| Name: | BLACKBURN DENTAL LAB, INC. |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Profit Corporation |
| Status: | Good Standing |
| Effective Date: | 29 Dec 1975 (49 years ago) |
| Business ID: | 410869 |
| ZIP code: | 39208 |
| County: | Rankin |
| State of Incorporation: | MISSISSIPPI |
| Principal Office Address: | 111 METROPLEX BLVDPEARL, MS 39208 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BLACKBURN DENTAL LAB, INC. 401(K) PLAN | 2023 | 640579532 | 2024-07-15 | BLACKBURN DENTAL LAB, INC. | 46 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-15 |
| Name of individual signing | RANDY BLACKBURN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 339110 |
| Sponsor’s telephone number | 6019326300 |
| Plan sponsor’s address | 111 METROPLEX BLVD., PEARL, MS, 39208 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-23 |
| Name of individual signing | RANDY BLACKBURN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| E M BLACKBURN JR | Agent | 111 METROPLEX BLVD, PEAR, MS 39298 |
| Name | Role | Address |
|---|---|---|
| Randolph E Blackburn | Director | 111 Metroplex Blvd, Pearl, MS 39208 |
| Name | Role | Address |
|---|---|---|
| Randolph E Blackburn | President | 111 Metroplex Blvd, Jackson, MS 39208-1531 |
| Name | Role | Address |
|---|---|---|
| Randolph E Blackburn | Secretary | 111 Metroplex Blvd, Pearl, MS 39208 |
| Name | Role | Address |
|---|---|---|
| Randolph E Blackburn | Treasurer | 111 Metroplex Blvd, Pearl, MS 39208 |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Annual Report | Filed | 2025-03-03 | Annual Report For BLACKBURN DENTAL LAB, INC. |
| Annual Report | Filed | 2024-02-28 | Annual Report For BLACKBURN DENTAL LAB, INC. |
| Annual Report | Filed | 2023-01-23 | Annual Report For BLACKBURN DENTAL LAB, INC. |
| Annual Report | Filed | 2022-02-10 | Annual Report For BLACKBURN DENTAL LAB, INC. |
| Reinstatement | Filed | 2021-09-27 | Reinstatement For BLACKBURN DENTAL LAB, INC. |
| Admin Dissolution | Filed | 2020-11-27 | Action of BLACKBURN DENTAL LAB, INC.: AR |
| Notice to Dissolve/Revoke | Filed | 2020-08-28 | Notice to Dissolve/Revoke |
| Annual Report | Filed | 2019-09-09 | Annual Report For BLACKBURN DENTAL LAB, INC. |
| Notice to Dissolve/Revoke | Filed | 2019-08-22 | Notice to Dissolve/Revoke |
| Annual Report | Filed | 2018-09-25 | Annual Report For BLACKBURN DENTAL LAB, INC. |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3839098604 | 2021-03-17 | 0470 | PPS | 111 Metroplex Blvd, Pearl, MS, 39208-9204 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5106837106 | 2020-04-13 | 0470 | PPP | 111 METROPLEX BLVD, PEARL, MS, 39208-9204 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 18 Apr 2025
Sources: Mississippi Secretary of State
