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Okolona Family Dental, PLLC

Company Details

Name: Okolona Family Dental, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 28 Feb 2019 (6 years ago)
Business ID: 1170583
ZIP code: 39773
County: Clay
State of Incorporation: MISSISSIPPI
Principal Office Address: 2247 Lone Oak LaneWest Point, MS 39773

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OKOLONA FAMILY DENTAL 401(K) PLAN 2023 833775995 2024-07-19 OKOLONA FAMILY DENTAL 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-10-01
Business code 621210
Sponsor’s telephone number 6624472704
Plan sponsor’s address 233 WEST MAIN STREET, OKOLONA, MS, 38860

Signature of

Role Plan administrator
Date 2024-07-19
Name of individual signing ADAM ROYE
Valid signature Filed with authorized/valid electronic signature
OKOLONA FAMILY DENTAL 401(K) PLAN 2022 833775995 2023-07-25 OKOLONA FAMILY DENTAL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-10-01
Business code 621210
Sponsor’s telephone number 6624472704
Plan sponsor’s address 233 WEST MAIN STREET, OKOLONA, MS, 38860

Signature of

Role Plan administrator
Date 2023-07-25
Name of individual signing ADAM ROYE
Valid signature Filed with authorized/valid electronic signature
OKOLONA FAMILY DENTAL 401(K) PLAN 2021 833775995 2022-07-19 OKOLONA FAMILY DENTAL 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-10-01
Business code 621210
Sponsor’s telephone number 6624472704
Plan sponsor’s address 233 WEST MAIN STREET, OKOLONA, MS, 38860

Signature of

Role Plan administrator
Date 2022-07-19
Name of individual signing ADAM ROYE
Valid signature Filed with authorized/valid electronic signature
OKOLONA FAMILY DENTAL 401(K) PLAN 2020 833775995 2021-07-26 OKOLONA FAMILY DENTAL 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-10-01
Business code 621210
Sponsor’s telephone number 6624472704
Plan sponsor’s address 233 WEST MAIN STREET, OKOLONA, MS, 38860

Signature of

Role Plan administrator
Date 2021-07-26
Name of individual signing ADAM ROYE
Valid signature Filed with authorized/valid electronic signature
OKOLONA FAMILY DENTAL 401(K) PLAN 2019 833775995 2020-06-23 OKOLONA FAMILY DENTAL 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-10-01
Business code 621210
Sponsor’s telephone number 6624472704
Plan sponsor’s address 233 WEST MAIN STREET, OKOLONA, MS, 38860

Signature of

Role Plan administrator
Date 2020-06-23
Name of individual signing ADAM ROYE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Emily M. Zizzi CPA Agent 343 East Main Street, Suite B-1, Tupelo, MS 38804

Organizer

Name Role Address
Emily M. Zizzi CPA Organizer 343 East Main Street, Suite B-1, Tupelo, MS 38804

Member

Name Role Address
Adam Roye Member 2247 Lone Oak Drive, West Point, MS 39773

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-14 Annual Report For Okolona Family Dental, PLLC
Annual Report LLC Filed 2024-01-16 Annual Report For Okolona Family Dental, PLLC
Annual Report LLC Filed 2023-01-20 Annual Report For Okolona Family Dental, PLLC
Annual Report LLC Filed 2022-03-08 Annual Report For Okolona Family Dental, PLLC
Annual Report LLC Filed 2021-02-09 Annual Report For Okolona Family Dental, PLLC
Annual Report LLC Filed 2020-03-05 Annual Report For Okolona Family Dental, PLLC
Formation Form Filed 2019-02-28 Formation For Okolona Family Dental, PLLC

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9051747005 2020-04-09 0470 PPP 233 WEST MAIN ST, OKOLONA, MS, 38860-1427
Loan Status Date 2021-04-27
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 70200
Loan Approval Amount (current) 70200
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39688
Servicing Lender Name First Choice Bank
Servicing Lender Address 19 S Main St, PONTOTOC, MS, 38863-2821
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description New Business or 2 years or less
Project Address OKOLONA, CHICKASAW, MS, 38860-1427
Project Congressional District MS-01
Number of Employees 7
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 39688
Originating Lender Name First Choice Bank
Originating Lender Address PONTOTOC, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 70911.75
Forgiveness Paid Date 2021-04-15

Date of last update: 02 Apr 2025

Sources: Mississippi Secretary of State