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  5. Embry Care, LLC

Embry Care, LLC

Company Details

Name: Embry Care, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 30 Nov 2010 (14 years ago)
Business ID: 975122
ZIP code: 39520
County: Hancock
State of Incorporation: MISSISSIPPI
Principal Office Address: 10122 Lagan StreetBay St Louis, MS 39520
Historical names: Diamondhead Urgent Care, LLC

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN 2023 274017144 2024-09-24 DIAMONDHEAD URGENT CARE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2283649001
Plan sponsor’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525

Signature of
Role Plan administrator
Date 2024-09-24
Name of individual signing JAMES EMBRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-24
Name of individual signing JAMES EMBRY
Valid signature Filed with authorized/valid electronic signature
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN 2022 274017144 2023-08-30 DIAMONDHEAD URGENT CARE, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2283649001
Plan sponsor’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525

Plan administrator’s name and address
Administrator’s EIN 274017144
Plan administrator’s name DIAMONDHEAD URGENT CARE, LLC
Plan administrator’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
Administrator’s telephone number 2283649001

Signature of
Role Plan administrator
Date 2023-08-30
Name of individual signing JAMES EMBRY
Valid signature Filed with authorized/valid electronic signature
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN 2021 274017144 2022-07-11 DIAMONDHEAD URGENT CARE, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2283649001
Plan sponsor’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525

Plan administrator’s name and address
Administrator’s EIN 274017144
Plan administrator’s name DIAMONDHEAD URGENT CARE, LLC
Plan administrator’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
Administrator’s telephone number 2283649001

Signature of
Role Plan administrator
Date 2022-07-11
Name of individual signing JAMES EMBRY
Valid signature Filed with authorized/valid electronic signature
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN 2020 274017144 2021-09-13 DIAMONDHEAD URGENT CARE, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2283649001
Plan sponsor’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525

Plan administrator’s name and address
Administrator’s EIN 274017144
Plan administrator’s name DIAMONDHEAD URGENT CARE, LLC
Plan administrator’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
Administrator’s telephone number 2283649001

Signature of
Role Plan administrator
Date 2021-09-13
Name of individual signing JAMES EMBRY
Valid signature Filed with authorized/valid electronic signature
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN 2019 274017144 2020-09-30 DIAMONDHEAD URGENT CARE, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2283649001
Plan sponsor’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525

Plan administrator’s name and address
Administrator’s EIN 274017144
Plan administrator’s name DIAMONDHEAD URGENT CARE, LLC
Plan administrator’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
Administrator’s telephone number 2283649001

Signature of
Role Plan administrator
Date 2020-09-30
Name of individual signing JAMES EMBRY
Valid signature Filed with authorized/valid electronic signature
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN 2018 274017144 2019-06-07 DIAMONDHEAD URGENT CARE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2283649001
Plan sponsor’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525

Plan administrator’s name and address
Administrator’s EIN 274017144
Plan administrator’s name DIAMONDHEAD URGENT CARE, LLC
Plan administrator’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
Administrator’s telephone number 2283649001

Signature of
Role Plan administrator
Date 2019-06-07
Name of individual signing JAMES EMBRY
Valid signature Filed with authorized/valid electronic signature
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN 2017 274017144 2018-06-07 DIAMONDHEAD URGENT CARE, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2283649001
Plan sponsor’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525

Plan administrator’s name and address
Administrator’s EIN 274017144
Plan administrator’s name DIAMONDHEAD URGENT CARE, LLC
Plan administrator’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
Administrator’s telephone number 2283649001

Signature of
Role Plan administrator
Date 2018-06-07
Name of individual signing JAMES EMBRY
Valid signature Filed with authorized/valid electronic signature
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN 2016 274017144 2017-06-06 DIAMONDHEAD URGENT CARE, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2283649001
Plan sponsor’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525

Plan administrator’s name and address
Administrator’s EIN 274017144
Plan administrator’s name DIAMONDHEAD URGENT CARE, LLC
Plan administrator’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
Administrator’s telephone number 2283649001

Signature of
Role Plan administrator
Date 2017-06-06
Name of individual signing JAMES EMBRY
Valid signature Filed with authorized/valid electronic signature
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN 2015 274017144 2016-07-07 DIAMONDHEAD URGENT CARE, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2283649001
Plan sponsor’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525

