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  5. GULF COAST ORAL & FACIAL SURGERY, P.A.

GULF COAST ORAL & FACIAL SURGERY, P.A.

Company Details

Name: GULF COAST ORAL & FACIAL SURGERY, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 01 Jul 1991 (34 years ago)
Business ID: 654602
ZIP code: 39532
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 1760 Medical Park Drive;Suite ABiloxi, MS 39532

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GULF COAST ORAL & FACIAL SURGERY, P.A. 401K PROFIT SHARING PLAN 2022 640802432 2023-08-02 GULF COAST ORAL & FACIAL SURGERY, P.A. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-05-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131

Signature of
Role Plan administrator
Date 2023-08-02
Name of individual signing BOBBY WATTS
Valid signature Filed with authorized/valid electronic signature
GULF COAST ORAL & FACIAL SURGERY, P.A. 401K PROFIT SHARING PLAN 2022 640802432 2023-08-02 GULF COAST ORAL & FACIAL SURGERY, P.A. 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-05-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131

Signature of
Role Plan administrator
Date 2023-08-02
Name of individual signing BOBBY WATTS
Valid signature Filed with authorized/valid electronic signature
GULF COAST ORAL & FACIAL SURGERY, P.A. CASH BALANCE PENSION PLAN 2022 640802432 2023-07-17 GULF COAST ORAL & FACIAL SURGERY, P.A. 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532
GULF COAST ORAL & FACIAL SURGERY, P.A. CASH BALANCE PENSION PLAN 2022 640802432 2023-06-22 GULF COAST ORAL & FACIAL SURGERY, P.A. 22
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532
GULF COAST ORAL & FACIAL SURGERY, P.A. 401K PROFIT SHARING PLAN 2021 640802432 2022-10-09 GULF COAST ORAL & FACIAL SURGERY, P.A. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-05-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing BOBBY WATTS
Valid signature Filed with authorized/valid electronic signature
GULF COAST ORAL & FACIAL SURGERY, P.A. CASH BALANCE PENSION PLAN 2021 640802432 2022-07-07 GULF COAST ORAL & FACIAL SURGERY, P.A. 24
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532
GULF COAST ORAL & FACIAL SURGERY, P.A. CASH BALANCE PENSION PLAN 2020 640802432 2021-11-23 GULF COAST ORAL & FACIAL SURGERY, P.A. 26
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532
GULF COAST ORAL & FACIAL SURGERY, P.A. 401K PROFIT SHARING PLAN 2020 640802432 2021-12-28 GULF COAST ORAL & FACIAL SURGERY, P.A. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-05-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131

Signature of
Role Plan administrator
Date 2021-12-28
Name of individual signing BOBBY WATTS
Valid signature Filed with authorized/valid electronic signature
GULF COAST ORAL & FACIAL SURGERY, P.A. 401K PROFIT SHARING PLAN 2020 640802432 2021-12-27 GULF COAST ORAL & FACIAL SURGERY, P.A. 35
Three-digit plan number (PN) 001
Effective date of plan 1992-05-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131

Signature of
Role Plan administrator
Date 2021-09-14
Name of individual signing BOBBY WATTS
Valid signature Filed with authorized/valid electronic signature
GULF COAST ORAL & FACIAL SURGERY, P.A. 401K PROFIT SHARING PLAN 2019 640802432 2020-09-29 GULF COAST ORAL & FACIAL SURGERY, P.A. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-05-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131

Signature of
Role Plan administrator
Date 2020-09-29
Name of individual signing JOHN WATTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2021/04/08/20210408120432NAL0002403521001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532

Plan administrator’s name and address
Administrator’s EIN 640802432
Plan administrator’s name GULF COAST ORAL & FACIAL SURGERY, P.A.
Plan administrator’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532
Administrator’s telephone number 2283885925
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532

Plan administrator’s name and address
Administrator’s EIN 640802432
Plan administrator’s name GULF COAST ORAL & FACIAL SURGERY, P.A.
Plan administrator’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532
Administrator’s telephone number 2283885925
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/10/04/20191004122127P040037880605001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532

Plan administrator’s name and address
Administrator’s EIN 640802432
Plan administrator’s name GULF COAST ORAL & FACIAL SURGERY, P.A.
Plan administrator’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532
Administrator’s telephone number 2283885925
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/10/04/20191004103647P030055411447001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-05-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131

