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OLIVE BRANCH FAMILY MEDICAL CENTER, PLLC

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Company Details

Name: OLIVE BRANCH FAMILY MEDICAL CENTER, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 14 Apr 2003 (22 years ago)
Business ID: 732290
ZIP code: 38654
County: DeSoto
State of Incorporation: MISSISSIPPI
Principal Office Address: 9075 SANDIDGE CENTER COVEOLIVE BRANCH, MS 38654

Agent

Name Role Address
RANDALL T HULING JR Agent 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS 38654

Organizer

Name Role Address
Joseph J Huling Organizer 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS 38654

Member

Name Role Address
Randall T Huling Member 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS 38654

National Provider Identifier

NPI Number:
1629018478
Certification Date:
2020-12-21

Authorized Person:

Name:
AMY GREEN
Role:
BUSINESS OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6628956776

Form 5500 Series

Employer Identification Number (EIN):
510455609
Plan Year:
2023
Number Of Participants:
69
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
69
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
58
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
53
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
57
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-30 Annual Report For OLIVE BRANCH FAMILY MEDICAL CENTER, PLLC
Annual Report LLC Filed 2024-01-25 Annual Report For OLIVE BRANCH FAMILY MEDICAL CENTER, PLLC
Annual Report LLC Filed 2023-01-20 Annual Report For OLIVE BRANCH FAMILY MEDICAL CENTER, PLLC
Annual Report LLC Filed 2022-09-22 Annual Report For OLIVE BRANCH FAMILY MEDICAL CENTER, PLLC
Notice to Dissolve/Revoke Filed 2022-09-05 Notice of Intent to Dissolve: AR: OLIVE BRANCH FAMILY MEDICAL CENTER, PLLC
Annual Report LLC Filed 2021-01-21 Annual Report For OLIVE BRANCH FAMILY MEDICAL CENTER, PLLC
Annual Report LLC Filed 2020-01-08 Annual Report For OLIVE BRANCH FAMILY MEDICAL CENTER, PLLC
Annual Report LLC Filed 2019-04-04 Annual Report For OLIVE BRANCH FAMILY MEDICAL CENTER, PLLC
Annual Report LLC Filed 2018-04-04 Annual Report For OLIVE BRANCH FAMILY MEDICAL CENTER, PLLC
Annual Report LLC Filed 2017-01-23 Annual Report For OLIVE BRANCH FAMILY MEDICAL CENTER, PLLC

USAspending Awards / Financial Assistance

Date:
2020-07-08
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
566800.00
Total Face Value Of Loan:
566800.00

Paycheck Protection Program

Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
566800
Current Approval Amount:
566800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
572530.98

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Date of last update: 05 May 2025

Sources: Company Profile on Mississippi Secretary of State Website