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  5. Magnolia Dermatology, PLLC

Magnolia Dermatology, PLLC

Company Details

Name: Magnolia Dermatology, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 29 Jan 2016 (9 years ago)
Business ID: 1084524
ZIP code: 39056
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 815 Hwy 80 EastClinton, MS 39056
Historical names: Magnolia Skin Care
Magnolia Medical Services
Magnolia Medical Clinic
Magnolia Medispa
Magnolia Medical Spa

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAGNOLIA DERMATOLOGY, PLLC 401(K) PROFIT SHARING PLAN 2023 811270157 2024-10-01 MAGNOLIA DERMATOLOGY, PLLC 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 6019103004
Plan sponsor’s address 815 HIGHWAY 80 EAST, CLINTON, MS, 39056
MAGNOLIA DERMATOLOGY, PLLC 401(K) PROFIT SHARING PLAN 2022 811270157 2023-10-04 MAGNOLIA DERMATOLOGY, PLLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 6019103004
Plan sponsor’s address 815 HIGHWAY 80 EAST, CLINTON, MS, 39056
MAGNOLIA DERMATOLOGY, PLLC 401(K) PROFIT SHARING PLAN 2021 811270157 2022-10-13 MAGNOLIA DERMATOLOGY, PLLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 6019103004
Plan sponsor’s address 815 HIGHWAY 80 EAST, CLINTON, MS, 39056
MAGNOLIA DERMATOLOGY, PLLC 401(K) PROFIT SHARING PLAN 2020 811270157 2021-10-25 MAGNOLIA DERMATOLOGY, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 6019103004
Plan sponsor’s address 815 HIGHWAY 80 EAST, CLINTON, MS, 39056
MAGNOLIA DERMATOLOGY, PLLC 401(K) PROFIT SHARING PLAN 2019 811270157 2020-09-29 MAGNOLIA DERMATOLOGY, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 6019103004
Plan sponsor’s address 815 HIGHWAY 80 EAST, CLINTON, MS, 39056
MAGNOLIA DERMATOLOGY, PLLC 401(K) PROFIT SHARING PLAN 2018 811270157 2019-10-15 MAGNOLIA DERMATOLOGY, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 6019103004
Plan sponsor’s address 815 HIGHWAY 80 EAST, CLINTON, MS, 39056
MAGNOLIA DERMATOLOGY, PLLC 401(K) PROFIT SHARING PLAN 2017 811270157 2018-10-12 MAGNOLIA DERMATOLOGY, PLLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 6019103004
Plan sponsor’s address 815 HIGHWAY 80 EAST, CLINTON, MS, 39056

Agent

Name Role Address
Christin Collier Hurt Agent 107 Freeland Lane, Clinton, MS 39056

Manager

Name Role Address
Christin Collier Hurt Manager 815 Hwy 80 E, Clinton, MS 39056
Patrick Boler MD Manager 815 Hwy 80 E, Clinton, MS 39056
Ashton Davis Manager 815 Hwy 80 E, Clinton, MS 39056

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-13 Annual Report For Magnolia Dermatology, PLLC
Annual Report LLC Filed 2024-01-23 Annual Report For Magnolia Dermatology, PLLC
Annual Report LLC Filed 2023-01-20 Annual Report For Magnolia Dermatology, PLLC
Fictitious Name Renewal Filed 2022-10-04 Fictitious Name Renewal For Magnolia Dermatology, PLLC
Annual Report LLC Filed 2022-01-24 Annual Report For Magnolia Dermatology, PLLC
Annual Report LLC Filed 2021-04-12 Annual Report For Magnolia Dermatology, PLLC
Annual Report LLC Filed 2021-01-29 Annual Report For Magnolia Dermatology, PLLC
Annual Report LLC Filed 2020-05-14 Annual Report For Magnolia Dermatology, PLLC
Annual Report LLC Filed 2020-03-25 Annual Report For Magnolia Dermatology, PLLC
Annual Report LLC Filed 2019-02-20 Annual Report For Magnolia Dermatology, PLLC

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3352188409 2021-02-04 0470 PPS 815 Highway 80 E, Clinton, MS, 39056-5252
Loan Status Date 2022-03-10
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 156086.72
Loan Approval Amount (current) 156086.72
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39099
Servicing Lender Name BankPlus
Servicing Lender Address 202 E Jackson St, BELZONI, MS, 39038-3524
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Clinton, HINDS, MS, 39056-5252
Project Congressional District MS-02
Number of Employees 17
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 39099
Originating Lender Name BankPlus
Originating Lender Address BELZONI, MS
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 157664.93
Forgiveness Paid Date 2022-02-08
5142337106 2020-04-13 0470 PPP 815 HIGHWAY 80 E, CLINTON, MS, 39056-5252
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) 156000
Loan Approval Amount (current) 156000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39099
Servicing Lender Name BankPlus
Servicing Lender Address 202 E Jackson St, BELZONI, MS, 39038-3524
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address CLINTON, HINDS, MS, 39056-5252
Project Congressional District MS-02
Number of Employees 17
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 39099
Originating Lender Name BankPlus
Originating Lender Address BELZONI, MS
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 157577.33
Forgiveness Paid Date 2021-04-22

Related by officers

Patrick Boler MD

Central Mississippi Dermatology Associates, LLC

Ashton Davis

S&B Medical, LLC Magnolia Dermatology Holdings, LLC MD Holdings Starkville, LLC Mag Derm Properties, LLC

Related by address

815 Hwy 80 EastClinton, MS 39056

S&B Medical, LLC

Date of last update: 30 Mar 2025

Sources: Mississippi Secretary of State

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