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  5. TONY L. HUMPHRIES, D.M.D., P.A.

TONY L. HUMPHRIES, D.M.D., P.A.

Company Details

Name: TONY L. HUMPHRIES, D.M.D., P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 30 Aug 1988 (36 years ago)
Business ID: 556887
ZIP code: 39429
County: Marion
State of Incorporation: MISSISSIPPI
Principal Office Address: 144 OLD HWY 98 ECOLUMBIA, MS 39429-2739

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
TONY L. HUMPHRIES D.M.D., P.A. 401(K) PLAN 2023 640764430 2024-05-10 TONY L. HUMPHRIES D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 6017365681
Plan sponsor’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429

Signature of
Role Plan administrator
Date 2024-05-10
Name of individual signing TONY L. HUMPHRIES D.M.D., P.A.
Valid signature Filed with authorized/valid electronic signature
TONY L. HUMPHRIES D.M.D., P.A. 401(K) PLAN 2023 640764430 2024-08-03 TONY L. HUMPHRIES D.M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 6017365681
Plan sponsor’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429

Signature of
Role Plan administrator
Date 2024-08-03
Name of individual signing TONY L. HUMPHRIES D.M.D., P.A.
Valid signature Filed with authorized/valid electronic signature
TONY L. HUMPHRIES D.M.D., P.A. 401(K) PLAN 2022 640764430 2023-05-17 TONY L. HUMPHRIES D.M.D., P.A. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 6017365681
Plan sponsor’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429

Signature of
Role Plan administrator
Date 2023-05-17
Name of individual signing TONY L. HUMPHRIES D.M.D., P.A.
Valid signature Filed with authorized/valid electronic signature
TONY L. HUMPHRIES D.M.D., P.A. 401(K) PLAN 2021 640764430 2022-04-12 TONY L. HUMPHRIES D.M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 6017365681
Plan sponsor’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429

Signature of
Role Plan administrator
Date 2022-04-12
Name of individual signing TONY L. HUMPHRIES D.M.D., P.A.
Valid signature Filed with authorized/valid electronic signature
TONY L. HUMPHRIES D.M.D., P.A. 401(K) PLAN 2020 640764430 2021-04-13 TONY L. HUMPHRIES D.M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 6017365681
Plan sponsor’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429

Signature of
Role Plan administrator
Date 2021-04-13
Name of individual signing TONY L. HUMPHRIES D.M.D., P.A.
Valid signature Filed with authorized/valid electronic signature
TONY L. HUMPHRIES D.M.D., P.A. 401(K) PLAN 2019 640764430 2020-05-15 TONY L. HUMPHRIES D.M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 6017365681
Plan sponsor’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429

Signature of
Role Plan administrator
Date 2020-05-15
Name of individual signing TONY L. HUMPHRIES D.M.D., P.A.
Valid signature Filed with authorized/valid electronic signature
TONY L. HUMPHRIES D.M.D., P.A. 401(K) PLAN 2018 640764430 2019-03-20 TONY L. HUMPHRIES D.M.D., P.A. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 6017365681
Plan sponsor’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429

Signature of
Role Plan administrator
Date 2019-03-20
Name of individual signing TONY L. HUMPHRIES D.M.D., P.A.
Valid signature Filed with authorized/valid electronic signature
TONY L. HUMPHRIES D.M.D., P.A. 401(K) PLAN 2017 640764430 2018-03-22 TONY L. HUMPHRIES D.M.D., P.A. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 6017365681
Plan sponsor’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429

Signature of
Role Plan administrator
Date 2018-03-22
Name of individual signing TONY L. HUMPHRIES D.M.D., P.A.
Valid signature Filed with authorized/valid electronic signature
TONY L. HUMPHRIES D.M.D., P.A. 401(K) PLAN 2016 640764430 2017-07-05 TONY L. HUMPHRIES D.M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 6017365681
Plan sponsor’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429

Signature of
Role Plan administrator
Date 2017-07-05
Name of individual signing TONY L. HUMPHRIES D.M.D., P.A.
Valid signature Filed with authorized/valid electronic signature
TONY L. HUMPHRIES D.M.D., P.A. 401(K) PLAN 2015 640764430 2016-07-12 TONY L. HUMPHRIES D.M.D., P.A. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 621210
Sponsor’s telephone number 6017365681
Plan sponsor’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/08/03/20150803133337P040154672209001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 812990
Sponsor’s telephone number 6017365681
Plan sponsor’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429

