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  5. Friendship Medical Clinic, LLC

Friendship Medical Clinic, LLC

Company Details

Name: Friendship Medical Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 23 Jan 2006 (19 years ago)
Business ID: 885253
ZIP code: 38841
County: Pontotoc
State of Incorporation: MISSISSIPPI
Principal Office Address: 382 Main StreetEcru, MS 38841

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FRIENDSHIP MEDICAL CLINIC LLC 401(K) PLAN 2023 204193593 2024-07-30 FRIENDSHIP MEDICAL CLINIC LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6624895677
Plan sponsor’s address 5482 HIGHWAY 15 N, ECRU, MS, 38841

Signature of
Role Plan administrator
Date 2024-07-30
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
FRIENDSHIP MEDICAL CLINIC LLC 401(K) PLAN 2022 204193593 2023-07-27 FRIENDSHIP MEDICAL CLINIC LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6624895677
Plan sponsor’s address 5482 HIGHWAY 15 N, ECRU, MS, 38841

Signature of
Role Plan administrator
Date 2023-07-27
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
FRIENDSHIP MEDICAL CLINIC LLC 401(K) PLAN 2021 204193593 2022-10-11 FRIENDSHIP MEDICAL CLINIC LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6624895677
Plan sponsor’s address 5482 HIGHWAY 15 N, ECRU, MS, 38841

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
FRIENDSHIP MEDICAL CLINIC LLC 401(K) PLAN 2020 204193593 2021-06-28 FRIENDSHIP MEDICAL CLINIC LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6624895677
Plan sponsor’s address 5482 HIGHWAY 15 N, ECRU, MS, 38841

Signature of
Role Plan administrator
Date 2021-06-28
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
FRIENDSHIP MEDICAL CLINIC LLC 401(K) PLAN 2019 204193593 2020-07-15 FRIENDSHIP MEDICAL CLINIC LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6624895677
Plan sponsor’s address 5482 HIGHWAY 15 N, ECRU, MS, 38841

Signature of
Role Plan administrator
Date 2020-07-15
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
FRIENDSHIP MEDICAL CLINIC LLC 401(K) PLAN 2018 204193593 2019-06-11 FRIENDSHIP MEDICAL CLINIC LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6624895677
Plan sponsor’s address 5482 HIGHWAY 15 N, ECRU, MS, 38841

Signature of
Role Plan administrator
Date 2019-06-11
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
FRIENDSHIP MEDICAL CLINIC LLC 401(K) PLAN 2017 204193593 2018-07-27 FRIENDSHIP MEDICAL CLINIC LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6624895677
Plan sponsor’s address 5482 HIGHWAY 15 N, ECRU, MS, 38841

Signature of
Role Plan administrator
Date 2018-07-27
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
FRIENDSHIP MEDICAL CLINIC LLC 401(K) PLAN 2016 204193593 2017-08-29 FRIENDSHIP MEDICAL CLINIC LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6624895677
Plan sponsor’s address 5482 HIGHWAY 15 N, ECRU, MS, 38841

Signature of
Role Plan administrator
Date 2017-08-29
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
FRIENDSHIP MEDICAL CLINIC LLC 401(K) PLAN 2014 204193593 2015-10-12 FRIENDSHIP MEDICAL CLINIC LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6624895677
Plan sponsor’s address 5482 HIGHWAY 15 N, ECRU, MS, 38841

Signature of
Role Plan administrator
Date 2015-10-12
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
FRIENDSHIP MEDICAL CLINIC LLC 401(K) PLAN 2013 204193593 2014-03-08 FRIENDSHIP MEDICAL CLINIC LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6624895677
Plan sponsor’s address 382 MAIN STREET, P. O. BOX 96, ECRU, MS, 38841
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/10/20130910160514P030140461445001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6624895677
Plan sponsor’s address 382 MAIN STREET, P. O. BOX 96, ECRU, MS, 38841

Signature of
Role Plan administrator
Date 2013-09-10
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-10
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/16/20120816180515P040031477426001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 621111
Sponsor’s telephone number 6624895677
Plan sponsor’s address 382 MAIN STREET, P. O. BOX 96, ECRU, MS, 38841

Plan administrator’s name and address
Administrator’s EIN 204193593
Plan administrator’s name FRIENDSHIP MEDICAL CLINIC LLC
Plan administrator’s address 382 MAIN STREET, P. O. BOX 96, ECRU, MS, 38841
Administrator’s telephone number 6624895677

Signature of
Role Plan administrator
Date 2012-08-16
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-16
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Kantack, Keith C. Agent 359 North Broadway Street, Tupelo, MS 38804

Manager

Name Role Address
William Andrew Nowlin Manager P.O. Box 96, Ecru, MS 38841

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-01-23 Annual Report For Friendship Medical Clinic, LLC
Annual Report LLC Filed 2023-02-13 Annual Report For Friendship Medical Clinic, LLC
Annual Report LLC Filed 2022-02-02 Annual Report For Friendship Medical Clinic, LLC
Annual Report LLC Filed 2021-03-26 Annual Report For Friendship Medical Clinic, LLC
Annual Report LLC Filed 2020-04-13 Annual Report For Friendship Medical Clinic, LLC
Annual Report LLC Filed 2019-04-19 Annual Report For Friendship Medical Clinic, LLC
Annual Report LLC Filed 2018-01-23 Annual Report For Friendship Medical Clinic, LLC
Annual Report LLC Filed 2017-03-27 Annual Report For Friendship Medical Clinic, LLC
Annual Report LLC Filed 2016-03-18 Annual Report For Friendship Medical Clinic, LLC
Annual Report LLC Filed 2015-04-01 Annual Report For Friendship Medical Clinic, LLC

Related by officers

Kantack, Keith C.

Food Stylin, LLC DATS, LLC Ken Nowlin Farms, LLC Affordable Employee Benefits of Ms., LLC North Creek Properties, LLC Guyton Consulting, LLC Six Mile Road, LLC North Creek Development Owners' Association, LLC CDC Properties, LLC Endocrine & Metabolic Disorders Institute, PLLC

William Andrew Nowlin

Affordable Employee Benefits of Ms., LLC Affordable Employee Benefits, LLC AEB Consulting, LLC John and Andrew Nowlin Farm

Related by address

382 Main StreetEcru, MS 38841

Ken Nowlin Farms, LLC Affordable Employee Benefits, LLC

Date of last update: 31 Dec 2024

Sources: Mississippi Secretary of State

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