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JACKSON FAMILY DENTISTRY, INC.

Company Details

Name: JACKSON FAMILY DENTISTRY, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 09 Apr 2003 (22 years ago)
Business ID: 732085
ZIP code: 39209
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 5643 HWY 18 S #GJACKSON, MS 39209

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
JACKSON FAMILY DENTISTRY RETIREMENT PLAN 2021 273757453 2022-10-11 JACKSON FAMILY DENTISTRY 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6628957338
Plan sponsor’s address 9035 EAST SANDIDGE ROAD, OLIVE BRANCH, MS, 38654

Signature of

Role Plan administrator
Date 2022-10-11
Name of individual signing JACKIE BARTOLOTTA
Valid signature Filed with authorized/valid electronic signature
JACKSON FAMILY DENTISTRY RETIREMENT PLAN 2020 273757453 2021-10-11 JACKSON FAMILY DENTISTRY 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6628957338
Plan sponsor’s address 9035 EAST SANDIDGE ROAD, OLIVE BRANCH, MS, 38654

Signature of

Role Plan administrator
Date 2021-10-11
Name of individual signing JACKIE BARTOLOTTA
Valid signature Filed with authorized/valid electronic signature
JACKSON FAMILY DENTISTRY RETIREMENT PLAN 2019 273757453 2020-10-12 JACKSON FAMILY DENTISTRY 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6628957338
Plan sponsor’s address 9035 EAST SANDIDGE ROAD, OLIVE BRANCH, MS, 38654

Signature of

Role Plan administrator
Date 2020-10-12
Name of individual signing JACKIE BARTOLOTTA
Valid signature Filed with authorized/valid electronic signature
JACKSON FAMILY DENTISTRY RETIREMENT PLAN 2018 273757453 2019-10-10 JACKSON FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6628957338
Plan sponsor’s address 9035 EAST SANDIDGE ROAD, OLIVE BRANCH, MS, 38654

Signature of

Role Plan administrator
Date 2019-10-10
Name of individual signing JACKIE BARTOLOTTA
Valid signature Filed with authorized/valid electronic signature
JACKSON FAMILY DENTISTRY RETIREMENT PLAN 2017 273757453 2018-10-10 JACKSON FAMILY DENTISTRY 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6628957338
Plan sponsor’s address 9035 EAST SANDIDGE ROAD, OLIVE BRANCH, MS, 38654

Signature of

Role Plan administrator
Date 2018-10-10
Name of individual signing JACKIE BARTOLOTTA
Valid signature Filed with authorized/valid electronic signature
JACKSON FAMILY DENTISTRY RETIREMENT PLAN 2016 273757453 2017-07-28 JACKSON FAMILY DENTISTRY 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6628957338
Plan sponsor’s address 9035 EAST SANDIDGE ROAD, OLIVE BRANCH, MS, 38654

Signature of

Role Plan administrator
Date 2017-07-28
Name of individual signing JACKIE BARTOLOTTA
Valid signature Filed with authorized/valid electronic signature
JACKSON FAMILY DENTISTRY RETIREMENT PLAN 2015 273757453 2016-07-13 JACKSON FAMILY DENTISTRY 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6628957338
Plan sponsor’s address 9035 EAST SANDIDGE ROAD, OLIVE BRANCH, MS, 38654

Signature of

Role Plan administrator
Date 2016-07-13
Name of individual signing JACKIE BARTOLOTTA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PHILLIP J BARKLEY Agent 5643 HWY 18 S #G, JACKSON, MS 39209

Director

Name Role Address
Philip J. Barkley Director 102 South Audubon Court, Brandon, MS 39042

President

Name Role Address
Philip J. Barkley President 102 South Audubon Court, Brandon, MS 39042

Incorporator

Name Role Address
Tony Huffman Incorporator 860 East River Place Ste 101, Jackson, MS 39202

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2015-12-08 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2015-09-16 Notice to Dissolve/Revoke
Annual Report Filed 2014-04-14 Annual Report
Reinstatement Filed 2013-05-23 Reinstatement
Admin Dissolution Filed 2008-12-05 Admin Dissolution
Notice to Dissolve/Revoke Filed 2008-09-25 Notice to Dissolve/Revoke
Annual Report Filed 2007-11-27 Annual Report
Notice to Dissolve/Revoke Filed 2007-10-16 Notice to Dissolve/Revoke
Annual Report Filed 2006-06-14 Annual Report
Annual Report Filed 2005-04-20 Annual Report

Date of last update: 29 Dec 2024

Sources: Mississippi Secretary of State