| Name: | Claiborne Senior Living, LLC |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Limited Liability Company |
| Status: | Good Standing |
| Effective Date: | 13 Sep 2019 (6 years ago) |
| Business ID: | 1188605 |
| ZIP code: | 39401 |
| County: | Forrest |
| State of Incorporation: | MISSISSIPPI |
| Principal Office Address: | 11 Parkway BlvdHattiesburg, MS 39401 |
| 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 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-03-14 |
| Name of individual signing | LIZ ROTH |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Robert O. Tatum Jr | Agent | 11 Parkway Blvd, Hattiesburg, MS 39401 |
| Name | Role | Address |
|---|---|---|
| Matthew H Grenfell | Organizer | 11 Parkway Blv, Hattiesburg, MS 39401 |
| Name | Role | Address |
|---|---|---|
| VH Management, LLC | Member | 128 North Maple Street, Suite A, Ridgeland, MS 39157 |
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7588477008 | 2020-04-07 | 0470 | PPP | 11 PARKWAY BLVD, HATTIESBURG, MS, 39401-8893 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Mississippi Secretary of State
