| Name: | Trace Medical Clinic, PLLC |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Limited Liability Company |
| Status: | Good Standing |
| Effective Date: | 30 Aug 2010 (14 years ago) |
| Business ID: | 971067 |
| ZIP code: | 39090 |
| County: | Attala |
| State of Incorporation: | MISSISSIPPI |
| Principal Office Address: | 530 VETERANS MEMORIAL DR.KOSCIUSKO, MS 39090 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TRACE MEDICAL CLINIC 401(K) PROFIT SHARING PLAN & TRUST | 2014 | 273473005 | 2017-05-24 | TRACE MEDICAL CLINIC | 14 | |||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2017-05-24 |
| Name of individual signing | ROBERT BROWNING |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6622899155 |
| Plan sponsor’s address | 530 VETERANS MEMORIAL DR, KOSCIUSKO, MS, 390903858 |
Signature of
| Role | Plan administrator |
| Date | 2014-06-24 |
| Name of individual signing | EDWARD E BRYANT, MD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6622899155 |
| Plan sponsor’s address | 530 VETERANS MEMORIAL DR, KOSCIUSKO, MS, 390903858 |
Signature of
| Role | Plan administrator |
| Date | 2013-06-03 |
| Name of individual signing | TRACE MEDICAL CLINIC |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2006-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 6622899155 |
| Plan sponsor’s address | 530 VETERANS MEMORIAL DR, KOSCIUSKO, MS, 390903858 |
Plan administrator’s name and address
| Administrator’s EIN | 273473005 |
| Plan administrator’s name | TRACE MEDICAL CLINIC |
| Plan administrator’s address | 530 VETERANS MEMORIAL DR, KOSCIUSKO, MS, 390903858 |
| Administrator’s telephone number | 6622899155 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-11 |
| Name of individual signing | TRACE MEDICAL CLINIC |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Robert G Browning MD | Agent | 530 Veterans Memorial Drive, Kosciusko, MS 39090 |
| Name | Role | Address |
|---|---|---|
| Robert G Browning MD | Member | 530 Veterans Memorial Dr., Kosciusko, MS 39090 |
| Name | Role | Address |
|---|---|---|
| Robert Gregory Browning MD | President | 530 VETERANS MEMORIAL DR., KOSCIUSKO, MS 39090 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Annual Report LLC | Filed | 2024-04-01 | Annual Report For Trace Medical Clinic, PLLC |
| Annual Report LLC | Filed | 2023-04-08 | Annual Report For Trace Medical Clinic, PLLC |
| Annual Report LLC | Filed | 2022-07-15 | Annual Report For Trace Medical Clinic, PLLC |
| Annual Report LLC | Filed | 2021-04-10 | Annual Report For Trace Medical Clinic, PLLC |
| Annual Report LLC | Filed | 2020-03-21 | Annual Report For Trace Medical Clinic, PLLC |
| Annual Report LLC | Filed | 2019-04-23 | Annual Report For Trace Medical Clinic, PLLC |
| Annual Report LLC | Filed | 2018-04-14 | Annual Report For Trace Medical Clinic, PLLC |
| Annual Report LLC | Filed | 2017-04-11 | Annual Report For Trace Medical Clinic, PLLC |
| Amendment Form | Filed | 2016-02-08 | Amendment For Trace Medical Clinic, PLLC |
| Annual Report LLC | Filed | 2016-02-08 | Annual Report For Trace Medical Clinic, PLLC |
Date of last update: 05 Jan 2025
Sources: Mississippi Secretary of State
