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  5. HATTIESBURG ENDODONTICS, PLLC

HATTIESBURG ENDODONTICS, PLLC

Company Details

Name: HATTIESBURG ENDODONTICS, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 04 Apr 2002 (23 years ago)
Business ID: 715240
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 702 S 28TH AVENUEHATTIESBURG, MS 39402

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HATTIESBURG ENDODONTICS, PLLC 401(K) PLAN 2023 010674261 2024-09-19 HATTIESBURG ENDODONTICS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 6015796399
Plan sponsor’s address 704 SOUTH 28TH AVENUE, SUITE 10, HATTIESBURG, MS, 39402
HATTIESBURG ENDODONTICS, PLLC 401(K) PLAN 2022 010674261 2023-08-18 HATTIESBURG ENDODONTICS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 6015796399
Plan sponsor’s address 704 SOUTH 28TH AVENUE, SUITE 10, HATTIESBURG, MS, 39402
HATTIESBURG ENDODONTICS, PLLC 401(K) PLAN 2021 010674261 2022-09-29 HATTIESBURG ENDODONTICS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 6015796399
Plan sponsor’s address 704 SOUTH 28TH AVENUE, SUITE 10, HATTIESBURG, MS, 39402
HATTIESBURG ENDODONTICS, PLLC 401(K) PLAN 2020 010674261 2021-10-01 HATTIESBURG ENDODONTICS, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 6015796399
Plan sponsor’s address 704 SOUTH 28TH AVENUE, SUITE 10, HATTIESBURG, MS, 39402
HATTIESBURG ENDODONTICS, PLLC 401(K) PLAN 2019 010674261 2020-10-07 HATTIESBURG ENDODONTICS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 6015796399
Plan sponsor’s address 704 SOUTH 28TH AVENUE, SUITE 10, HATTIESBURG, MS, 39402
HATTIESBURG ENDODONTICS, PLLC 401(K) PLAN 2018 010674261 2019-09-24 HATTIESBURG ENDODONTICS, PLLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 6015796399
Plan sponsor’s address 704 SOUTH 28TH AVENUE, SUITE 10, HATTIESBURG, MS, 39402
HATTIESBURG ENDODONTICS, PLLC 401(K) PLAN 2017 010674261 2018-07-26 HATTIESBURG ENDODONTICS, PLLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 6015796399
Plan sponsor’s address 704 SOUTH 28TH AVENUE, SUITE 10, HATTIESBURG, MS, 39402
HATTIESBURG ENDODONTICS, PLLC 401(K) PLAN 2016 010674261 2017-05-10 HATTIESBURG ENDODONTICS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 6015796399
Plan sponsor’s address 704 SOUTH 28TH AVENUE, SUITE 10, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2017-05-10
Name of individual signing JOEL CHADWICK STANLEY
Valid signature Filed with authorized/valid electronic signature
HATTIESBURG ENDODONTICS, PLLC 401(K) PLAN 2015 010674261 2016-05-09 HATTIESBURG ENDODONTICS, PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 6015796399
Plan sponsor’s address 704 SOUTH 28TH AVENUE, SUITE 10, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2016-05-09
Name of individual signing JOEL CHADWICK STANLEY
Valid signature Filed with authorized/valid electronic signature
HATTIESBURG ENDODONTICS, PLLC 401(K) PLAN 2014 010674261 2015-07-27 HATTIESBURG ENDODONTICS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 6015796399
Plan sponsor’s address 704 SOUTH 28TH AVENUE, SUITE 10, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing JOEL CHADWICK STANLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/07/20140507082059P040334194723001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 6015796399
Plan sponsor’s address 704 SOUTH 28TH AVENUE, SUITE 10, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2014-05-07
Name of individual signing JOEL CHADWICK STANLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-07
Name of individual signing JOEL CHADWICK STANLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/16/20130516094536P040220123571001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 6015796399
Plan sponsor’s address 704 SOUTH 28TH AVENUE, SUITE 10, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2013-05-16
Name of individual signing JOEL CHADWICK STANLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-16
Name of individual signing JOEL CHADWICK STANLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/18/20120418134630P040070461041001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 6015796399
Plan sponsor’s address 704 SOUTH 28TH AVENUE, SUITE 10, HATTIESBURG, MS, 39402

