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  5. NORTH MISSISSIPPI DENTAL SPECIALISTS, LLC

NORTH MISSISSIPPI DENTAL SPECIALISTS, LLC

Company Details

Name: NORTH MISSISSIPPI DENTAL SPECIALISTS, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 13 Nov 2001 (23 years ago)
Business ID: 709133
ZIP code: 38655
County: Lafayette
State of Incorporation: MISSISSIPPI
Principal Office Address: 1420 North Lamar Blvd.Oxford, MS 38655
Historical names: NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 401(K) PSP 2023 943418981 2024-09-18 NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9018937337
Plan sponsor’s address 2925 NAIL RD. E., SUITE 103, SOUTHAVEN, MS, 38672

Signature of
Role Plan administrator
Date 2024-09-17
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-17
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 401(K) PSP 2023 943418981 2024-09-19 NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9018937337
Plan sponsor’s address 2925 NAIL RD. E., SUITE 103, SOUTHAVEN, MS, 38672

Signature of
Role Plan administrator
Date 2024-09-18
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-18
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 401(K) PSP 2022 943418981 2023-10-03 NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9018937337
Plan sponsor’s address 2925 NAIL RD. E., SUITE 103, SOUTHAVEN, MS, 38672

Signature of
Role Plan administrator
Date 2023-09-29
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-09-29
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 401(K) PSP 2021 943418981 2022-10-05 NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9018937337
Plan sponsor’s address 2925 NAIL RD. E., SUITE 103, SOUTHAVEN, MS, 38672

Signature of
Role Plan administrator
Date 2022-10-05
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-05
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 401(K) PSP 2020 943418981 2021-09-11 NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9018937337
Plan sponsor’s address 2925 NAIL RD. E., SUITE 103, SOUTHAVEN, MS, 38672

Signature of
Role Plan administrator
Date 2021-09-11
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-11
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 401(K) PSP 2019 943418981 2020-06-13 NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9018937337
Plan sponsor’s address 2925 NAIL RD. E., SUITE 103, SOUTHAVEN, MS, 38672

Signature of
Role Plan administrator
Date 2020-06-11
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-11
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 401(K) PSP 2018 943418981 2019-05-02 NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9018494977
Plan sponsor’s address 2925 NAIL RD. E., SUITE 103, SOUTHAVEN, MS, 38672

Signature of
Role Plan administrator
Date 2019-05-02
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-05-02
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 401(K) PSP 2017 943418981 2018-04-30 NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9018494977
Plan sponsor’s address 2925 NAIL RD. E., SUITE 103, SOUTHAVEN, MS, 38672

Signature of
Role Plan administrator
Date 2018-04-26
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-04-26
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 401(K) PSP 2016 943418981 2017-08-10 NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9018494977
Plan sponsor’s address 2925 NAIL RD. E., SUITE 103, SOUTHAVEN, MS, 38672

Signature of
Role Plan administrator
Date 2017-08-09
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-09
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 401(K) PSP 2015 943418981 2016-06-22 NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 9018494977
Plan sponsor’s address 2925 NAIL RD. E., SUITE 103, SOUTHAVEN, MS, 38672

Signature of
Role Plan administrator
Date 2016-06-22
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-22
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/04/16/20150416073135P040054093533001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 6625134188
Plan sponsor’s address 2408 S. LAMAR BLVD, SUITE 1, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2015-04-15
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-15
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/11/20140711100603P040033643591001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 6625134188
Plan sponsor’s address 2408 S. LAMAR BLVD., SUITE 1, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2014-07-10
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-10
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/17/20130617090610P030092239541001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621210
Sponsor’s telephone number 6625134188
Plan sponsor’s address 2408 S. LAMAR BLVD., SUITE 1, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2013-06-13
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-13
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/25/20110525160650P030020080439001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6625134188
Plan sponsor’s address 2408 S. LAMAR BLVD. SUITE 1, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 943418981
Plan administrator’s name NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Plan administrator’s address 2408 S. LAMAR BLVD. SUITE 1, OXFORD, MS, 38655
Administrator’s telephone number 6625134188

Signature of
Role Plan administrator
Date 2011-05-25
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-25
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/09/20100609091005P030101098146001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 6625134188
Plan sponsor’s address 2408 S. LAMAR BLVD., SUITE 1, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 942418981
Plan administrator’s name NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Plan administrator’s address 2408 S. LAMAR BLVD., SUITE 1, OXFORD, MS, 38655
Administrator’s telephone number 6625134188

Signature of
Role Plan administrator
Date 2010-06-09
Name of individual signing CLYDE MUSGRAVE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CLYDE MUSGRAVE Agent 129 HERITAGE DR, OXFORD, MS 38655

Manager

Name Role Address
Clyde Musgrave Manager P O BOX 1237, OXFORD, MS 38655

Member

Name Role Address
KURT G. RADEMACHER Member 210 E CAPITOL STREET, JACKSON, MS 39225

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-03-27 Annual Report For NORTH MISSISSIPPI DENTAL SPECIALISTS, LLC
Amendment Form Filed 2024-02-16 Amendment For NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Annual Report LLC Filed 2023-02-27 Annual Report For NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Annual Report LLC Filed 2022-03-29 Annual Report For NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Annual Report LLC Filed 2021-02-08 Annual Report For NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Annual Report LLC Filed 2020-02-26 Annual Report For NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Annual Report LLC Filed 2019-02-21 Annual Report For NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Annual Report LLC Filed 2018-03-07 Annual Report For NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Annual Report LLC Filed 2017-02-22 Annual Report For NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC
Annual Report LLC Filed 2016-01-22 Annual Report For NORTH MISSISSIPPI DENTAL SPECIALISTS, PLLC

Related by officers

Clyde Musgrave

RCDG Enterprises, LLC Pope Investments, LLC CMHP Enterprises, LLC RC Dirt & Gravel LLC The American Motor Club, LLC RCMW, LLC CAM LLC

KURT G. RADEMACHER

AHR II, LLC BRAN LLC RNC LLC DABEN LLC

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Date of last update: 27 Dec 2024

Sources: Mississippi Secretary of State

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