Signature of
Role Plan administrator
Date 2019-10-04
Name of individual signing JOHN WATTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/09/18/20180918111619P030187725879001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-05-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131

Signature of
Role Plan administrator
Date 2018-09-18
Name of individual signing JOHN WATTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/09/13/20180913144944P040183121655001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532

Plan administrator’s name and address
Administrator’s EIN 640802432
Plan administrator’s name GULF COAST ORAL & FACIAL SURGERY, P.A.
Plan administrator’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532
Administrator’s telephone number 2283885925

Signature of
Role Plan administrator
Date 2018-09-13
Name of individual signing DR. ROBERT WATTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/21/20170721123616P030058972305001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532

Plan administrator’s name and address
Administrator’s EIN 640802432
Plan administrator’s name GULF COAST ORAL & FACIAL SURGERY, P.A.
Plan administrator’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532
Administrator’s telephone number 2283885925

Signature of
Role Plan administrator
Date 2017-07-21
Name of individual signing DR. ROBERT WATTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/09/19/20170919135020P030159829489001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-05-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131

Signature of
Role Plan administrator
Date 2017-09-19
Name of individual signing JOHN WATTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/06/22/20160622142057P030005452711001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532

Plan administrator’s name and address
Administrator’s EIN 640802432
Plan administrator’s name GULF COAST ORAL & FACIAL SURGERY, P.A.
Plan administrator’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532
Administrator’s telephone number 2283885925

Signature of
Role Plan administrator
Date 2016-06-22
Name of individual signing DR. JOHN WATTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/09/20161009142851P030017650497001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-05-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131

Signature of
Role Plan administrator
Date 2016-10-05
Name of individual signing JOHN WATTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/05/29/20150529110808P030018536263001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532

Plan administrator’s name and address
Administrator’s EIN 640802432
Plan administrator’s name GULF COAST ORAL & FACIAL SURGERY, P.A.
Plan administrator’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532
Administrator’s telephone number 2283885925

Signature of
Role Plan administrator
Date 2015-05-29
Name of individual signing DR. JOHN WATTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/09/25/20150925115614P030012001165001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-05-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131

Signature of
Role Plan administrator
Date 2015-09-25
Name of individual signing JOHN WATTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/09/23/20140923150402P040005924509001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-05-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131

Signature of
Role Plan administrator
Date 2014-09-23
Name of individual signing JOHN WATTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/25/20140625145434P040022831234001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532

Plan administrator’s name and address
Administrator’s EIN 640802432
Plan administrator’s name GULF COAST ORAL & FACIAL SURGERY, P.A.
Plan administrator’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532
Administrator’s telephone number 2283885925

Signature of
Role Plan administrator
Date 2014-06-25
Name of individual signing DR. JOHN WATTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/01/20130701125304P040360920657001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532

Plan administrator’s name and address
Administrator’s EIN 640802432
Plan administrator’s name GULF COAST ORAL & FACIAL SURGERY, P.A.
Plan administrator’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532
Administrator’s telephone number 2283885925

Signature of
Role Plan administrator
Date 2013-07-01
Name of individual signing DR. JOHN WATTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/17/20130917151731P030145308997001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-05-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131

Signature of
Role Plan administrator
Date 2013-09-17
Name of individual signing JOHN WATTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/09/19/20120919110137P040002777157001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532

Plan administrator’s name and address
Administrator’s EIN 640802432
Plan administrator’s name GULF COAST ORAL & FACIAL SURGERY, P.A.
Plan administrator’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532
Administrator’s telephone number 2283885925

Signature of
Role Plan administrator
Date 2012-09-19
Name of individual signing DR. JOHN WATTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/09/04/20120904132910P040129489600001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-05-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131

Plan administrator’s name and address
Administrator’s EIN 640802432
Plan administrator’s name GULF COAST ORAL & FACIAL SURGERY, P.A.
Plan administrator’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131
Administrator’s telephone number 2283885925

Signature of
Role Plan administrator
Date 2012-09-04
Name of individual signing JOHN WATTS
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 1992-05-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131

Plan administrator’s name and address
Administrator’s EIN 640802432
Plan administrator’s name GULF COAST ORAL & FACIAL SURGERY, P.A.
Plan administrator’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131
Administrator’s telephone number 2283885925

