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  5. Gulf Islands Dentistry, PLLC

Gulf Islands Dentistry, PLLC

Company Details

Name: Gulf Islands Dentistry, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 30 Jun 2014 (11 years ago)
Business ID: 1044018
ZIP code: 39567
County: Jackson
State of Incorporation: MISSISSIPPI
Principal Office Address: 1226 Jackson Avenue, 1226 Jackson AvenuePascagoula, MS 39567

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GULF ISLANDS DENTISTRY 401(K) RETIREMENT PLAN 2023 611751055 2024-09-03 GULF ISLANDS DENTISTRY, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2287699010
Plan sponsor’s address 1226 JACKSON AVENUE, PASCAGOULA, MS, 39567

Signature of
Role Plan administrator
Date 2024-09-03
Name of individual signing JESSICA TAYLOR
Valid signature Filed with authorized/valid electronic signature
GULF ISLANDS DENTISTRY 401(K) RETIREMENT PLAN 2022 611751055 2023-08-10 GULF ISLANDS DENTISTRY, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2287699010
Plan sponsor’s address 1226 JACKSON AVENUE, PASCAGOULA, MS, 39567

Signature of
Role Plan administrator
Date 2023-08-10
Name of individual signing JESSICA TAYLOR
Valid signature Filed with authorized/valid electronic signature
GULF ISLANDS DENTISTRY 401(K) RETIREMENT PLAN 2021 611751055 2022-03-29 GULF ISLANDS DENTISTRY, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2287699010
Plan sponsor’s address 1226 JACKSON AVENUE, PASCAGOULA, MS, 39567

Signature of
Role Plan administrator
Date 2022-03-29
Name of individual signing JESSICA TAYLOR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-03-29
Name of individual signing JESSICA TAYLOR
Valid signature Filed with authorized/valid electronic signature
GULF ISLANDS DENTISTRY 401(K) RETIREMENT PLAN 2020 611751055 2021-02-22 GULF ISLANDS DENTISTRY, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2287699010
Plan sponsor’s address 1226 JACKSON AVENUE, PASCAGOULA, MS, 39567

Signature of
Role Plan administrator
Date 2021-02-22
Name of individual signing JESSICA TAYLOR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-02-22
Name of individual signing JESSICA TAYLOR
Valid signature Filed with authorized/valid electronic signature
GULF ISLANDS DENTISTRY 401(K) RETIREMENT PLAN 2019 611751055 2020-03-09 GULF ISLANDS DENTISTRY, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2287699010
Plan sponsor’s address 1226 JACKSON AVENUE, PASCAGOULA, MS, 39567

Signature of
Role Plan administrator
Date 2020-03-09
Name of individual signing JESSICA TAYLOR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-03-09
Name of individual signing JESSICA TAYLOR
Valid signature Filed with authorized/valid electronic signature
GULF ISLANDS DENTISTRY 401(K) RETIREMENT PLAN 2018 611751055 2019-04-29 GULF ISLANDS DENTISTRY, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2287699010
Plan sponsor’s address 1226 JACKSON AVENUE, PASCAGOULA, MS, 39567

Signature of
Role Plan administrator
Date 2019-04-29
Name of individual signing JESSICA TAYLOR
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-29
Name of individual signing JESSICA TAYLOR
Valid signature Filed with authorized/valid electronic signature
GULF ISLANDS DENTISTRY 401(K) RETIREMENT PLAN 2017 611751055 2018-02-22 GULF ISLANDS DENTISTRY, PLLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2287699010
Plan sponsor’s address 1226 JACKSON AVENUE, PASCAGOULA, MS, 39567

Signature of
Role Plan administrator
Date 2018-02-22
Name of individual signing RUSSELL PARKER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-02-22
Name of individual signing RUSSELL PARKER
Valid signature Filed with authorized/valid electronic signature
GULF ISLANDS DENTISTRY 401(K) RETIREMENT PLAN 2016 611751055 2017-03-07 GULF ISLANDS DENTISTRY, PLLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2287699010
Plan sponsor’s address 1226 JACKSON AVENUE, PASCAGOULA, MS, 39567

Signature of
Role Plan administrator
Date 2017-03-07
Name of individual signing RUSSELL PARKER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-07
Name of individual signing RUSSELL PARKER
Valid signature Filed with authorized/valid electronic signature
GULF ISLANDS DENTISTRY 401(K) RETIREMENT PLAN 2015 611751055 2016-02-01 GULF ISLANDS DENTISTRY,PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2287699010
Plan sponsor’s address 1226 JACKSON AVENUE, PASCAGOULA, MS, 39567

Signature of
Role Plan administrator
Date 2016-02-01
Name of individual signing RUSSELL PARKER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-02-01
Name of individual signing RUSSELL PARKER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Jessica Bosarge Taylor, DMD Agent 1226 Jackson Avenue, Pascagoula, MS 39567

Member

Name Role Address
Jessica Taylor Member 1226 Jackson Avenue, Pascagoula, MS 39567

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-23 Annual Report For Gulf Islands Dentistry, PLLC
Annual Report LLC Filed 2024-02-20 Annual Report For Gulf Islands Dentistry, PLLC
Annual Report LLC Filed 2023-01-25 Annual Report For Gulf Islands Dentistry, PLLC
Annual Report LLC Filed 2022-02-10 Annual Report For Gulf Islands Dentistry, PLLC
Annual Report LLC Filed 2021-03-05 Annual Report For Gulf Islands Dentistry, PLLC
Amendment Form Filed 2021-03-05 Amendment For Gulf Islands Dentistry, PLLC
Annual Report LLC Filed 2021-01-18 Annual Report For Gulf Islands Dentistry, PLLC
Annual Report LLC Filed 2020-02-10 Annual Report For Gulf Islands Dentistry, PLLC
Annual Report LLC Filed 2019-03-18 Annual Report For Gulf Islands Dentistry, PLLC
Annual Report LLC Filed 2018-04-04 Annual Report For Gulf Islands Dentistry, PLLC

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3389057304 2020-04-29 0470 PPP 1226 JACKSON AVE, PASCAGOULA, MS, 39567-4348
Loan Status Date 2021-05-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 61082.32
Loan Approval Amount (current) 61082.32
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39666
Servicing Lender Name Merchants & Marine Bank
Servicing Lender Address 3118 Pascagoula St, PASCAGOULA, MS, 39567-4215
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address PASCAGOULA, JACKSON, MS, 39567-4348
Project Congressional District MS-04
Number of Employees 9
NAICS code 621210
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 39666
Originating Lender Name Merchants & Marine Bank
Originating Lender Address PASCAGOULA, MS
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 61679.57
Forgiveness Paid Date 2021-04-22

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Date of last update: 28 Mar 2025

Sources: Mississippi Secretary of State

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