
Role Plan administrator
Date 2011-03-14
Name of individual signing BRENDA SHELTON
Valid signature Filed with authorized/valid electronic signature
FAMILY NURSE CLINIC, INC. 401(K) PLAN 2009 830345069 2010-06-02 FAMILY NURSE CLINIC, INC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621399
Sponsor’s telephone number 6625121685
Plan sponsor’s address 121 NICKY LANE, RIPLEY, MS, 38663

Plan administrator’s name and address
Administrator’s EIN 830345069
Plan administrator’s name FAMILY NURSE CLINIC, INC.
Plan administrator’s address 121 NICKY LANE, RIPLEY, MS, 38663
Administrator’s telephone number 6625121685

Signature of
Role Plan administrator
Date 2010-06-02
Name of individual signing BRENDA SHELTON
Valid signature Filed with authorized/valid electronic signature

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

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

Related by officers

B. SEAN AKINS

HATCHING BONDING, INC. HATCHIE BONDING, INC. BIG M TRANSPORTATION, INC. R&R ENTERPRISES OF MISSISSIPPI, LLC NORTHEAST DIRECTIONAL BORING, INC. BAREFOOT CARRIERS, INC. BIG M LOGISTICS, INC. WATER BOY, INC. SHARPLIN TRUCKING, LLC BIG M II, 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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