Plan administrator’s name and address
Administrator’s EIN 274017144
Plan administrator’s name DIAMONDHEAD URGENT CARE, LLC
Plan administrator’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
Administrator’s telephone number 2283649001

Signature of
Role Plan administrator
Date 2016-07-07
Name of individual signing JAMES EMBRY
Valid signature Filed with authorized/valid electronic signature
DIAMONDHEAD URGENT CARE, LLC 401(K) P/S PLAN 2014 274017144 2015-09-18 DIAMONDHEAD URGENT CARE, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2283649001
Plan sponsor’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525

Plan administrator’s name and address
Administrator’s EIN 274017144
Plan administrator’s name DIAMONDHEAD URGENT CARE, LLC
Plan administrator’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
Administrator’s telephone number 2283649001

Signature of
Role Plan administrator
Date 2015-09-18
Name of individual signing JAMES EMBRY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/28/20140528094034P030419163073001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2283649001
Plan sponsor’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525

Plan administrator’s name and address
Administrator’s EIN 274017144
Plan administrator’s name DIAMONDHEAD URGENT CARE, LLC
Plan administrator’s address 4402 E ALOHA DR STE 16, DIAMONDHEAD, MS, 39525
Administrator’s telephone number 2283649001

Signature of
Role Plan administrator
Date 2014-05-28
Name of individual signing JAMES EMBRY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
James Embry Agent 10122 Lagan Street, Bay St Louis, MS 39520

Manager

Name Role Address
James Embry Manager 10122 Lagan Street, Bay St Louis, MS 39520

Member

Name Role Address
James Embry Member 10122 Lagan Street, Bay St Louis, MS 39520

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2024-12-01 Action of Intent to Dissolve: AR: Embry Care, LLC
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: AR: Embry Care, LLC
Annual Report LLC Filed 2023-11-21 Annual Report For Embry Care, LLC
Notice to Dissolve/Revoke Filed 2023-09-08 Notice of Intent to Dissolve: AR: Embry Care, LLC
Amendment Form Filed 2022-12-02 Amendment For Diamondhead Urgent Care, LLC
Annual Report LLC Filed 2022-09-14 Annual Report For Diamondhead Urgent Care, LLC
Notice to Dissolve/Revoke Filed 2022-09-05 Notice of Intent to Dissolve: AR: Diamondhead Urgent Care, LLC
Annual Report LLC Filed 2021-06-08 Annual Report For Diamondhead Urgent Care, LLC
Annual Report LLC Filed 2020-09-01 Annual Report For Diamondhead Urgent Care, LLC
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7654648300 2021-01-28 0470 PPS 4402 E Aloha Dr, Diamondhead, MS, 39525-3349
Loan Status Date 2022-03-09
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 111417
Loan Approval Amount (current) 111417
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39232
Servicing Lender Name Hancock Whitney Bank
Servicing Lender Address 2510 14th St One Hancock Plz, GULFPORT, MS, 39501
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Diamondhead, HANCOCK, MS, 39525-3349
Project Congressional District MS-04
Number of Employees 16
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39232
Originating Lender Name Hancock Whitney Bank
Originating Lender Address GULFPORT, MS
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 112559.02
Forgiveness Paid Date 2022-02-03
9896687710 2020-05-01 0470 PPP 4402 ALOHA DR, DIAMONDHEAD, MS, 39525
Loan Status Date 2021-07-07
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 111417
Loan Approval Amount (current) 111417
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39232
Servicing Lender Name Hancock Whitney Bank
Servicing Lender Address 2510 14th St One Hancock Plz, GULFPORT, MS, 39501
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address DIAMONDHEAD, HANCOCK, MS, 39525-3000
Project Congressional District MS-04
Number of Employees 16
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39232
Originating Lender Name Hancock Whitney Bank
Originating Lender Address GULFPORT, MS
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 112695.2
Forgiveness Paid Date 2021-06-24

Related by officers

James Embry

Diamondhead Medi Spa LLC Aloha Primary Care LLC

Related by address

No related companies by address

Date of last update: 24 Mar 2025

Sources: Mississippi Secretary of State

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