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The Pediatric Dental Studio, LLC

Company Details

Name: The Pediatric Dental Studio, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 03 Jan 2014 (11 years ago)
Business ID: 1033581
ZIP code: 39208
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 201 Riverwind Dr, 201 Riverwind DrPearl, MS 39208
Fictitious names: THE CHILDRENS DENTAL STUDIO

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
401K EMPLOYEE RETIREMENT PLAN 2023 464493945 2024-07-31 THE PEDIATRIC DENTAL STUDIO, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 6019659459
Plan sponsor’s address 201 RIVERWIND E. DRIVE, PEARL, MS, 39208

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2024-07-31
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2022 464493945 2023-07-24 THE PEDIATRIC DENTAL STUDIO, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 6019659459
Plan sponsor’s address 201 RIVERWIND E. DRIVE, PEARL, MS, 39208

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2023-07-24
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
THE PEDIATRIC DENTAL STUDIO 401(K) PLAN 2021 464493945 2022-07-14 THE PEDIATRIC DENTAL STUDIO, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 6019659459
Plan sponsor’s address 201 RIVERWIND E. DRIVE, PEARL, MS, 39208
THE PEDIATRIC DENTAL STUDIO 401(K) PLAN 2020 464493945 2021-07-01 THE PEDIATRIC DENTAL STUDIO, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 6019659459
Plan sponsor’s address 201 RIVERWIND E. DRIVE, PEARL, MS, 39208
THE PEDIATRIC DENTAL STUDIO 401(K) PLAN 2019 464493945 2020-10-13 THE PEDIATRIC DENTAL STUDIO, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621210
Sponsor’s telephone number 6019659459
Plan sponsor’s address 201 RIVERWIND E. DRIVE, PEARL, MS, 39208

Agent

Name Role Address
Moore, Carlos E Agent 1155 South Dr Martin Luther King Jr Blvd;P O Box 1487, Grenada, MS 38902

Member

Name Role Address
Jerrick W Rose Member 151 Woodlands Glen Circle, Brandon, MS 39047

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-13 Annual Report For The Pediatric Dental Studio, LLC
Annual Report LLC Filed 2024-03-21 Annual Report For The Pediatric Dental Studio, LLC
Annual Report LLC Filed 2023-04-04 Annual Report For The Pediatric Dental Studio, LLC
Annual Report LLC Filed 2022-03-17 Annual Report For The Pediatric Dental Studio, LLC
Fictitious Name Registration Filed 2021-08-09 Fictitious Name Registration For The Pediatric Dental Studio, LLC
Annual Report LLC Filed 2021-03-26 Annual Report For The Pediatric Dental Studio, LLC
Annual Report LLC Filed 2020-02-18 Annual Report For The Pediatric Dental Studio, LLC
Annual Report LLC Filed 2019-04-05 Annual Report For The Pediatric Dental Studio, LLC
Annual Report LLC Filed 2019-03-05 Annual Report For The Pediatric Dental Studio, LLC
Annual Report LLC Filed 2018-03-16 Annual Report For The Pediatric Dental Studio, LLC

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8575918305 2021-01-29 0470 PPS 201 Riverwind Dr, Pearl, MS, 39208-5653
Loan Status Date 2022-04-19
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 55476
Loan Approval Amount (current) 55476
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188567
Servicing Lender Name Loan Source Incorporated
Servicing Lender Address 353 East 83rd Street Suite 3H, NEW YORK, NY, 10028
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Pearl, RANKIN, MS, 39208-5653
Project Congressional District MS-03
Number of Employees 9
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39334
Originating Lender Name Trustmark National Bank
Originating Lender Address JACKSON, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 56067.24
Forgiveness Paid Date 2022-03-02
1730307204 2020-04-15 0470 PPP 151 WOODLANDS GLEN CIR, BRANDON, MS, 39047-7117
Loan Status Date 2021-06-05
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 56344
Loan Approval Amount (current) 56344
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39334
Servicing Lender Name Trustmark National Bank
Servicing Lender Address 248 E Capitol St, JACKSON, MS, 39201-2503
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address BRANDON, RANKIN, MS, 39047-7117
Project Congressional District MS-03
Number of Employees 13
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39334
Originating Lender Name Trustmark National Bank
Originating Lender Address JACKSON, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 56945
Forgiveness Paid Date 2021-05-26

Date of last update: 28 Mar 2025

Sources: Mississippi Secretary of State