Signature of
Role Plan administrator
Date 2015-08-03
Name of individual signing TONY L. HUMPHRIES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/28/20140728155302P040019491471001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 812990
Sponsor’s telephone number 6017365681
Plan sponsor’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429

Signature of
Role Plan administrator
Date 2014-07-28
Name of individual signing FRANK HARRISON
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 812990
Sponsor’s telephone number 6017365681
Plan sponsor’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429

Signature of
Role Plan administrator
Date 2014-05-07
Name of individual signing TONY L. HUMPHRIES AND VIRGINA HUMPH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/05/20130405072102P040057275221001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 812990
Sponsor’s telephone number 6017365681
Plan sponsor’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429

Signature of
Role Plan administrator
Date 2013-04-05
Name of individual signing TONY L. HUMPHRIES AND VIRGINA HUMPH
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 812990
Sponsor’s telephone number 6017365681
Plan sponsor’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429

Plan administrator’s name and address
Administrator’s EIN 640764430
Plan administrator’s name TONY L. HUMPHRIES D.M.D., P.A.
Plan administrator’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429
Administrator’s telephone number 6017365681

Signature of
Role Plan administrator
Date 2012-06-25
Name of individual signing TONY L. HUMPHRIES AND VIRGINA HUMPH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/26/20120726152650P040038271008001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 812990
Sponsor’s telephone number 6017365681
Plan sponsor’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429

Plan administrator’s name and address
Administrator’s EIN 640764430
Plan administrator’s name TONY L. HUMPHRIES D.M.D., P.A.
Plan administrator’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429
Administrator’s telephone number 6017365681

Signature of
Role Plan administrator
Date 2012-07-26
Name of individual signing TONY L. HUMPHRIES AND VIRGINA HUMPH
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/26/20110526152512P040067080065001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-01-01
Business code 812990
Sponsor’s telephone number 6017365681
Plan sponsor’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429

Plan administrator’s name and address
Administrator’s EIN 640764430
Plan administrator’s name TONY L. HUMPHRIES D.M.D., P.A.
Plan administrator’s address 144 OLD HWY 98 EAST, COLUMBIA, MS, 39429
Administrator’s telephone number 6017365681

Signature of
Role Plan administrator
Date 2011-05-26
Name of individual signing VIRGINIA HUMPHRIES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Humphries, Tony L. Agent 144 Old Hwy. 98 East, Columbia, MS 39429

Incorporator

Name Role Address
Tony L Humphries Incorporator 144 Old Hwy 98 East, Columbia, MS 39429-2739

Director

Name Role Address
Tony L Humphries Director 144 Old Hwy 98 East, Columbia, MS 39429-2739

President

Name Role Address
Tony L Humphries President 144 Old Hwy 98 East, Columbia, MS 39429-2739

Secretary

Name Role Address
Virginia R. Humphries Secretary 144 Old Hwy 98 East, Columbia, MS 39429

Filings

Type Status Filed Date Description
Dissolution Filed 2024-09-25 Dissolution For TONY L. HUMPHRIES, D.M.D., P.A.
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: AR: TONY L. HUMPHRIES, D.M.D., P.A.
Annual Report Filed 2023-03-10 Annual Report For TONY L. HUMPHRIES, D.M.D., P.A.
Annual Report Filed 2022-02-07 Annual Report For TONY L. HUMPHRIES, D.M.D., P.A.
Annual Report Filed 2021-04-20 Annual Report For TONY L. HUMPHRIES, D.M.D., P.A.
Annual Report Filed 2021-04-13 Annual Report For TONY L. HUMPHRIES, D.M.D., P.A.
Annual Report Filed 2020-04-09 Annual Report For TONY L. HUMPHRIES, D.M.D., P.A.
Annual Report Filed 2019-03-06 Annual Report For TONY L. HUMPHRIES, D.M.D., P.A.
Annual Report Filed 2018-01-31 Annual Report For TONY L. HUMPHRIES, D.M.D., P.A.
Annual Report Filed 2017-04-19 Annual Report For TONY L. HUMPHRIES, D.M.D., P.A.

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 21 Dec 2024

Sources: Mississippi Secretary of State

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