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  5. DAVID H. LEE, D.M.D., INC.

DAVID H. LEE, D.M.D., INC.

Company Details

Name: DAVID H. LEE, D.M.D., INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 18 Jun 2001 (24 years ago)
Business ID: 703399
ZIP code: 38701
County: Washington
State of Incorporation: MISSISSIPPI
Principal Office Address: 532 S Plantation DrGreenville, MS 38701

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID H. LEE, D.M.D., INC. RETIREMENT PLAN & TRUST 2020 640944235 2021-11-15 DAVID H. LEE, D.M.D., INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 6623351413
Plan sponsor’s address 532 SOUTH PLANTATION DRIVE, GREENVILLE, MS, 38701

Signature of
Role Plan administrator
Date 2021-11-15
Name of individual signing BRISTER LEE
Valid signature Filed with authorized/valid electronic signature
DAVID H. LEE, D.M.D., INC. RETIREMENT PLAN & TRUST 2020 640944235 2021-07-30 DAVID H. LEE, D.M.D., INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 6628227348
Plan sponsor’s address 532 SOUTH PLANTATION DRIVE, GREENVILLE, MS, 38701

Signature of
Role Plan administrator
Date 2021-07-30
Name of individual signing BRISTER LEE
Valid signature Filed with authorized/valid electronic signature
DAVID H. LEE, D.M.D., INC. RETIREMENT PLAN & TRUST 2019 640944235 2020-07-08 DAVID H. LEE, D.M.D., INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 6623351413
Plan sponsor’s address 1565 SOUTH MAIN STREET, GREENVILLE, MS, 38701

Signature of
Role Plan administrator
Date 2020-07-08
Name of individual signing BRISTER LEE
Valid signature Filed with authorized/valid electronic signature
DAVID H. LEE, D.M.D., INC. RETIREMENT PLAN & TRUST 2018 640944235 2019-05-28 DAVID H. LEE, D.M.D., INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 6623351413
Plan sponsor’s address 1565 SOUTH MAIN STREET, GREENVILLE, MS, 38701

Signature of
Role Plan administrator
Date 2019-05-28
Name of individual signing BRISTER LEE
Valid signature Filed with authorized/valid electronic signature
DAVID H. LEE, D.M.D., INC. RETIREMENT PLAN & TRUST 2017 640944235 2018-09-20 DAVID H. LEE, D.M.D., INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 6623351413
Plan sponsor’s address 1565 SOUTH MAIN STREET, GREENVILLE, MS, 38701

Signature of
Role Plan administrator
Date 2018-09-20
Name of individual signing BRISTER LEE
Valid signature Filed with authorized/valid electronic signature
DAVID H. LEE, D.M.D., INC. RETIREMENT PLAN & TRUST 2016 640944235 2017-10-05 DAVID H. LEE, D.M.D., INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 6623351413
Plan sponsor’s address 1565 SOUTH MAIN STREET, GREENVILLE, MS, 38701

Signature of
Role Plan administrator
Date 2017-10-05
Name of individual signing BRISTER LEE
Valid signature Filed with authorized/valid electronic signature
DAVID H. LEE, D.M.D., INC. RETIREMENT PLAN & TRUST 2015 640944235 2016-09-15 DAVID H. LEE, D.M.D., INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 6623351413
Plan sponsor’s address 1565 SOUTH MAIN STREET, GREENVILLE, MS, 38701

Signature of
Role Plan administrator
Date 2016-09-15
Name of individual signing BRISTER LEE
Valid signature Filed with authorized/valid electronic signature
DAVID H. LEE, D.M.D., INC. RETIREMENT PLAN & TRUST 2014 640944235 2015-10-09 DAVID H. LEE, D.M.D., INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 6623351413
Plan sponsor’s address 1565 SOUTH MAIN STREET, GREENVILLE, MS, 38701

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing DAVID H. LEE, D.M.D.
Valid signature Filed with authorized/valid electronic signature
DAVID H. LEE, D.M.D., INC. RETIREMENT PLAN & TRUST 2013 640944235 2014-10-09 DAVID H. LEE, D.M.D., INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 6623351413
Plan sponsor’s address 1565 SOUTH MAIN STREET, GREENVILLE, MS, 38701

