MISSISSIPPI DENTAL ASSOCIATION

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-07-01
Business code	813000
Sponsor’s telephone number	6019820442
Plan sponsor’s address	439 B KATHERINE DR, FLOWOOD, MS, 39232

Signature of

Role	Plan administrator
Date	2013-07-31
Name of individual signing	CONNIE LANE
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2013-07-31
Name of individual signing	CONNIE LANE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-07-01
Business code	813000
Sponsor’s telephone number	6019820442
Plan sponsor’s address	439 B KATHERINE DR, FLOWOOD, MS, 39232

Plan administrator’s name and address

Administrator’s EIN	237104321
Plan administrator’s name	MISSISSIPPI DENTAL ASSOCIATION
Plan administrator’s address	439 B KATHERINE DR, FLOWOOD, MS, 39232
Administrator’s telephone number	6019820442

Signature of

Role	Plan administrator
Date	2012-07-27
Name of individual signing	CONNIE LANE
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2012-07-27
Name of individual signing	CONNIE LANE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-07-01
Business code	813000
Sponsor’s telephone number	6019820442
Plan sponsor’s address	439 B KATHERINE DR, FLOWOOD, MS, 39232

Plan administrator’s name and address

Administrator’s EIN	237104321
Plan administrator’s name	MISSISSIPPI DENTAL ASSOCIATION
Plan administrator’s address	439 B KATHERINE DR, FLOWOOD, MS, 39232
Administrator’s telephone number	6019820442

Signature of

Role	Plan administrator
Date	2011-09-06
Name of individual signing	CONNIE LANE
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2011-09-06
Name of individual signing	CONNIE LANE
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-07-01
Business code	813000
Sponsor’s telephone number	6019820442
Plan sponsor’s address	2630 RIDGEWOOD ROAD, JACKSON, MS, 39216

Plan administrator’s name and address

Administrator’s EIN	237104321
Plan administrator’s name	MISSISSIPPI DENTAL ASSOCIATION
Plan administrator’s address	2630 RIDGEWOOD ROAD, JACKSON, MS, 39216
Administrator’s telephone number	6019820442

Signature of

Role	Plan administrator
Date	2011-02-04
Name of individual signing	CONNIE LANE
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2011-02-04
Name of individual signing	CONNIE LANE
Valid signature	Filed with authorized/valid electronic signature

In Care of Name	-
Group Exemption Number	0000
Subsection	Board of Trade, Business League, Chamber of Commerce, Real Estate Board
Affiliation	Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification	Educational Organization, Local Association of Employees, Horticultural Organization, Business League, Voluntary Employees' Beneficiary Association (Govt. Emps.), Mutual Ditch or Irrigation Co., Cemetery Company, Other Mutual Corp. or Assoc.
Deductibility	Contributions are not deductible.
Foundation	All organizations except 501(c)(3)
Tax Period	2023-06
Asset	1,000,000 to 4,999,999
Income	500,000 to 999,999
Filing Requirement	990 (all other) or 990EZ return
PF Filing Requirement	No 990-PF return
Accounting Period	Jun
Asset Amount	1802426
Income Amount	720833
Form 990 Revenue Amount	720833
National Taxonomy of Exempt Entities	-
Sort Name	-

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name	MISSISSIPPI DENTAL ASSOCIATION
EIN	23-7104321
Tax Period	202306
Filing Type	E
Return Type	990O
File	View File
Organization Name	MISSISSIPPI DENTAL ASSOCIATION
EIN	23-7104321
Tax Period	202206
Filing Type	E
Return Type	990O
File	View File
Organization Name	MISSISSIPPI DENTAL ASSOCIATION
EIN	23-7104321
Tax Period	202106
Filing Type	E
Return Type	990O
File	View File
Organization Name	MISSISSIPPI DENTAL ASSOCIATION
EIN	23-7104321
Tax Period	201906
Filing Type	E
Return Type	990O
File	View File
Organization Name	MISSISSIPPI DENTAL ASSOCIATION
EIN	23-7104321
Tax Period	201806
Filing Type	E
Return Type	990O
File	View File
Organization Name	MISSISSIPPI DENTAL ASSOCIATION
EIN	23-7104321
Tax Period	201806
Filing Type	P
Return Type	990O
File	View File
Organization Name	MISSISSIPPI DENTAL ASSOCIATION
EIN	23-7104321
Tax Period	201706
Filing Type	E
Return Type	990O
File	View File
Organization Name	MISSISSIPPI DENTAL ASSOCIATION
EIN	23-7104321
Tax Period	201706
Filing Type	E
Return Type	990O
File	View File
Organization Name	MISSISSIPPI DENTAL ASSOCIATION
EIN	23-7104321
Tax Period	201706
Filing Type	P
Return Type	990O
File	View File
Organization Name	MISSISSIPPI DENTAL ASSOCIATION
EIN	23-7104321
Tax Period	201606
Filing Type	E
Return Type	990O
File	View File
Organization Name	MISSISSIPPI DENTAL ASSOCIATION
EIN	23-7104321
Tax Period	201606
Filing Type	P
Return Type	990O
File	View File