SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.

Company Details

Name:	SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Jurisdiction:	MISSISSIPPI
Business Type:	Profit Corporation
Status:	Good Standing
Effective Date:	04 May 2000 (25 years ago)
Business ID:	686398
ZIP code:	39110
County:	Madison
State of Incorporation:	MISSISSIPPI
Principal Office Address:	105 Broadmoore DriveMadison, MS 39110

Name	Role	Address
TODD A BOOLOS	Agent	1007 Mission Park Drive, Vicksburg, MS 39180

Name	Role	Address
Robert R. Bailess	Incorporator	1301 Washington Street, Vicksburg, MS 39180
Virginia Browning	Incorporator	1301 Washington Street 8th Floor, Vicksburg, MS 39180

Name	Role	Address
Kevin Keen	Director	105 Broadmoore Drive, Madison, MS 39110

Name	Role	Address
Kevin Keen	President	105 Broadmoore Drive, Madison, MS 39110

Name	Role	Address
Kevin Keen	Secretary	105 Broadmoore Drive, Madison, MS 39110

Name	Role	Address
Kevin Keen	Treasurer	105 Broadmoore Drive, Madison, MS 39110

Type	Status	Filed Date	Description
Annual Report	Filed	2025-03-11	Annual Report For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Annual Report	Filed	2024-02-12	Annual Report For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Annual Report	Filed	2023-02-01	Annual Report For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Annual Report	Filed	2022-01-19	Annual Report For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Annual Report	Filed	2021-02-24	Annual Report For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Annual Report	Filed	2020-02-05	Annual Report For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Annual Report	Filed	2019-02-05	Annual Report For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Annual Report	Filed	2018-02-07	Annual Report For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Annual Report	Filed	2017-01-24	Annual Report For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Reinstatement	Filed	2016-04-22	Reinstatement For SOUTHERN ORAL MAXILLOFACIAL SURGERY CENTER, INC.
Registered Agent Change of Address	Filed	2016-01-21	Agent Address Change For TODD A BOOLOS
Admin Dissolution	Filed	2015-12-08	Admin Dissolution: AR
Notice to Dissolve/Revoke	Filed	2015-09-16	Notice to Dissolve/Revoke
Annual Report	Filed	2014-02-12	Annual Report
Annual Report	Filed	2013-03-13	Annual Report
Annual Report	Filed	2012-03-28	Annual Report
Annual Report	Filed	2011-02-04	Annual Report
Annual Report	Filed	2010-03-29	Annual Report
Annual Report	Filed	2009-03-16	Annual Report
Annual Report	Filed	2008-03-25	Annual Report

Loan Number

Loan Funded Date

SBA Origination Office Code

Loan Delivery Method

Borrower Street Address

8746417405

2020-05-19

0470

PPP

105 BROADMOOR DR, MADISON, MS, 39110-6651

Loan Status Date	2021-09-25
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	6600
Loan Approval Amount (current)	6600
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	40010
Servicing Lender Name	Renasant Bank
Servicing Lender Address	209 Troy St, TUPELO, MS, 38804-4827
Rural or Urban Indicator	U
Hubzone	N
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	MADISON, MADISON, MS, 39110-6651
Project Congressional District	MS-03
Number of Employees	1
NAICS code	621210
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Subchapter S Corporation
Originating Lender ID	40010
Originating Lender Name	Renasant Bank
Originating Lender Address	TUPELO, MS
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	6672.97
Forgiveness Paid Date	2021-06-30

Date of last update: 03 May 2025