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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.

Related by officers

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Related by address

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Date of last update: 23 Dec 2024

Sources: Mississippi Secretary of State

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