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  5. FLORENCE DENTAL CLINIC, LLC

FLORENCE DENTAL CLINIC, LLC

Company Details

Name: FLORENCE DENTAL CLINIC, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 02 Jan 1998 (27 years ago)
Business ID: 651098
ZIP code: 39073
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 129 EARL CLARK DRIVEFLORENCE, MS 39073

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FLORENCE DENTAL CLINIC, LLC 401(K) PLAN 2023 640919668 2024-05-30 FLORENCE DENTAL CLINIC, LLC 10
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6012597019
Plan sponsor’s address 129 EARL CLARK DRIVE, FLORENCE, MS, 39073

Signature of
Role Plan administrator
Date 2024-05-30
Name of individual signing ADAM BYRD
Valid signature Filed with authorized/valid electronic signature
FLORENCE DENTAL CLINIC, LLC 401(K) PLAN 2022 640919668 2023-05-25 FLORENCE DENTAL CLINIC, LLC 8
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6012597019
Plan sponsor’s address 129 EARL CLARK DRIVE, FLORENCE, MS, 39073

Signature of
Role Plan administrator
Date 2023-05-25
Name of individual signing ADAM BYRD
Valid signature Filed with authorized/valid electronic signature
FLORENCE DENTAL CLINIC, LLC 401(K) PLAN 2021 640919668 2022-05-31 FLORENCE DENTAL CLINIC, LLC 9
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6012597019
Plan sponsor’s address 129 EARL CLARK DRIVE, FLORENCE, MS, 39073

Signature of
Role Plan administrator
Date 2022-05-31
Name of individual signing ADAM BYRD
Valid signature Filed with authorized/valid electronic signature
FLORENCE DENTAL CLINIC, LLC 401(K) PLAN 2020 640919668 2021-06-29 FLORENCE DENTAL CLINIC, LLC 11
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6012597019
Plan sponsor’s address 129 EARL CLARK DRIVE, FLORENCE, MS, 39073

Signature of
Role Plan administrator
Date 2021-06-29
Name of individual signing ADAM BYRD
Valid signature Filed with authorized/valid electronic signature
FLORENCE DENTAL CLINIC, LLC 401(K) PLAN 2018 640919668 2019-04-09 FLORENCE DENTAL CLINIC, LLC 10
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6018452386
Plan sponsor’s address 129 EARL CLARK DRIVE, FLORENCE, MS, 39073

Signature of
Role Plan administrator
Date 2019-04-09
Name of individual signing THOMAS BYRD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-09
Name of individual signing THOMAS BYRD
Valid signature Filed with authorized/valid electronic signature
FLORENCE DENTAL CLINIC, LLC 401(K) PLAN 2017 640919668 2018-07-30 FLORENCE DENTAL CLINIC, LLC 10
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6018452386
Plan sponsor’s address 129 EARL CLARK DRIVE, FLORENCE, MS, 39073

Signature of
Role Plan administrator
Date 2018-07-30
Name of individual signing THOMAS BYRD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-30
Name of individual signing THOMAS BYRD
Valid signature Filed with authorized/valid electronic signature
FLORENCE DENTAL CLINIC, LLC 401(K) PLAN 2016 640919668 2017-07-31 FLORENCE DENTAL CLINIC, LLC 10
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6018452386
Plan sponsor’s address 129 EARL CLARK DRIVE, FLORENCE, MS, 39073

Signature of
Role Plan administrator
Date 2017-07-31
Name of individual signing THOMAS BYRD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-31
Name of individual signing THOMAS BYRD
Valid signature Filed with authorized/valid electronic signature
FLORENCE DENTAL CLINIC, LLC 401(K) PLAN 2015 640919668 2016-07-28 FLORENCE DENTAL CLINIC, LLC 11
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6018452386
Plan sponsor’s address 2381 TIFFANY CIRCLE, FLORENCE, MS, 39073

