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  5. HARRIS DENTAL CLINIC, INC.

HARRIS DENTAL CLINIC, INC.

Company Details

Name: HARRIS DENTAL CLINIC, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 11 Jun 2001 (24 years ago)
Business ID: 703129
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 2 Southern Pointe ParkwayHattiesburg, MS 39402

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HARRIS DENTAL CLINIC 401(K) PLAN 2023 640941957 2024-10-06 HARRIS DENTAL CLINIC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6016493345
Plan sponsor’s address 701 N 16TH AVE, LAUREL, MS, 39440

Signature of
Role Plan administrator
Date 2024-10-06
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
HARRIS DENTAL CLINIC 401(K) PLAN 2022 640941957 2023-07-19 HARRIS DENTAL CLINIC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6016493345
Plan sponsor’s address 701 N 16TH AVE, LAUREL, MS, 39440

Signature of
Role Plan administrator
Date 2023-07-19
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
HARRIS DENTAL CLINIC 401(K) PLAN 2021 640941957 2022-09-30 HARRIS DENTAL CLINIC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6016493345
Plan sponsor’s address 701 N 16TH AVE, LAUREL, MS, 39440

Signature of
Role Plan administrator
Date 2022-09-30
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
HARRIS DENTAL CLINIC 401(K) PLAN 2020 640941957 2022-09-30 HARRIS DENTAL CLINIC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6016493345
Plan sponsor’s address 701 N 16TH AVE, LAUREL, MS, 394403348

Signature of
Role Plan administrator
Date 2022-09-30
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
HARRIS DENTAL CLINIC 401(K) PLAN 2019 640941957 2020-07-11 HARRIS DENTAL CLINIC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6016493345
Plan sponsor’s address 701 N 16TH AVE, LAUREL, MS, 394403348

Signature of
Role Plan administrator
Date 2020-07-11
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
HARRIS DENTAL CLINIC 401(K) PLAN 2018 640941957 2019-07-15 HARRIS DENTAL CLINIC 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6016493345
Plan sponsor’s address 701 N 16TH AVE, LAUREL, MS, 394403348

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
HARRIS DENTAL CLINIC 401(K) PLAN 2017 640941957 2018-07-20 HARRIS DENTAL CLINIC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6016493345
Plan sponsor’s address 701 N 16TH AVE, LAUREL, MS, 394403348

Signature of
Role Plan administrator
Date 2018-07-20
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
HARRIS DENTAL CLINIC 401(K) PLAN 2016 640941957 2017-10-13 HARRIS DENTAL CLINIC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6016493345
Plan sponsor’s address 701 N 16TH AVE, LAUREL, MS, 394403348

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
HARRIS DENTAL CLINIC 401(K) PLAN 2015 640941957 2016-07-25 HARRIS DENTAL CLINIC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6016493345
Plan sponsor’s address 701 N 16TH AVE, LAUREL, MS, 394403348

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-25
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
HARRIS DENTAL CLINIC 401K PLAN 2014 640941957 2015-07-15 HARRIS DENTAL CLINIC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6016493345
Plan sponsor’s address 701 N 16TH AVE, LAUREL, MS, 394403348

Signature of
Role Plan administrator
Date 2015-07-15
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-15
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/15/20140715134915P040040712289001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6016493345
Plan sponsor’s address 701 N 16TH AVE, LAUREL, MS, 394403348

Signature of
Role Plan administrator
Date 2014-07-15
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-15
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/15/20130715124209P040110411989001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6016493345
Plan sponsor’s address 701 N 16TH AVE, LAUREL, MS, 394403348

Signature of
Role Plan administrator
Date 2013-07-15
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-15
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/31/20120731161825P030002031492001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6016493345
Plan sponsor’s address 701 N 16TH AVE, LAUREL, MS, 394403348

Plan administrator’s name and address
Administrator’s EIN 640941957
Plan administrator’s name HARRIS DENTAL CLINIC
Plan administrator’s address 701 N 16TH AVE, LAUREL, MS, 394403348
Administrator’s telephone number 6016493345

Signature of
Role Plan administrator
Date 2012-07-31
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-31
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/20/20110720081433P040003012499001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6016493345
Plan sponsor’s address 701 N 16TH AVE, LAUREL, MS, 394403348

Plan administrator’s name and address
Administrator’s EIN 640941957
Plan administrator’s name HARRIS DENTAL CLINIC
Plan administrator’s address 701 N 16TH AVE, LAUREL, MS, 394403348
Administrator’s telephone number 6016493345

Signature of
Role Plan administrator
Date 2011-07-20
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-20
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 6016493345
Plan sponsor’s address 701 N 16TH AVE, LAUREL, MS, 394403348

Plan administrator’s name and address
Administrator’s EIN 640941957
Plan administrator’s name HARRIS DENTAL CLINIC
Plan administrator’s address 701 N 16TH AVE, LAUREL, MS, 394403348
Administrator’s telephone number 6016493345

Signature of
Role Plan administrator
Date 2010-08-12
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-12
Name of individual signing CHADWICK HARRIS
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role Address
Chadwick James Harris Incorporator 701 North 16th Ave, Laurel, MS 39440

Director

Name Role Address
Chadwick James Harris Director 701 North 16th Avenue, Laurel, MS 39440

President

Name Role Address
Chadwick James Harris President 701 North 16th Avenue, Laurel, MS 39440

Agent

Name Role Address
CHADWICK JAMES HARRIS Agent 701 NORTH 16TH AVE, LAUREL, MS 39440

Filings

Type Status Filed Date Description
Annual Report Filed 2025-02-21 Annual Report For HARRIS DENTAL CLINIC, INC.
Annual Report Filed 2024-03-26 Annual Report For HARRIS DENTAL CLINIC, INC.
Annual Report Filed 2023-03-31 Annual Report For HARRIS DENTAL CLINIC, INC.
Annual Report Filed 2022-03-08 Annual Report For HARRIS DENTAL CLINIC, INC.
Annual Report Filed 2021-09-17 Annual Report For HARRIS DENTAL CLINIC, INC.
Notice to Dissolve/Revoke Filed 2021-09-07 Notice of Intent to Dissolve: AR: HARRIS DENTAL CLINIC, INC.
Annual Report Filed 2020-09-10 Annual Report For HARRIS DENTAL CLINIC, INC.
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report Filed 2019-09-04 Annual Report For HARRIS DENTAL CLINIC, INC.
Notice to Dissolve/Revoke Filed 2019-08-22 Notice to Dissolve/Revoke

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8290307201 2020-04-28 0470 PPP 701 North 16TH AVE, LAUREL, MS, 39440-3348
Loan Status Date 2021-01-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 15300
Loan Approval Amount (current) 15300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 40068
Servicing Lender Name First State Bank
Servicing Lender Address 708 Azalea Dr, WAYNESBORO, MS, 39367-2719
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address LAUREL, JONES, MS, 39440-3348
Project Congressional District MS-04
Number of Employees 2
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Subchapter S Corporation
Originating Lender ID 40068
Originating Lender Name First State Bank
Originating Lender Address WAYNESBORO, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 15393.5
Forgiveness Paid Date 2020-12-08

Related by officers

CHADWICK JAMES HARRIS

HARRIS DENTAL PROPERTIES LLC

Related by address

No related companies by address

Date of last update: 19 Mar 2025

Sources: Mississippi Secretary of State

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