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HighFive OMFS Mississippi, Inc.

Company Details

Name: HighFive OMFS Mississippi, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 21 Dec 1992 (32 years ago)
Business ID: 651492
ZIP code: 39157
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 212 Rawls DriveMcComb, MS 39157-____
Historical names: SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC. CASH BALANCE PENSION PLAN 2023 640822719 2024-05-15 SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC. 5
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 6012490045
Plan sponsor’s address 212 RAWLS DRIVE, MCCOMB, MS, 39648
SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC. CASH BALANCE PENSION PLAN 2022 640822719 2023-10-14 SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC. 5
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 6012490045
Plan sponsor’s address 212 RAWLS DRIVE, MCCOMB, MS, 39648
SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC. CASH BALANCE PENSION PLAN 2021 640822719 2022-08-31 SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC. 4
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 6012490045
Plan sponsor’s address 212 RAWLS DRIVE, MCCOMB, MS, 39648
SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC. CASH BALANCE PENSION PLAN 2020 640822719 2021-10-15 SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC. 3
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 6012490045
Plan sponsor’s address 212 RAWLS DRIVE, MCCOMB, MS, 39648
SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC. CASH BALANCE PENSION PLAN 2019 640822719 2020-10-14 SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC. 3
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 6012490045
Plan sponsor’s address 212 RAWLS DRIVE, MCCOMB, MS, 39648
SOUTHWEST CENTER FOR FACIAL & ORAL SURGERY, INC. 401(K) PROFIT SHARING PLAN 2011 640822719 2012-07-31 SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC. 7
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 6012490045
Plan sponsor’s address 212 RAWLS DRIVE, MCCOMB, MS, 39648

Plan administrator’s name and address

Administrator’s EIN 640822719
Plan administrator’s name SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC.
Plan administrator’s address 212 RAWLS DRIVE, MCCOMB, MS, 39648
Administrator’s telephone number 6012490045

Signature of

Role Plan administrator
Date 2012-07-31
Name of individual signing ERIC S. LEWIS, DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-31
Name of individual signing ERIC S. LEWIS, DMD
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC. 401(K) PROFIT SHARING PLAN 2010 640822719 2011-10-13 SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621399
Sponsor’s telephone number 6012490045
Plan sponsor’s address 212 RAWLS DRIVE, MCCOMB, MS, 39648

Plan administrator’s name and address

Administrator’s EIN 640822719
Plan administrator’s name SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC.
Plan administrator’s address 212 RAWLS DRIVE, MCCOMB, MS, 39648
Administrator’s telephone number 6012490045

Signature of

Role Plan administrator
Date 2011-10-13
Name of individual signing ERIC LEWIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing ERIC LEWIS
Valid signature Filed with authorized/valid electronic signature
SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC. 401 K PROFIT SHARING PLAN 2009 640822719 2010-10-08 SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2008-01-01
Business code 621111
Sponsor’s telephone number 6012490045
Plan sponsor’s address 212 RAWLS DRIVE, MCCOMB, MS, 39648

Plan administrator’s name and address

Administrator’s EIN 640822719
Plan administrator’s name SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC.
Plan administrator’s address 212 RAWLS DRIVE, MCCOMB, MS, 39648
Administrator’s telephone number 6012490045

Signature of

Role Plan administrator
Date 2010-10-08
Name of individual signing ERIC S. LEWIS, D.M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing ERIC S. LEWIS, D.M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
C. T. CORPORATION SYSTEM Agent 645 LAKELAND EAST DRIVE STE 101, FLOWOOD, MS 39232

Incorporator

Name Role Address
Eric S Lewis Incorporator 3752 Frontenac Avenue, Cincinnati, OH 45236

Director

Name Role Address
Eric S. Lewis Director 212 Rawls Dr, McComb, MS 39648

President

Name Role Address
Eric S. Lewis President 212 Rawls Dr, McComb, MS 39648

Secretary

Name Role Address
Eric S. Lewis Secretary 212 Rawls Dr, McComb, MS 39648

Filings

Type Status Filed Date Description
Annual Report Filed 2024-03-19 Annual Report For HighFive OMFS Mississippi, Inc.
Annual Report Filed 2023-03-09 Annual Report For HighFive OMFS Mississippi, Inc.
Amendment Form Filed 2022-09-26 Amendment For SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC.
Annual Report Filed 2022-06-08 Annual Report For SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC.
Annual Report Filed 2021-06-15 Annual Report For SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC.
Annual Report Filed 2020-09-09 Annual Report For SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC.
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report Filed 2019-05-16 Annual Report For SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC.
Annual Report Filed 2018-08-01 Annual Report For SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC.
Annual Report Filed 2017-09-15 Annual Report For SOUTHWEST CENTER FOR FACIAL AND ORAL SURGERY, INC.

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6545277100 2020-04-14 0470 PPP 212 RAWLS DRIVE, MCCOMB, MS, 39648-2870
Loan Status Date 2021-04-17
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 103980
Loan Approval Amount (current) 103980
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39334
Servicing Lender Name Trustmark National Bank
Servicing Lender Address 248 E Capitol St, JACKSON, MS, 39201-2503
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address MCCOMB, PIKE, MS, 39648-2870
Project Congressional District MS-03
Number of Employees 8
NAICS code 621493
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 39334
Originating Lender Name Trustmark National Bank
Originating Lender Address JACKSON, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 104964.92
Forgiveness Paid Date 2021-03-29

Date of last update: 17 Mar 2025

Sources: Mississippi Secretary of State