| Name: | MISSISSIPPI DENTAL ASSOCIATION |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Non Profit Corporation |
| Status: | Good Standing |
| Effective Date: | 14 May 1953 (72 years ago) |
| Business ID: | 103802 |
| State of Incorporation: | MISSISSIPPI |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MISSISSIPPI DENTAL ASSOCIATION 401(K) PLAN | 2012 | 237104321 | 2013-07-31 | MISSISSIPPI DENTAL ASSOCIATION | 3 | |||||||||||||||||||||||||||||||||||||||||
|
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| 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 |
| Name | Role | Address |
|---|---|---|
| E M BLACKBURN | Incorporator | J, JACKSON, MS |
| G A MCCARTY | Incorporator | J, JACKSON, MS |
| JOHN C BOSWELL | Incorporator | J, JACKSON, MS |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Undetermined Event | Filed | 1954-06-08 | Undetermined Event |
| Name Reservation Form | Filed | 1953-05-14 | Name Reservation |
Date of last update: 10 Dec 2024
Sources: Mississippi Secretary of State
