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Jaya L Dental Arts, PLLC

Company Details

Name: Jaya L Dental Arts, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 04 Nov 2015 (9 years ago)
Business ID: 1079100
ZIP code: 38672
County: DeSoto
State of Incorporation: MISSISSIPPI
Principal Office Address: 7135 GETWELL ROAD, SUITE 100SOUTHAVEN, MS 38672
Historical names: Advanced Dental Implant and TMJ Center
Advanced Dental and TMJ Center

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ADVANCED DENTAL IMPLANT AND TMJ CENTER 401(K) PLAN 2023 475516073 2024-09-25 ADVANCED DENTAL IMPLANT AND TMJ CENTER 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 6626554868
Plan sponsor’s address 7135 GETWELL ROAD, STE 100, SOUTHAVEN, MS, 38672

Signature of

Role Plan administrator
Date 2024-09-25
Name of individual signing MICHAEL VANDERFORD
Valid signature Filed with authorized/valid electronic signature
ADVANCED DENTAL IMPLANT AND TMJ CENTER 401(K) PLAN 2022 475516073 2023-09-21 ADVANCED DENTAL IMPLANT AND TMJ CENTER 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 6626554868
Plan sponsor’s address 7135 GETWELL ROAD, STE 100, SOUTHAVEN, MS, 38672

Signature of

Role Plan administrator
Date 2023-09-21
Name of individual signing MICHAEL VANDERFORD
Valid signature Filed with authorized/valid electronic signature
ADVANCED DENTAL IMPLANT AND TMJ CENTER 401(K) PLAN 2021 475516073 2022-08-13 ADVANCED DENTAL IMPLANT AND TMJ CENTER 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 6626554868
Plan sponsor’s address 7135 GETWELL ROAD, STE 100, SOUTHAVEN, MS, 38672

Signature of

Role Plan administrator
Date 2022-08-13
Name of individual signing PRADEEP ADATROW, DDS
Valid signature Filed with authorized/valid electronic signature
ADVANCED DENTAL IMPLANT AND TMJ CENTER 401(K) PLAN 2020 475516073 2021-07-10 ADVANCED DENTAL IMPLANT AND TMJ CENTER 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 6626554868
Plan sponsor’s address 7135 GETWELL ROAD, STE 100, SOUTHAVEN, MS, 38672

Signature of

Role Plan administrator
Date 2021-07-10
Name of individual signing PRADEEP ADATROW, DDS
Valid signature Filed with authorized/valid electronic signature
ADVANCED DENTAL IMPLANT AND TMJ CENTER 401(K) PLAN 2019 475516073 2020-10-13 ADVANCED DENTAL IMPLANT AND TMJ CENTER 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 6626554868
Plan sponsor’s address 7135 GETWELL ROAD, STE 100, SOUTHAVEN, MS, 38672

Signature of

Role Plan administrator
Date 2020-10-13
Name of individual signing PRADEEP ADATROW, DDS
Valid signature Filed with authorized/valid electronic signature
ADVANCED DENTAL IMPLANT AND TMJ CENTER 401(K) PLAN 2018 475516073 2019-10-14 ADVANCED DENTAL IMPLANT AND TMJ CENTER 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621210
Sponsor’s telephone number 6626554868
Plan sponsor’s address 7135 GETWELL ROAD, STE 100, SOUTHAVEN, MS, 38672

Signature of

Role Plan administrator
Date 2019-10-14
Name of individual signing PRADEEP ADATROW, DDS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
REGISTERED AGENT SOLUTIONS, INC Agent 8927 Lorraine Rd., Ste. 204-A, Gulfport, MS 39503

Organizer

Name Role Address
Blake W Bourland Organizer 1000 Ridgeway Loop Rd, Ste 200, Memphis, TN 38120

Manager

Name Role Address
J ADABALA Manager 7135 Getwell Rd, Suite 202, Southaven, MS 38672

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-01 Annual Report For Jaya L Dental Arts, PLLC
Annual Report LLC Filed 2024-02-05 Annual Report For Jaya L Dental Arts, PLLC
Amendment Form Filed 2023-02-08 Amendment For Jaya L Dental Arts, PLLC
Annual Report LLC Filed 2023-01-21 Annual Report For Jaya L Dental Arts, PLLC
Amendment Form Filed 2023-01-17 Amendment For Jaya L Dental Arts, PLLC
Annual Report LLC Filed 2023-01-15 Annual Report For Jaya L Dental Arts, PLLC
Amendment Form Filed 2023-01-15 Amendment For Jaya L Dental Arts, PLLC
Amendment Form Filed 2022-02-13 Amendment For Jaya L Dental Arts, PLLC
Annual Report LLC Filed 2022-02-13 Annual Report For Jaya L Dental Arts, PLLC
Amendment Form Filed 2022-02-09 Amendment For Jaya L Dental Arts, PLLC

Date of last update: 13 Jan 2025

Sources: Mississippi Secretary of State