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Vicksburg Orthodontics, LLC

Company Details

Name: Vicksburg Orthodontics, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 01 Sep 2014 (10 years ago)
Business ID: 1050518
ZIP code: 39180
County: Warren
State of Incorporation: MISSISSIPPI
Principal Office Address: 1909A Mission 66VICKSBURG, MS 39180

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
401K EMPLOYEE RETIREMENT PLAN 2023 471709011 2024-07-25 VICKSBURG ORTHODONTICS, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 6016610804
Plan sponsor’s address 1909A MISSION 66, VICKSBURG, MS, 39180

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2024-07-25
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2022 471709011 2023-07-14 VICKSBURG ORTHODONTICS, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 6016610804
Plan sponsor’s address 1909A MISSION 66, VICKSBURG, MS, 39180

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2023-07-14
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
VICKSBURG ORTHODONTICS 401(K) PLAN 2021 471709011 2022-05-20 VICKSBURG ORTHODONTICS, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621210
Sponsor’s telephone number 6016610804
Plan sponsor’s address 1909A MISSION 66, VICKSBURG, MS, 39180

Plan administrator’s name and address

Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of

Role Plan administrator
Date 2022-05-20
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Chandra Minor Agent 1047 W. Gallman Rd., Hazlehurst, MS 39083

Manager

Name Role Address
Chandra Minor Manager 1047 W. Gallman Rd., Hazlehurst, MS 39083

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-04-03 Annual Report For Vicksburg Orthodontics, LLC
Annual Report LLC Filed 2023-04-14 Annual Report For Vicksburg Orthodontics, LLC
Annual Report LLC Filed 2022-03-16 Annual Report For Vicksburg Orthodontics, LLC
Annual Report LLC Filed 2021-03-10 Annual Report For Vicksburg Orthodontics, LLC
Annual Report LLC Filed 2020-03-22 Annual Report For Vicksburg Orthodontics, LLC
Annual Report LLC Filed 2019-03-14 Annual Report For Vicksburg Orthodontics, LLC
Amendment Form Filed 2019-03-13 Amendment For Vicksburg Orthodontics, LLC
Annual Report LLC Filed 2018-02-15 Annual Report For Vicksburg Orthodontics, LLC
Amendment Form Filed 2017-03-28 Amendment For Vicksburg Orthodontics, LLC
Annual Report LLC Filed 2017-03-06 Annual Report For Vicksburg Orthodontics, LLC

Date of last update: 11 Jan 2025

Sources: Mississippi Secretary of State