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East Mississippi Medical Clinic, PLLC

Company Details

Name: East Mississippi Medical Clinic, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 13 Feb 2006 (19 years ago)
Business ID: 886656
ZIP code: 39342
County: Lauderdale
State of Incorporation: MISSISSIPPI
Principal Office Address: 7420 belle trace, 7420 belle tracemarion, MS 39342
Historical names: Bonita Lakes Medical Clinic

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EAST MISSISSIPPI MEDICAL CLINIC, PLLC RETIREMENT PLAN 2023 204205570 2024-07-23 EAST MISSISSIPPI MEDICAL CLINIC, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6019178010
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303
EAST MISSISSIPPI MEDICAL CLINIC, PLLC CASH BALANCE PLAN 2023 204205570 2024-07-23 EAST MISSISSIPPI MEDICAL CLINIC, PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 6019178010
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303
EAST MISSISSIPPI MEDICAL CLINIC, PLLC RETIREMENT PLAN 2022 204205570 2023-10-04 EAST MISSISSIPPI MEDICAL CLINIC, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6019178010
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303
EAST MISSISSIPPI MEDICAL CLINIC, PLLC CASH BALANCE PLAN 2022 204205570 2023-08-24 EAST MISSISSIPPI MEDICAL CLINIC, PLLC 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 6019178010
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303
EAST MISSISSIPPI MEDICAL CLINIC, PLLC RETIREMENT PLAN 2021 204205570 2022-07-29 EAST MISSISSIPPI MEDICAL CLINIC, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6019178010
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303
EAST MISSISSIPPI MEDICAL CLINIC, PLLC CASH BALANCE PLAN 2021 204205570 2022-07-15 EAST MISSISSIPPI MEDICAL CLINIC, PLLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 6019178010
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303
EAST MISSISSIPPI MEDICAL CLINIC, PLLC RETIREMENT PLAN 2020 204205570 2021-08-01 EAST MISSISSIPPI MEDICAL CLINIC, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6019178010
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303
EAST MISSISSIPPI MEDICAL CLINIC, PLLC CASH BALANCE PLAN 2020 204205570 2021-08-01 EAST MISSISSIPPI MEDICAL CLINIC, PLLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 6019178010
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303
EAST MISSISSIPPI MEDICAL CLINIC, PLLC RETIREMENT PLAN 2019 204205570 2020-04-13 EAST MISSISSIPPI MEDICAL CLINIC, PLLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6019178010
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303

Signature of

Role Plan administrator
Date 2020-04-13
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-04-13
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
EAST MISSISSIPPI MEDICAL CLINIC, PLLC RETIREMENT PLAN 2018 204205570 2019-03-21 EAST MISSISSIPPI MEDICAL CLINIC, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6019178010
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303

Signature of

Role Plan administrator
Date 2019-03-21
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-21
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/04/06/20180406102851P030035812791001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6019178010
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303

Signature of

Role Plan administrator
Date 2018-04-06
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-06
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/06/21/20170621085402P030016722977001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6019178010
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303

Signature of

Role Plan administrator
Date 2017-06-21
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-21
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/25/20160725211957P030054608881001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6014857777
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303

Signature of

Role Plan administrator
Date 2016-07-25
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-25
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6014857777
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303

Signature of

Role Plan administrator
Date 2015-06-13
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-13
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/09/14/20140914205630P030001257375001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6014857777
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303

Signature of

Role Plan administrator
Date 2014-09-14
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-14
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621111
Sponsor’s telephone number 6014857777
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303

Signature of

Role Plan administrator
Date 2013-07-13
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-13
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/14/20130714000232P040302650643001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621111
Sponsor’s telephone number 6014857777
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303

Signature of

Role Plan administrator
Date 2013-07-14
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-14
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/22/20120822132153P040035605426001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 621111
Sponsor’s telephone number 6014857777
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303

Plan administrator’s name and address

Administrator’s EIN 204205570
Plan administrator’s name EAST MISSISSIPPI MEDICAL CLINIC, PLLC
Plan administrator’s address P O BOX 3189, MERIDIAN, MS, 39303
Administrator’s telephone number 6014857777

