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  5. THE ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A.

THE ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A.

Company Details

Name: THE ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 14 Nov 1995 (29 years ago)
Business ID: 623987
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 6284 US Hwy 98Hattiesburg, MS 39402

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. PROFIT SHARING PLAN 2023 640874844 2024-10-09 ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 621111
Sponsor’s telephone number 6012712356
Plan sponsor’s address 6284 HIGHWAY 98, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2024-10-09
Name of individual signing CLAY B THAMES, DDS
Valid signature Filed with authorized/valid electronic signature
ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. PROFIT SHARING PLAN 2022 640874844 2023-10-13 ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 621111
Sponsor’s telephone number 6012712356
Plan sponsor’s address 6284 HIGHWAY 98, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing CLAY B THAMES, DDS
Valid signature Filed with authorized/valid electronic signature
ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. PROFIT SHARING PLAN 2021 640874844 2022-10-14 ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 621111
Sponsor’s telephone number 6012712356
Plan sponsor’s address 6284 HIGHWAY 98, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing CLAY B THAMES, DDS
Valid signature Filed with authorized/valid electronic signature
ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. PROFIT SHARING PLAN 2020 640874844 2021-10-13 ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 621111
Sponsor’s telephone number 6012712356
Plan sponsor’s address 6284 HIGHWAY 98, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing CLAY B THAMES, DDS
Valid signature Filed with authorized/valid electronic signature
ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. PROFIT SHARING PLAN 2019 640874844 2020-10-14 ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 621111
Sponsor’s telephone number 6012712356
Plan sponsor’s address 6284 HIGHWAY 98, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing CLAY B THAMES, DDS
Valid signature Filed with authorized/valid electronic signature
ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. PROFIT SHARING PLAN 2018 640874844 2019-07-10 ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. 11
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 621111
Sponsor’s telephone number 6012712356
Plan sponsor’s address 6284 HIGHWAY 98, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2019-07-10
Name of individual signing CLAY B THAMES, DDS
Valid signature Filed with authorized/valid electronic signature
ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. PROFIT SHARING PLAN 2018 640874844 2020-08-05 ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 621111
Sponsor’s telephone number 6012712356
Plan sponsor’s address 6284 HIGHWAY 98, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2020-08-05
Name of individual signing CLAY B THAMES, DDS
Valid signature Filed with authorized/valid electronic signature
ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. PROFIT SHARING PLAN 2017 640874844 2018-10-12 ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 621111
Sponsor’s telephone number 6012712356
Plan sponsor’s address 6284 HIGHWAY 98, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2018-10-12
Name of individual signing CLAY B THAMES, DDS
Valid signature Filed with authorized/valid electronic signature
ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. PROFIT SHARING PLAN 2016 640874844 2017-10-16 ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 621111
Sponsor’s telephone number 6012712356
Plan sponsor’s address 6284 HIGHWAY 98, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2017-10-16
Name of individual signing CLAY B THAMES, DDS
Valid signature Filed with authorized/valid electronic signature
ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. PROFIT SHARING PLAN 2015 640874844 2016-09-23 ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 621111
Sponsor’s telephone number 6012712356
Plan sponsor’s address 6284 HIGHWAY 98, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2016-09-23
Name of individual signing CLAY B THAMES, DDS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/14/20151014153329P040036372701001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 621111
Sponsor’s telephone number 6012712356
Plan sponsor’s address 6284 HIGHWAY 98, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing CLAY B THAMES, DDS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/09/22/20140922105710P040013242647001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 621111
Sponsor’s telephone number 6012712356
Plan sponsor’s address 6284 HIGHWAY 98, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2014-09-22
Name of individual signing CLAY THAMES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/01/20130701082514P040100665285001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 621111
Sponsor’s telephone number 6012712356
Plan sponsor’s address 6284 HIGHWAY 98, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2013-07-01
Name of individual signing CLAY THAMES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-01
Name of individual signing CLAY THAMES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/12/20120712142342P030002267330001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 621111
Sponsor’s telephone number 6012712356
Plan sponsor’s address 6284 HIGHWAY 98, HATTIESBURG, MS, 39402

Plan administrator’s name and address
Administrator’s EIN 640874844
Plan administrator’s name ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A.
Plan administrator’s address 6284 HIGHWAY 98, HATTIESBURG, MS, 39402
Administrator’s telephone number 6012712356

Signature of
Role Plan administrator
Date 2012-07-12
Name of individual signing CLAY THAMES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/18/20110718105642P040002973443001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 621111
Sponsor’s telephone number 6012712356
Plan sponsor’s address 6284 HIGHWAY 98, HATTIESBURG, MS, 39402

Plan administrator’s name and address
Administrator’s EIN 640874844
Plan administrator’s name ORAL AND MAXIFOLLOFACIAL SURGERY CENTER, P.A.
Plan administrator’s address 6284 HIGHWAY 98, HATTIESBURG, MS, 39402
Administrator’s telephone number 6012712356

Signature of
Role Plan administrator
Date 2011-07-18
Name of individual signing CLAY THAMES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-18
Name of individual signing CLAY THAMES
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/06/20101006222959P070013585873001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1997-07-01
Business code 621111
Sponsor’s telephone number 6012712356
Plan sponsor’s address 6284 HIGHWAY 98, HATTIESBURG, MS, 39402

Plan administrator’s name and address
Administrator’s EIN 640874844
Plan administrator’s name ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A.
Plan administrator’s address 6284 HIGHWAY 98, HATTIESBURG, MS, 39402
Administrator’s telephone number 6012712356

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing CLAY THAMES
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CLAY B. THAMES Agent 6284 U.S. HIGHWAY 98, HATTIESBURG, MS 39402

Incorporator

Name Role Address
James T. Mallette Incorporator 111 East Capitol Street Ste 600, Jackson, MS 39215-1084

Director

Name Role Address
Clay B Thames Director 6284 Us Hwy 98, Hattiesburg, MS 39402

President

Name Role Address
Clay B Thames President 6284 Us Hwy 98, Hattiesburg, MS 39402

Filings

Type Status Filed Date Description
Annual Report Filed 2024-04-09 Annual Report For THE ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A.
Annual Report Filed 2023-03-31 Annual Report For THE ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A.
Annual Report Filed 2022-10-06 Annual Report For THE ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A.
Notice to Dissolve/Revoke Filed 2022-09-05 Notice of Intent to Dissolve: AR: THE ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A.
Annual Report Filed 2021-04-01 Annual Report For THE ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A.
Annual Report Filed 2020-03-05 Annual Report For THE ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A.
Annual Report Filed 2019-03-22 Annual Report For THE ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A.
Annual Report Filed 2018-03-15 Annual Report For THE ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A.
Annual Report Filed 2017-03-15 Annual Report For THE ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A.
Annual Report Filed 2016-03-09 Annual Report For THE ORAL AND MAXILLOFACIAL SURGERY CENTER, P.A.

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2351247204 2020-04-16 0470 PPP 6284 US Highway 98 West,, Hattiesburg, MS, 39402-8531
Loan Status Date 2021-07-14
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 135900
Loan Approval Amount (current) 135900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Hattiesburg, LAMAR, MS, 39402-8531
Project Congressional District MS-04
Number of Employees 13
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 137471.23
Forgiveness Paid Date 2021-06-24

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Related by address

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Date of last update: 16 Mar 2025

Sources: Mississippi Secretary of State

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