Plan administrator’s name and address
Administrator’s EIN 010674261
Plan administrator’s name HATTIESBURG ENDODONTICS, PLLC
Plan administrator’s address 704 SOUTH 28TH AVENUE, SUITE 10, HATTIESBURG, MS, 39402
Administrator’s telephone number 6015796399

Signature of
Role Plan administrator
Date 2012-04-18
Name of individual signing JOEL CHADWICK STANLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-18
Name of individual signing JOEL CHADWICK STANLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/13/20110513134029P030274112096001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 6015796399
Plan sponsor’s address 704 SOUTH 28TH AVENUE, SUITE 10, HATTIESBURG, MS, 39402

Plan administrator’s name and address
Administrator’s EIN 010674261
Plan administrator’s name HATTIESBURG ENDODONTICS, PLLC
Plan administrator’s address 704 SOUTH 28TH AVENUE, SUITE 10, HATTIESBURG, MS, 39402
Administrator’s telephone number 6015796399

Signature of
Role Plan administrator
Date 2011-05-13
Name of individual signing JOEL CHADWICK STANLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-13
Name of individual signing JOEL CHADWICK STANLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/10/20100910130951P070020765442001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621210
Sponsor’s telephone number 6015796399
Plan sponsor’s address 704 SOUTH 28TH AVENUE, SUITE 10, HATTIESBURG, MS, 39402

Plan administrator’s name and address
Administrator’s EIN 010674261
Plan administrator’s name HATTIESBURG ENDODONTICS, PLLC
Plan administrator’s address 704 SOUTH 28TH AVENUE, SUITE 10, HATTIESBURG, MS, 39402
Administrator’s telephone number 6015796399

Signature of
Role Plan administrator
Date 2010-09-10
Name of individual signing JOEL CHADWICK STANLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-10
Name of individual signing JOEL CHADWICK STANLEY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
J CHAD STANLEY Agent 9 MEDICAL BLVD, HATTIESBURG, MS 39401

Member

Name Role Address
Chad Stanley Member 704 S 28TH AVENUE, HATTIESBURG, MS 39402
J CHAD STANLEY Member 704 S 28th Ave, HATTIESBURG, MS 39402

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-01-03 Annual Report For HATTIESBURG ENDODONTICS, PLLC
Annual Report LLC Filed 2023-01-26 Annual Report For HATTIESBURG ENDODONTICS, PLLC
Annual Report LLC Filed 2022-03-09 Annual Report For HATTIESBURG ENDODONTICS, PLLC
Annual Report LLC Filed 2021-01-19 Annual Report For HATTIESBURG ENDODONTICS, PLLC
Annual Report LLC Filed 2020-01-15 Annual Report For HATTIESBURG ENDODONTICS, PLLC
Annual Report LLC Filed 2019-05-16 Annual Report For HATTIESBURG ENDODONTICS, PLLC
Annual Report LLC Filed 2018-01-30 Annual Report For HATTIESBURG ENDODONTICS, PLLC
Annual Report LLC Filed 2017-03-21 Annual Report For HATTIESBURG ENDODONTICS, PLLC
Annual Report LLC Filed 2016-01-12 Annual Report For HATTIESBURG ENDODONTICS, PLLC
Annual Report LLC Filed 2015-02-17 Annual Report For HATTIESBURG ENDODONTICS, PLLC

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9571357108 2020-04-15 0470 PPP 704 S 28TH AVE, HATTIESBURG, MS, 39402
Loan Status Date 2021-01-26
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 55552.5
Loan Approval Amount (current) 55552.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39848
Servicing Lender Name Cadence Bank
Servicing Lender Address 201 S Spring St, TUPELO, MS, 38804-4811
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address HATTIESBURG, LAMAR, MS, 39402-0100
Project Congressional District MS-04
Number of Employees 5
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 39848
Originating Lender Name Cadence Bank
Originating Lender Address TUPELO, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 55901.25
Forgiveness Paid Date 2020-12-07

Related by officers

J CHAD STANLEY

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Chad Stanley

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Related by address

No related companies by address

Date of last update: 10 Feb 2025

Sources: Mississippi Secretary of State

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