Signature of

Role Plan administrator
Date 2012-08-22
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-22
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/24/20110724001555P040461321744001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6014857777
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303

Plan administrator’s name and address

Administrator’s EIN 204205570
Plan administrator’s name EAST MISSISSIPPI MEDICAL CLINIC, PLLC
Plan administrator’s address P O BOX 3189, MERIDIAN, MS, 39303
Administrator’s telephone number 6014857777

Signature of

Role Plan administrator
Date 2011-07-24
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-24
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1997-01-01
Business code 621111
Sponsor’s telephone number 6014857777
Plan sponsor’s address P O BOX 3189, MERIDIAN, MS, 39303

Plan administrator’s name and address

Administrator’s EIN 204205570
Plan administrator’s name EAST MISSISSIPPI MEDICAL CLINIC, PLLC
Plan administrator’s address P O BOX 3189, MERIDIAN, MS, 39303
Administrator’s telephone number 6014857777

Signature of

Role Plan administrator
Date 2010-07-26
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-26
Name of individual signing RAZEE AHMAD
Valid signature Filed with authorized/valid electronic signature

Member

Name Role Address
Razee Ahmad MD Member 7420 Belle Trace, Marion, MS 39342

Agent

Name Role Address
Dr. Razee Ahmad Agent 4711 Poplar Springs Drive, Meridian, MS 39305

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-09 Annual Report For East Mississippi Medical Clinic, PLLC
Annual Report LLC Filed 2024-03-17 Annual Report For East Mississippi Medical Clinic, PLLC
Annual Report LLC Filed 2024-02-27 Annual Report For East Mississippi Medical Clinic, PLLC
Annual Report LLC Filed 2023-04-11 Annual Report For East Mississippi Medical Clinic, PLLC
Annual Report LLC Filed 2023-04-06 Annual Report For East Mississippi Medical Clinic, PLLC
Annual Report LLC Filed 2022-02-10 Annual Report For East Mississippi Medical Clinic, PLLC
Annual Report LLC Filed 2021-04-07 Annual Report For East Mississippi Medical Clinic, PLLC
Annual Report LLC Filed 2020-02-22 Annual Report For East Mississippi Medical Clinic, PLLC
Annual Report LLC Filed 2019-03-30 Annual Report For East Mississippi Medical Clinic, PLLC
Annual Report LLC Filed 2018-01-31 Annual Report For East Mississippi Medical Clinic, PLLC

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9768588401 2021-02-17 0470 PPS 4711 Poplar Springs Dr, Meridian, MS, 39305-2622
Loan Status Date 2021-09-16
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 68911.95
Loan Approval Amount (current) 89744.95
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39604
Servicing Lender Name The Citizens National Bank of Meridian
Servicing Lender Address 512 22nd Ave, MERIDIAN, MS, 39301-5853
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Meridian, LAUDERDALE, MS, 39305-2622
Project Congressional District MS-03
Number of Employees 9
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39604
Originating Lender Name The Citizens National Bank of Meridian
Originating Lender Address MERIDIAN, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 90206.14
Forgiveness Paid Date 2021-09-07
1728087102 2020-04-10 0470 PPP 4711 POPLAR SPRINGS DR, MERIDIAN, MS, 39305-2622
Loan Status Date 2021-03-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 68911.95
Loan Approval Amount (current) 68911.95
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39604
Servicing Lender Name The Citizens National Bank of Meridian
Servicing Lender Address 512 22nd Ave, MERIDIAN, MS, 39301-5853
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MERIDIAN, LAUDERDALE, MS, 39305-2622
Project Congressional District MS-03
Number of Employees 10
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39604
Originating Lender Name The Citizens National Bank of Meridian
Originating Lender Address MERIDIAN, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 69532.16
Forgiveness Paid Date 2021-03-05

Date of last update: 20 Mar 2025

Sources: Mississippi Secretary of State