Signature of
Role Plan administrator
Date 2011-10-12
Name of individual signing JOHN WATTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/14/20111014092901P040152562145001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-05-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131

Plan administrator’s name and address
Administrator’s EIN 640802432
Plan administrator’s name GULF COAST ORAL & FACIAL SURGERY, P.A.
Plan administrator’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131
Administrator’s telephone number 2283885925

Signature of
Role Plan administrator
Date 2011-10-14
Name of individual signing JOHN WATTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/13/20110713155641P040014055554001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532

Plan administrator’s name and address
Administrator’s EIN 640802432
Plan administrator’s name GULF COAST ORAL & FACIAL SURGERY, P.A.
Plan administrator’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532
Administrator’s telephone number 2283885925

Signature of
Role Plan administrator
Date 2011-07-13
Name of individual signing DR. JOHN WATTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/30/20100730095340P040408141697001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-05-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131

Plan administrator’s name and address
Administrator’s EIN 640802432
Plan administrator’s name GULF COAST ORAL & FACIAL SURGERY, P.A.
Plan administrator’s address 1760 MEDICAL PARK DRIVE, SUITE A, BILOXI, MS, 395322131
Administrator’s telephone number 2283885925

Signature of
Role Plan administrator
Date 2010-07-30
Name of individual signing JOHN WATTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/31/20110531093827P040010212466001.pdf
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532

Plan administrator’s name and address
Administrator’s EIN 640802432
Plan administrator’s name GULF COAST ORAL & FACIAL SURGERY, P.A.
Plan administrator’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532
Administrator’s telephone number 2283885925

Signature of
Role Plan administrator
Date 2011-05-31
Name of individual signing DR. JOHN WATTS
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 002
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2283885925
Plan sponsor’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532

Plan administrator’s name and address
Administrator’s EIN 640802432
Plan administrator’s name GULF COAST ORAL & FACIAL SURGERY, P.A.
Plan administrator’s address 1760 MEDICAL PARK DR. STE A, BILOXI, MS, 39532
Administrator’s telephone number 2283885925

Signature of
Role Plan administrator
Date 2010-09-08
Name of individual signing DR. JOHN WATTS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
THOMAS B ZAKKAK Agent 1760 Medical Park Drive Ste. A, Biloxi, MS 39532

Incorporator

Name Role Address
James W Wooten Incorporator 180-b Debuys Road #203, Biloxi, MS 39531

Director

Name Role Address
Robert T Watts Jr Director 1760 Medical Park Drive, Biloxi, MS 39532
Thomas Zakkak Director 1760 Medical Park Drive, Biloxi, MS 39532

President

Name Role Address
Robert T Watts Jr President 1760 Medical Park Drive, Biloxi, MS 39532

Vice President

Name Role Address
Thomas Zakkak Vice President 1760 Medical Park Drive, Biloxi, MS 39532

Filings

Type Status Filed Date Description
Annual Report Filed 2024-03-14 Annual Report For GULF COAST ORAL & FACIAL SURGERY, P.A.
Annual Report Filed 2023-04-13 Annual Report For GULF COAST ORAL & FACIAL SURGERY, P.A.
Annual Report Filed 2022-02-08 Annual Report For GULF COAST ORAL & FACIAL SURGERY, P.A.
Annual Report Filed 2021-03-15 Annual Report For GULF COAST ORAL & FACIAL SURGERY, P.A.
Annual Report Filed 2020-03-04 Annual Report For GULF COAST ORAL & FACIAL SURGERY, P.A.
Annual Report Filed 2019-02-19 Annual Report For GULF COAST ORAL & FACIAL SURGERY, P.A.
Annual Report Filed 2018-02-06 Annual Report For GULF COAST ORAL & FACIAL SURGERY, P.A.
Annual Report Filed 2017-01-25 Annual Report For GULF COAST ORAL & FACIAL SURGERY, P.A.
Annual Report Filed 2016-04-21 Annual Report For GULF COAST ORAL & FACIAL SURGERY, P.A.
Annual Report Filed 2015-10-05 Annual Report For GULF COAST ORAL & FACIAL SURGERY, P.A.

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Related by address

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Date of last update: 25 Dec 2024

Sources: Mississippi Secretary of State

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