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OLIVE BRANCH FAMILY MEDICAL CENTER, PLLC

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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OLIVE BRANCH FAMILY MEDICAL CENTER 401(K) PLAN 2023 510455609 2024-10-03 OLIVE BRANCH FAMILY MEDICAL CENTER 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 6628954949
Plan sponsor’s address 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS, 38654
OLIVE BRANCH FAMILY MEDICAL CENTER 401(K) PLAN 2022 510455609 2023-08-17 OLIVE BRANCH FAMILY MEDICAL CENTER 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 6628954949
Plan sponsor’s address 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS, 38654
OLIVE BRANCH FAMILY MEDICAL CENTER 401(K) PLAN 2021 510455609 2022-02-24 OLIVE BRANCH FAMILY MEDICAL CENTER 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 6628954949
Plan sponsor’s address 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS, 38654
OLIVE BRANCH FAMILY MEDICAL CENTER 401(K) PLAN 2020 510455609 2021-02-10 OLIVE BRANCH FAMILY MEDICAL CENTER 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 6628954949
Plan sponsor’s address 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS, 38654
OLIVE BRANCH FAMILY MEDICAL CENTER 401(K) PLAN 2019 510455609 2020-07-10 OLIVE BRANCH FAMILY MEDICAL CENTER 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 6628954949
Plan sponsor’s address 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS, 38654
OLIVE BRANCH FAMILY MEDICAL CENTER 401(K) PLAN 2018 510455609 2019-02-05 OLIVE BRANCH FAMILY MEDICAL CENTER 56
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 6628954949
Plan sponsor’s address 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS, 38654
OLIVE BRANCH FAMILY MEDICAL CENTER 401(K) PLAN 2017 510455609 2018-07-03 OLIVE BRANCH FAMILY MEDICAL CENTER 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 6628954949
Plan sponsor’s address 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS, 38654
OLIVE BRANCH FAMILY MEDICAL CENTER 401(K) PLAN 2016 510455609 2017-07-27 OLIVE BRANCH FAMILY MEDICAL CENTER 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 6628954949
Plan sponsor’s address 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS, 38654
OLIVE BRANCH FAMILY MEDICAL CENTER 401(K) PLAN 2015 510455609 2016-03-21 OLIVE BRANCH FAMILY MEDICAL CENTER 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 6628954949
Plan sponsor’s address 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS, 38654

Signature of

Role Plan administrator
Date 2016-03-17
Name of individual signing JOSEPH HULING
Valid signature Filed with authorized/valid electronic signature
OLIVE BRANCH FAMILY MEDICAL CENTER 401(K) PLAN 2014 510455609 2015-04-06 OLIVE BRANCH FAMILY MEDICAL CENTER 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 6628954949
Plan sponsor’s address 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS, 38654

Signature of

Role Plan administrator
Date 2015-04-06
Name of individual signing JOSEPH HULING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/13/20140513130555P030394579249001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 6628954949
Plan sponsor’s address 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS, 38654

Signature of

Role Plan administrator
Date 2014-05-13
Name of individual signing JOSEPH HULING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/03/08/20130308090955P040123229107001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 6628954949
Plan sponsor’s address 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS, 38654

Signature of

Role Plan administrator
Date 2013-03-08
Name of individual signing JOSEPH HULING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/18/20120418105704P030001248465001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 6628954949
Plan sponsor’s address 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS, 38654

Plan administrator’s name and address

Administrator’s EIN 510455609
Plan administrator’s name OLIVE BRANCH FAMILY MEDICAL CENTER
Plan administrator’s address 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS, 38654
Administrator’s telephone number 6628954949

Signature of

Role Plan administrator
Date 2012-04-18
Name of individual signing JOSEPH HULING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/04/12/20110412084750P030001208675001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 6628954949
Plan sponsor’s address 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS, 38654

Plan administrator’s name and address

Administrator’s EIN 510455609
Plan administrator’s name OLIVE BRANCH FAMILY MEDICAL CENTER
Plan administrator’s address 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS, 38654
Administrator’s telephone number 6628954949

Signature of

Role Plan administrator
Date 2011-04-11
Name of individual signing JOSEPH HULING
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/03/22/20100322150015P040037033624001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 6628954949
Plan sponsor’s address 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS, 38654

Plan administrator’s name and address

Administrator’s EIN 510455609
Plan administrator’s name OLIVE BRANCH FAMILY MEDICAL CENTER
Plan administrator’s address 9075 SANDIDGE CENTER COVE, OLIVE BRANCH, MS, 38654
Administrator’s telephone number 6628954949

Signature of

Role Plan administrator
Date 2010-03-22
Name of individual signing JOSEPH HULING
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-03-22
Name of individual signing JOSEPH HULING
Valid signature Filed with authorized/valid electronic signature

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

Filings

Type Status Filed Date Description
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
Annual Report LLC Filed 2016-02-09 Annual Report For OLIVE BRANCH FAMILY MEDICAL CENTER, PLLC

Date of last update: 29 Dec 2024

Sources: Mississippi Secretary of State