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Marietta Family Clinic, Inc.

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Company Details

Name: Marietta Family Clinic, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 08 Mar 2006 (19 years ago)
Business ID: 888146
ZIP code: 38856
County: Itawamba
State of Incorporation: MISSISSIPPI
Principal Office Address: 3 CR 4050Marietta, MS 38856

Incorporator

Name Role Address
Kristi Slack Incorporator 3 County Road 4050, Marietta, MS 38856

Agent

Name Role Address
Lori Harris Agent 3 County Road 4050, Marietta, MS 38856

Director

Name Role Address
Lori Harris Director 3 County Road 4050, Marietta, MS 38856

President

Name Role Address
Lori Harris President 3 County Road 4050, Marietta, MS 38856

Secretary

Name Role Address
Lori Harris Secretary 3 County Road 4050, Marietta, MS 38856

National Provider Identifier

NPI Number:
1922032812

Authorized Person:

Name:
KRISTI MARIE SLACK
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
6627282409

Filings

Type Status Filed Date Description
Annual Report Filed 2025-05-22 Annual Report For Marietta Family Clinic, Inc.
Restate Articles of Incorporation Filed 2025-04-04 Restatement For Marietta Family Clinic, Inc.
Amendment Form Filed 2025-04-01 Amendment For Marietta Family Clinic, Inc.
Annual Report Filed 2024-02-20 Annual Report For Marietta Family Clinic, Inc.
Annual Report Filed 2023-02-24 Annual Report For Marietta Family Clinic, Inc.
Annual Report Filed 2022-04-14 Annual Report For Marietta Family Clinic, Inc.
Annual Report Filed 2021-04-15 Annual Report For Marietta Family Clinic, Inc.
Annual Report Filed 2020-02-28 Annual Report For Marietta Family Clinic, Inc.
Annual Report Filed 2019-03-28 Annual Report For Marietta Family Clinic, Inc.
Annual Report Filed 2018-01-31 Annual Report For Marietta Family Clinic, Inc.

USAspending Awards / Financial Assistance

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:
18700.00
Total Face Value Of Loan:
18700.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$18,700
Date Approved:
2020-04-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$18,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$18,799.73
Servicing Lender:
Farmers and Merchants Bank
Use of Proceeds:
Payroll: $18,700

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Date of last update: 25 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website