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing THOMAS BYRD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-28
Name of individual signing THOMAS BYRD
Valid signature Filed with authorized/valid electronic signature
FLORENCE DENTAL CLINIC, LLC 401(K) PLAN 2014 640919668 2015-04-15 FLORENCE DENTAL CLINIC, LLC 9
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6018452386
Plan sponsor’s address P.O. BOX 369, FLORENCE, MS, 39073

Signature of
Role Plan administrator
Date 2015-04-15
Name of individual signing DR. THOMAS R. BYRD
Valid signature Filed with authorized/valid electronic signature
FLORENCE DENTAL CLINIC, LLC DEFINED BENEFIT PLAN 2013 640919668 2014-04-08 FLORENCE DENTAL CLINIC, LLC 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6018452386
Plan sponsor’s address P.O. BOX 369, FLORENCE, MS, 39073

Signature of
Role Plan administrator
Date 2014-04-08
Name of individual signing THOMAS R. BYRD, DDS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/03/25/20140325215525P040093654869001.pdf
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6018452386
Plan sponsor’s address P.O. BOX 369, FLORENCE, MS, 39073

Signature of
Role Plan administrator
Date 2014-03-25
Name of individual signing DR. THOMAS R. BYRD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/30/20130830092158P040137755269001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6018452386
Plan sponsor’s address P.O. BOX 369, FLORENCE, MS, 39073

Signature of
Role Plan administrator
Date 2013-08-30
Name of individual signing THOMAS R. BYRD, DDS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/30/20130830092053P040137755205001.pdf
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6018452386
Plan sponsor’s address P.O. BOX 369, FLORENCE, MS, 39073

Signature of
Role Plan administrator
Date 2013-08-30
Name of individual signing DR. THOMAS R. BYRD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/15/20121015143005P040039291120001.pdf
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6018452386
Plan sponsor’s address P.O. BOX 369, FLORENCE, MS, 39073

Plan administrator’s name and address
Administrator’s EIN 640919668
Plan administrator’s name FLORENCE DENTAL CLINIC, LLC
Plan administrator’s address P.O. BOX 369, FLORENCE, MS, 39073
Administrator’s telephone number 6018452386

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing DR. THOMAS R. BYRD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/15/20121015141517P040039253792001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6018452386
Plan sponsor’s address P.O. BOX 369, FLORENCE, MS, 39073

Plan administrator’s name and address
Administrator’s EIN 640919668
Plan administrator’s name FLORENCE DENTAL CLINIC, LLC
Plan administrator’s address P.O. BOX 369, FLORENCE, MS, 39073
Administrator’s telephone number 6018452386

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing THOMAS R. BYRD, DDS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/26/20110726114306P030100852657001.pdf
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6018452386
Plan sponsor’s address P.O. BOX 369, FLORENCE, MS, 39073

Plan administrator’s name and address
Administrator’s EIN 640919668
Plan administrator’s name FLORENCE DENTAL CLINIC, LLC
Plan administrator’s address P.O. BOX 369, FLORENCE, MS, 39073
Administrator’s telephone number 6018452386

Signature of
Role Plan administrator
Date 2011-07-26
Name of individual signing DR. THOMAS R. BYRD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-26
Name of individual signing DR. THOMAS R. BYRD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/20/20110920122047P040136913393001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6018452386
Plan sponsor’s address P.O.BOX 369, FLORENCE, MS, 39073

Plan administrator’s name and address
Administrator’s EIN 640919668
Plan administrator’s name FLORENCE DENTAL CLINIC, LLC
Plan administrator’s address P.O.BOX 369, FLORENCE, MS, 39073
Administrator’s telephone number 6018452386

Signature of
Role Plan administrator
Date 2011-09-20
Name of individual signing THOMAS R. BYRD, DDS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-20
Name of individual signing THOMAS R. BYRD, DDS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/06/20101006195647P070013368033001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2000-01-01
Business code 621210
Sponsor’s telephone number 6018452386
Plan sponsor’s address P. O. BOX 369, FLORENCE, MS, 39073

