RESERVOIR FAMILY MEDICAL CLINIC, P.A.

Company Details

Name:	RESERVOIR FAMILY MEDICAL CLINIC, P.A.
Jurisdiction:	MISSISSIPPI
Business Type:	Profit Corporation
Status:	Dissolved
Effective Date:	08 Jul 2003 (22 years ago)
Business ID:	736089
ZIP code:	39047
County:	Rankin
State of Incorporation:	MISSISSIPPI
Principal Office Address:	216 Avalon Circle, Suite ABrandon, MS 39047

Name	Role	Address
WES DAUGHDRILL	Agent	141 Township Avenue, Suite 300, Ridgeland, MS 39157

Name	Role	Address
Charles N Crenshaw Iii	Incorporator	616 Grant's Ferry Rd, Brandon, MS 39047

Name	Role	Address
Charles N. Crenshaw III	Director	1679 Old Fannin Road Suite E, Flowood, MS 39232

Name	Role	Address
Charles N. Crenshaw III	President	1679 Old Fannin Road Suite E, Flowood, MS 39232

Name	Role	Address
Cari Jayne Clarkson	Secretary	1679 Old Fannin Road Suite E, Flowood, MS 39232

Type	Status	Filed Date	Description
Admin Dissolution	Filed	2021-11-29	Action of Intent to Dissolve: AR: RESERVOIR FAMILY MEDICAL CLINIC, P.A.
Notice to Dissolve/Revoke	Filed	2021-09-07	Notice of Intent to Dissolve: AR: RESERVOIR FAMILY MEDICAL CLINIC, P.A.
Annual Report	Filed	2020-04-09	Annual Report For RESERVOIR FAMILY MEDICAL CLINIC, P.A.
Annual Report	Filed	2019-04-10	Annual Report For RESERVOIR FAMILY MEDICAL CLINIC, P.A.
Annual Report	Filed	2018-04-13	Annual Report For RESERVOIR FAMILY MEDICAL CLINIC, P.A.
Annual Report	Filed	2017-04-11	Annual Report For RESERVOIR FAMILY MEDICAL CLINIC, P.A.
Annual Report	Filed	2016-09-22	Annual Report For RESERVOIR FAMILY MEDICAL CLINIC, P.A.
Notice to Dissolve/Revoke	Filed	2016-09-06	Notice to Dissolve/Revoke
Annual Report	Filed	2015-10-08	Annual Report For RESERVOIR FAMILY MEDICAL CLINIC, P.A.
Notice to Dissolve/Revoke	Filed	2015-09-16	Notice to Dissolve/Revoke
Amendment Form	Filed	2014-06-13	Amendment
Annual Report	Filed	2014-06-02	Annual Report
Annual Report	Filed	2013-04-15	Annual Report
Amendment Form	Filed	2013-02-28	Amendment
Annual Report	Filed	2012-11-09	Annual Report
Notice to Dissolve/Revoke	Filed	2012-09-13	Notice to Dissolve/Revoke
Annual Report	Filed	2011-03-07	Annual Report
Annual Report	Filed	2010-04-19	Annual Report
Annual Report	Filed	2009-04-28	Annual Report
Annual Report	Filed	2008-06-27	Annual Report

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

5332777110

2020-04-13

0470

PPP

216 AVALON CIR STE A, BRANDON, MS, 39047-7614

Loan Status Date	2021-01-07
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	22800
Loan Approval Amount (current)	22800
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	39217
Servicing Lender Name	Community Bank of Mississippi
Servicing Lender Address	1905, Community Bank Way, Flowood, MS, 39232
Rural or Urban Indicator	R
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	BRANDON, RANKIN, MS, 39047-7614
Project Congressional District	MS-03
Number of Employees	3
NAICS code	621111
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Subchapter S Corporation
Originating Lender ID	39217
Originating Lender Name	Community Bank of Mississippi
Originating Lender Address	Flowood, MS
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	22948.67
Forgiveness Paid Date	2020-12-09

Date of last update: 26 Mar 2025