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  5. HATTIESBURG ORTHODONTICS, PLLC

HATTIESBURG ORTHODONTICS, PLLC

Company Details

Name: HATTIESBURG ORTHODONTICS, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 23 Dec 2002 (22 years ago)
Business ID: 728293
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 704 S 28TH AVENUEHATTIESBURG, MS 39402

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HATTIESBURG ORTHODONTICS, PLLC 401(K) RETIREMENT PLAN 2023 810597824 2024-09-19 HATTIESBURG ORTHODONTICS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6014502141
Plan sponsor’s address 704 S. 28TH AVENUE, SUITE 20, HATTIESBURG, MS, 39402
HATTIESBURG ORTHODONTICS, PLLC 401(K) RETIREMENT PLAN 2022 810597824 2023-09-29 HATTIESBURG ORTHODONTICS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6014502141
Plan sponsor’s address 704 S. 28TH AVENUE, SUITE 20, HATTIESBURG, MS, 39402
HATTIESBURG ORTHODONTICS, PLLC 401(K) RETIREMENT PLAN 2021 810597824 2022-09-29 HATTIESBURG ORTHODONTICS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6014502141
Plan sponsor’s address 704 S. 28TH AVENUE, SUITE 20, HATTIESBURG, MS, 39402
HATTIESBURG ORTHODONTICS, PLLC 401(K) RETIREMENT PLAN 2020 810597824 2021-09-17 HATTIESBURG ORTHODONTICS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6014502141
Plan sponsor’s address 704 S. 28TH AVENUE, SUITE 20, HATTIESBURG, MS, 39402
HATTIESBURG ORTHODONTICS, PLLC 401(K) RETIREMENT PLAN 2019 810597824 2020-10-14 HATTIESBURG ORTHODONTICS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6014502141
Plan sponsor’s address 704 S. 28TH AVENUE, SUITE 20, HATTIESBURG, MS, 39402
HATTIESBURG ORTHODONTICS, PLLC 401(K) RETIREMENT PLAN 2018 810597824 2019-08-21 HATTIESBURG ORTHODONTICS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6014502141
Plan sponsor’s address 704 S. 28TH AVENUE, SUITE 20, HATTIESBURG, MS, 39402
HATTIESBURG ORTHODONTICS, PLLC 401(K) RETIREMENT PLAN 2017 810597824 2018-07-18 HATTIESBURG ORTHODONTICS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6014502141
Plan sponsor’s address 704 S. 28TH AVENUE, SUITE 20, HATTIESBURG, MS, 39402
HATTIESBURG ORTHODONTICS, PLLC 401(K) RETIREMENT PLAN 2016 810597824 2017-07-14 HATTIESBURG ORTHODONTICS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6014502141
Plan sponsor’s address 704 S. 28TH AVENUE, SUITE 20, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2017-07-14
Name of individual signing TRACY F. STANLEY
Valid signature Filed with authorized/valid electronic signature
HATTIESBURG ORTHODONTICS, PLLC 401(K) RETIREMENT PLAN 2015 810597824 2016-05-09 HATTIESBURG ORTHODONTICS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6014502141
Plan sponsor’s address 704 S. 28TH AVENUE, SUITE 20, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2016-05-09
Name of individual signing TRACY F. STANLEY
Valid signature Filed with authorized/valid electronic signature
HATTIESBURG ORTHODONTICS, PLLC 401(K) RETIREMENT PLAN 2014 810597824 2015-07-29 HATTIESBURG ORTHODONTICS, PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6014502141
Plan sponsor’s address 704 S. 28TH AVENUE, SUITE 20, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2015-07-29
Name of individual signing TRACY F. STANLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/04/04/20140404073320P040285452083001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6014502141
Plan sponsor’s address 704 S. 28TH AVENUE, SUITE 20, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2014-04-04
Name of individual signing TRACY F. STANLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-04
Name of individual signing TRACY F. STANLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/18/20130618102434P030092742581001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6014502141
Plan sponsor’s address 704 S. 28TH AVENUE, SUITE 20, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2013-06-18
Name of individual signing TRACY F. STANLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-18
Name of individual signing TRACY F. STANLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/18/20120418134822P040010257522001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6014502141
Plan sponsor’s address 704 S. 28TH AVENUE, SUITE 20, HATTIESBURG, MS, 39402

