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  5. Penley Family Dentistry, PC

Penley Family Dentistry, PC

Company Details

Name: Penley Family Dentistry, PC
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 20 Feb 2014 (11 years ago)
Business ID: 1036167
ZIP code: 39426
County: Pearl River
State of Incorporation: MISSISSIPPI
Principal Office Address: 6480 HIGHWAY 11 NCARRIERE, MS 39426

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PENLEY FAMILY DENTISTRY, PC CASH BALANCE PENSION PLAN 2023 464936393 2024-10-09 PENLEY FAMILY DENTISTRY, PC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 6017499330
Plan sponsor’s address 6480 HIGHWAY 11 N., CARRIERE, MS, 39426

Signature of
Role Plan administrator
Date 2024-10-09
Name of individual signing ADRIENNE PENLEY
Valid signature Filed with authorized/valid electronic signature
PENLEY FAMILY DENTISTRY 401(K) PLAN 2023 464936393 2024-07-08 PENLEY FAMILY DENTISTRY, PC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6017499330
Plan sponsor’s address 6480 HIGHWAY 11 NORTH, CARRIERE, MS, 39426

Signature of
Role Plan administrator
Date 2024-07-08
Name of individual signing ADRIENNE PENLEY
Valid signature Filed with authorized/valid electronic signature
PENLEY FAMILY DENTISTRY, PC CASH BALANCE PENSION PLAN 2022 464936393 2023-10-04 PENLEY FAMILY DENTISTRY, PC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 6017499330
Plan sponsor’s address 6480 HIGHWAY 11 N., CARRIERE, MS, 39426

Signature of
Role Plan administrator
Date 2023-10-04
Name of individual signing ADRIENNE L. PENLEY, DMD
Valid signature Filed with authorized/valid electronic signature
PENLEY FAMILY DENTISTRY 401(K) PLAN 2022 464936393 2023-09-08 PENLEY FAMILY DENTISTRY, PC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6017499330
Plan sponsor’s address 6480 HIGHWAY 11 N., CARRIERE, MS, 39426

Signature of
Role Plan administrator
Date 2023-09-08
Name of individual signing ADRIENNE L. PENLEY, DMD
Valid signature Filed with authorized/valid electronic signature
PENLEY FAMILY DENTISTRY 401(K) PLAN 2021 464936393 2022-12-21 PENLEY FAMILY DENTISTRY, PC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6017499330
Plan sponsor’s address 6480 HIGHWAY 11 N., CARRIERE, MS, 39426

Signature of
Role Plan administrator
Date 2022-12-21
Name of individual signing ADRIENNE L. PENLEY, DMD
Valid signature Filed with authorized/valid electronic signature
PENLEY FAMILY DENTISTRY 401(K) PLAN 2021 464936393 2022-09-27 PENLEY FAMILY DENTISTRY, PC 10
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6017499330
Plan sponsor’s address 6480 HIGHWAY 11 N., CARRIERE, MS, 39426

Signature of
Role Plan administrator
Date 2022-09-27
Name of individual signing ADRIENNE L. PENLEY, DMD
Valid signature Filed with authorized/valid electronic signature
PENLEY FAMILY DENTISTRY, PC CASH BALANCE PENSION PLAN 2021 464936393 2022-09-30 PENLEY FAMILY DENTISTRY, PC 3
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 6017499330
Plan sponsor’s address 6480 HIGHWAY 11 N., CARRIERE, MS, 39426

Signature of
Role Plan administrator
Date 2022-09-30
Name of individual signing ADRIENNE L. PENLEY, DMD
Valid signature Filed with authorized/valid electronic signature
PENLEY FAMILY DENTISTRY 401(K) PLAN 2020 464936393 2021-07-19 PENLEY FAMILY DENTISTRY, PC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6017499330
Plan sponsor’s address 6480 HIGHWAY 11 N., CARRIERE, MS, 39426

Signature of
Role Plan administrator
Date 2021-07-19
Name of individual signing ADRIENNE L. PENLEY, DMD
Valid signature Filed with authorized/valid electronic signature
PENLEY FAMILY DENTISTRY 401(K) PLAN 2019 464936393 2020-10-07 PENLEY FAMILY DENTISTRY, PC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6017499330
Plan sponsor’s address 6480 HIGHWAY 11 N., CARRIERE, MS, 39426

Signature of
Role Plan administrator
Date 2020-10-07
Name of individual signing ADRIENNE L. PENLEY, DMD
Valid signature Filed with authorized/valid electronic signature
PENLEY FAMILY DENTISTRY 401(K) PLAN 2018 464936393 2019-08-28 PENLEY FAMILY DENTISTRY, PC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6017499330
Plan sponsor’s address 6480 HIGHWAY 11 N., CARRIERE, MS, 39426

Signature of
Role Plan administrator
Date 2019-08-28
Name of individual signing ADRIENNE PENLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/03/20181003200145P040229345559001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6017499330
Plan sponsor’s address 6480 HIGHWAY 11 N., CARRIERE, MS, 39426

Signature of
Role Plan administrator
Date 2018-10-03
Name of individual signing ADRIENNE L. PENLEY, DMD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/06/25/20170625110533P040018529831001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6017499330
Plan sponsor’s address 6480 HIGHWAY 11 N., CARRIERE, MS, 39426

Signature of
Role Plan administrator
Date 2017-06-25
Name of individual signing ADRIENNE L. PENLEY, DMD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/06/28/20160628163729P030000342697001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6017499330
Plan sponsor’s address 6480 HIGHWAY 11 N., CARRIERE, MS, 39426

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing ADRIENNE L. PENLEY, DMD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Penley, Ronald Agent 6480 Us Hwy 11, Carriere, MS 39426

Incorporator

Name Role Address
Wendy R. Mullins Incorporator 188 E. Capitol Street, Suite 400, Jackson, MS 39201

President

Name Role Address
Adrienne Penley President 6480 Hwy 11 N, Carriere, MS 39426

Filings

Type Status Filed Date Description
Annual Report Filed 2024-04-12 Annual Report For Penley Family Dentistry, PC
Annual Report Filed 2023-04-11 Annual Report For Penley Family Dentistry, PC
Annual Report Filed 2022-04-07 Annual Report For Penley Family Dentistry, PC
Annual Report Filed 2021-04-13 Annual Report For Penley Family Dentistry, PC
Annual Report Filed 2020-04-13 Annual Report For Penley Family Dentistry, PC
Annual Report Filed 2019-04-09 Annual Report For Penley Family Dentistry, PC
Annual Report Filed 2018-03-11 Annual Report For Penley Family Dentistry, PC
Annual Report Filed 2017-01-18 Annual Report For Penley Family Dentistry, PC
Annual Report Filed 2016-02-16 Annual Report For Penley Family Dentistry, PC
Annual Report Filed 2015-04-04 Annual Report For Penley Family Dentistry, PC

Related by officers

Wendy R. Mullins

J Levens Environmental, LLC Cresco Ag, LLC Bedford Holdings, LLC KD Ortho, Inc. CK Ortho, Inc. Legendary Orthodontics, LLC

Adrienne Penley

ARI LLC

Related by address

No related companies by address

Date of last update: 10 Jan 2025

Sources: Mississippi Secretary of State

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