Signature of
Role Plan administrator
Date 2014-10-09
Name of individual signing DAVID H. LEE, D.M.D.
Valid signature Filed with authorized/valid electronic signature
DAVID H. LEE, D.M.D., INC. RETIREMENT PLAN & TRUST 2012 640944235 2013-09-23 DAVID H. LEE, D.M.D., INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 6623351413
Plan sponsor’s address 1565 SOUTH MAIN STREET, GREENVILLE, MS, 38701

Plan administrator’s name and address
Administrator’s EIN 640944235
Plan administrator’s name DAVID H. LEE, D.M.D., INC.
Plan administrator’s address 1565 SOUTH MAIN STREET, GREENVILLE, MS, 38701
Administrator’s telephone number 6623351413

Signature of
Role Plan administrator
Date 2013-09-23
Name of individual signing DAVID H. LEE, D.M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/06/20121006121009P030000467444001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 6623351413
Plan sponsor’s address 1565 SOUTH MAIN STREET, GREENVILLE, MS, 38701

Plan administrator’s name and address
Administrator’s EIN 640944235
Plan administrator’s name DAVID H. LEE, D.M.D., INC.
Plan administrator’s address 1565 SOUTH MAIN STREET, GREENVILLE, MS, 38701
Administrator’s telephone number 6623351413

Signature of
Role Plan administrator
Date 2012-10-06
Name of individual signing DAVID H. LEE, D.M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/26/20110926113244P040140625889001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 6623351413
Plan sponsor’s address 1565 SOUTH MAIN STREET, GREENVILLE, MS, 38701

Plan administrator’s name and address
Administrator’s EIN 640944235
Plan administrator’s name DAVID H. LEE, D.M.D., INC.
Plan administrator’s address 1565 SOUTH MAIN STREET, GREENVILLE, MS, 38701
Administrator’s telephone number 6623351413

Signature of
Role Plan administrator
Date 2011-09-26
Name of individual signing DAVID H. LEE, D.M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-26
Name of individual signing DAVID H. LEE, D.M.D.
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/05/20101005073257P040009345185001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621210
Sponsor’s telephone number 6623351413
Plan sponsor’s address 1565 SOUTH MAIN STREET, GREENVILLE, MS, 38701

Plan administrator’s name and address
Administrator’s EIN 640944235
Plan administrator’s name DAVID H. LEE, D.M.D., INC.
Plan administrator’s address 1565 SOUTH MAIN STREET, GREENVILLE, MS, 38701
Administrator’s telephone number 6623351413

Signature of
Role Plan administrator
Date 2010-10-05
Name of individual signing DAVID H. LEE, D.M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-05
Name of individual signing DAVID H. LEE, D.M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Lee, Brister Agent 1565 South Main Street, Greenville, MS 38701

Incorporator

Name Role Address
David H Lee Incorporator 217 Highway 82 East, Greenville, MS 38701
Brister Lee Incorporator 217 Highway 82 East, Greenville, MS 38701

Director

Name Role Address
David H Lee Director 532 S Plantation Dr, Greenville, MS 38701

President

Name Role Address
David H Lee President 532 S Plantation Dr, Greenville, MS 38701

Secretary

Name Role Address
Brister Lee Secretary 532 S Plantation Dr, Greenville, MS 38701

Filings

Type Status Filed Date Description
Annual Report Filed 2024-03-06 Annual Report For DAVID H. LEE, D.M.D., INC.
Annual Report Filed 2023-04-02 Annual Report For DAVID H. LEE, D.M.D., INC.
Annual Report Filed 2022-03-08 Annual Report For DAVID H. LEE, D.M.D., INC.
Annual Report Filed 2021-01-22 Annual Report For DAVID H. LEE, D.M.D., INC.
Annual Report Filed 2020-06-25 Annual Report For DAVID H. LEE, D.M.D., INC.
Annual Report Filed 2019-05-21 Annual Report For DAVID H. LEE, D.M.D., INC.
Annual Report Filed 2018-04-10 Annual Report For DAVID H. LEE, D.M.D., INC.
Annual Report Filed 2017-02-14 Annual Report For DAVID H. LEE, D.M.D., INC.
Annual Report Filed 2016-03-02 Annual Report For DAVID H. LEE, D.M.D., INC.
Annual Report Filed 2015-04-07 Annual Report For DAVID H. LEE, D.M.D., INC.

Related by officers

David H Lee

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Related by address

No related companies by address

Date of last update: 27 Dec 2024

Sources: Mississippi Secretary of State

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