Plan administrator’s name and address
Administrator’s EIN 810597824
Plan administrator’s name HATTIESBURG ORTHODONTICS, PLLC
Plan administrator’s address 704 S. 28TH AVENUE, SUITE 20, HATTIESBURG, MS, 39402
Administrator’s telephone number 6014502141

Signature of
Role Plan administrator
Date 2012-04-18
Name of individual signing TRACY F. STANLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-18
Name of individual signing TRACY F. STANLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/13/20110513134551P030058165521001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6014502141
Plan sponsor’s address 704 S. 28TH AVENUE, SUITE 20, HATTIESBURG, MS, 39402

Plan administrator’s name and address
Administrator’s EIN 810597824
Plan administrator’s name HATTIESBURG ORTHODONTICS, PLLC
Plan administrator’s address 704 S. 28TH AVENUE, SUITE 20, HATTIESBURG, MS, 39402
Administrator’s telephone number 6014502141

Signature of
Role Plan administrator
Date 2011-05-13
Name of individual signing TRACY F. STANLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-05-13
Name of individual signing TRACY F. STANLEY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/10/20100910131032P070020765938001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6014502141
Plan sponsor’s address 704 S. 28TH AVENUE, SUITE 20, HATTIESBURG, MS, 39402

Plan administrator’s name and address
Administrator’s EIN 810597824
Plan administrator’s name HATTIESBURG ORTHODONTICS, PLLC
Plan administrator’s address 704 S. 28TH AVENUE, SUITE 20, HATTIESBURG, MS, 39402
Administrator’s telephone number 6014502141

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

Agent

Name Role Address
TRACY FALER STANLEY Agent 704 S 28TH AVE, HATTIESBURG, MS 39401

Member

Name Role Address
Tracy Stanley Member 704 S 28TH AVENUE, HATTIESBURG, MS 39402
TRACY FALER STANLEY Member 704 S 28TH AVE, HATTIESBURG, MS 39401

Manager

Name Role Address
Juliana Henderson Manager 704 S 28TH AVENUE, HATTIESBURG, MS 39402

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-01-03 Annual Report For HATTIESBURG ORTHODONTICS, PLLC
Annual Report LLC Filed 2023-01-26 Annual Report For HATTIESBURG ORTHODONTICS, PLLC
Annual Report LLC Filed 2022-04-05 Annual Report For HATTIESBURG ORTHODONTICS, PLLC
Annual Report LLC Filed 2022-03-09 Annual Report For HATTIESBURG ORTHODONTICS, PLLC
Annual Report LLC Filed 2021-01-19 Annual Report For HATTIESBURG ORTHODONTICS, PLLC
Annual Report LLC Filed 2020-01-15 Annual Report For HATTIESBURG ORTHODONTICS, PLLC
Annual Report LLC Filed 2019-05-16 Annual Report For HATTIESBURG ORTHODONTICS, PLLC
Annual Report LLC Filed 2018-03-26 Annual Report For HATTIESBURG ORTHODONTICS, PLLC
Annual Report LLC Filed 2017-07-27 Annual Report For HATTIESBURG ORTHODONTICS, PLLC
Annual Report LLC Filed 2016-01-12 Annual Report For HATTIESBURG ORTHODONTICS, PLLC

Related by officers

TRACY FALER STANLEY

TRACY FALER STANLEY, DMD, MS, PLLC

Tracy Stanley

STANLEY PROPERTIES, LLC TROON PROPERTIES, LLC

Related by address

704 S 28TH AVENUEHATTIESBURG, MS 39402

STANLEY PROPERTIES, LLC

Date of last update: 28 Dec 2024

Sources: Mississippi Secretary of State

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