Plan administrator’s name and address
Administrator’s EIN 640919668
Plan administrator’s name FLORENCE DENTAL CLINIC, LLC
Plan administrator’s address P. O. BOX 369, FLORENCE, MS, 39073
Administrator’s telephone number 6018452386

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing DR. THOMAS R. BYRD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-06
Name of individual signing DR. THOMAS R. BYRD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/06/20101006195701P070013368337001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621210
Sponsor’s telephone number 6018452386
Plan sponsor’s address P. O . BOX 369, FLORENCE, MS, 390730369

Plan administrator’s name and address
Administrator’s EIN 640919668
Plan administrator’s name FLORENCE DENTAL CLINIC LLC
Plan administrator’s address P. O . BOX 369, FLORENCE, MS, 390730369
Administrator’s telephone number 6018452386

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing DR. THOMAS R. BYRD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-06
Name of individual signing DR. THOMAS R. BYRD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/01/20101001055455P070001117986001.pdf
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6018452386
Plan sponsor’s address P.O.BOX 369, FLORENCE, MS, 39073

Plan administrator’s name and address
Administrator’s EIN 640919668
Plan administrator’s name FLORENCE DENTAL CLINIC, LLC
Plan administrator’s address P.O.BOX 369, FLORENCE, MS, 39073
Administrator’s telephone number 6018452386

Signature of
Role Plan administrator
Date 2010-09-30
Name of individual signing DR. THOMAS R. BYRD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-30
Name of individual signing DR. THOMAS R. BYRD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/06/20101006195627P070006273618001.pdf
Three-digit plan number (PN) 004
Effective date of plan 2008-01-01
Business code 621210
Sponsor’s telephone number 6018452386
Plan sponsor’s address P.O. BOX 369, FLORENCE, MS, 39073

Plan administrator’s name and address
Administrator’s EIN 640919668
Plan administrator’s name FLORENCE DENTAL CLINIC
Plan administrator’s address P.O. BOX 369, FLORENCE, MS, 39073
Administrator’s telephone number 6018452386

Signature of
Role Plan administrator
Date 2010-10-06
Name of individual signing DR. THOMAS R. BYRD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-06
Name of individual signing DR. THOMAS R. BYRD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Thomas Raymond Byrd Agent 129 Earl Clark Dr., FLORENCE, MS 39073

Manager

Name Role Address
Adam Donothan Byrd Manager 129 Earl Clark Dr., FLORENCE, MS 39073

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-02-01 Annual Report For FLORENCE DENTAL CLINIC, LLC
Annual Report LLC Filed 2023-01-19 Annual Report For FLORENCE DENTAL CLINIC, LLC
Annual Report LLC Filed 2022-04-08 Annual Report For FLORENCE DENTAL CLINIC, LLC
Annual Report LLC Filed 2021-01-19 Annual Report For FLORENCE DENTAL CLINIC, LLC
Annual Report LLC Filed 2020-01-21 Annual Report For FLORENCE DENTAL CLINIC, LLC
Annual Report LLC Filed 2019-02-18 Annual Report For FLORENCE DENTAL CLINIC, LLC
Annual Report LLC Filed 2018-02-05 Annual Report For FLORENCE DENTAL CLINIC, LLC
Amendment Form Filed 2018-02-05 Amendment For FLORENCE DENTAL CLINIC, LLC
Annual Report LLC Filed 2017-02-08 Annual Report For FLORENCE DENTAL CLINIC, LLC
Annual Report LLC Filed 2016-04-13 Annual Report For FLORENCE DENTAL CLINIC, LLC

Related by officers

Thomas Raymond Byrd

Byrd Dental Consulting PLLC

Related by address

No related companies by address

Date of last update: 25 Dec 2024

Sources: Mississippi Secretary of State

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