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Claiborne Senior Living, LLC

Company Details

Name: Claiborne Senior Living, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 13 Sep 2019 (5 years ago)
Business ID: 1188605
ZIP code: 39401
County: Forrest
State of Incorporation: MISSISSIPPI
Principal Office Address: 11 Parkway BlvdHattiesburg, MS 39401

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLAIBORNE SENIOR LIVING 401(K) PLAN 2023 843127752 2024-03-14 CLAIBORNE SENIOR LIVING 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-02-01
Business code 531110
Sponsor’s telephone number 6019135077
Plan sponsor’s address 11 PARKWAY BLVD, HATTIESBURG, MS, 39401

Signature of

Role Plan administrator
Date 2024-03-14
Name of individual signing LIZ ROTH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Robert O. Tatum Jr Agent 11 Parkway Blvd, Hattiesburg, MS 39401

Organizer

Name Role Address
Matthew H Grenfell Organizer 11 Parkway Blv, Hattiesburg, MS 39401

Member

Name Role Address
VH Management, LLC Member 128 North Maple Street, Suite A, Ridgeland, MS 39157

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-03-06 Annual Report For Claiborne Senior Living, LLC
Annual Report LLC Filed 2023-03-02 Annual Report For Claiborne Senior Living, LLC
Annual Report LLC Filed 2022-04-08 Annual Report For Claiborne Senior Living, LLC
Annual Report LLC Filed 2021-10-06 Annual Report For Claiborne Senior Living, LLC
Notice to Dissolve/Revoke Filed 2021-09-07 Notice of Intent to Dissolve: AR: Claiborne Senior Living, LLC
Annual Report LLC Filed 2020-04-21 Annual Report For Claiborne Senior Living, LLC
Formation Form Filed 2019-09-13 Formation For Claiborne Senior Living, LLC

Date of last update: 17 Jan 2025

Sources: Mississippi Secretary of State