| 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 |
| 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 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2024-07-19 |
| Name of individual signing | ADAM ROYE |
| Valid signature | Filed with authorized/valid electronic signature |
| 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 |
| 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 |
| 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 |
| 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 |
| Name | Role | Address |
|---|---|---|
| Emily M. Zizzi CPA | Agent | 343 East Main Street, Suite B-1, Tupelo, MS 38804 |
| Name | Role | Address |
|---|---|---|
| Emily M. Zizzi CPA | Organizer | 343 East Main Street, Suite B-1, Tupelo, MS 38804 |
| Name | Role | Address |
|---|---|---|
| Adam Roye | Member | 2247 Lone Oak Drive, West Point, MS 39773 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| 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 |
Date of last update: 16 Jan 2025
Sources: Mississippi Secretary of State
