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  5. PICAYUNE GENERAL DENTISTRY, INC.

PICAYUNE GENERAL DENTISTRY, INC.

Company Details

Name: PICAYUNE GENERAL DENTISTRY, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 24 Apr 2003 (22 years ago)
Business ID: 732790
ZIP code: 39466
County: Pearl River
State of Incorporation: MISSISSIPPI
Principal Office Address: 500 Goodyear BlvdPicayune, MS 39466

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PICAYUNE GENERAL DENTISTRY, INC. 401(K) PLAN 2023 680552807 2024-04-17 PICAYUNE GENERAL DENTISTRY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6017980500
Plan sponsor’s address 500 GOODYEAR BOULEVARD, PICAYUNE, MS, 39466
PICAYUNE GENERAL DENTISTRY, INC. 401(K) PLAN 2022 680552807 2023-06-06 PICAYUNE GENERAL DENTISTRY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6017980500
Plan sponsor’s address 500 GOODYEAR BOULEVARD, PICAYUNE, MS, 39466

Signature of
Role Plan administrator
Date 2023-06-06
Name of individual signing CRYSTAL COMBS
Valid signature Filed with authorized/valid electronic signature
PICAYUNE GENERAL DENTISTRY, INC. 401(K) PLAN 2021 680552807 2022-02-28 PICAYUNE GENERAL DENTISTRY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6017980500
Plan sponsor’s address 500 GOODYEAR BOULEVARD, PICAYUNE, MS, 39466

Signature of
Role Plan administrator
Date 2022-02-28
Name of individual signing CRYSTAL COMBS
Valid signature Filed with authorized/valid electronic signature
PICAYUNE GENERAL DENTISTRY, INC. 401(K) PLAN 2020 680552807 2021-07-06 PICAYUNE GENERAL DENTISTRY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6017980500
Plan sponsor’s address 500 GOODYEAR BOULEVARD, PICAYUNE, MS, 39466

Signature of
Role Plan administrator
Date 2021-07-06
Name of individual signing CRYSTAL COMBS
Valid signature Filed with authorized/valid electronic signature
PICAYUNE GENERAL DENTISTRY, INC. 401(K) PLAN 2019 680552807 2020-09-09 PICAYUNE GENERAL DENTISTRY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6017980500
Plan sponsor’s address 500 GOODYEAR BOULEVARD, PICAYUNE, MS, 39466

Signature of
Role Plan administrator
Date 2020-09-09
Name of individual signing CRYSTAL COMBS
Valid signature Filed with authorized/valid electronic signature
PICAYUNE GENERAL DENTISTRY, INC. 401(K) PLAN 2018 680552807 2019-07-12 PICAYUNE GENERAL DENTISTRY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6017980500
Plan sponsor’s address 500 GOODYEAR BOULEVARD, PICAYUNE, MS, 39466

Signature of
Role Plan administrator
Date 2019-07-12
Name of individual signing CRYSTAL COMBS
Valid signature Filed with authorized/valid electronic signature
PICAYUNE GENERAL DENTISTRY, INC. 401(K) PLAN 2017 680552807 2018-09-04 PICAYUNE GENERAL DENTISTRY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6017980500
Plan sponsor’s address 500 GOODYEAR BOULEVARD, PICAYUNE, MS, 39466

Signature of
Role Plan administrator
Date 2018-09-04
Name of individual signing CRYSTAL COMBS
Valid signature Filed with authorized/valid electronic signature
PICAYUNE GENERAL DENTISTRY, INC. 401(K) PLAN 2016 680552807 2017-06-20 PICAYUNE GENERAL DENTISTRY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6017980500
Plan sponsor’s address 500 GOODYEAR BOULEVARD, PICAYUNE, MS, 39466

Signature of
Role Plan administrator
Date 2017-06-20
Name of individual signing CRYSTAL COMBS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-20
Name of individual signing CRYSTAL COMBS
Valid signature Filed with authorized/valid electronic signature
PICAYUNE GENERAL DENTISTRY, INC. 401(K) PLAN 2015 680552807 2016-03-08 PICAYUNE GENERAL DENTISTRY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6017980500
Plan sponsor’s address 500 GOODYEAR BOULEVARD, PICAYUNE, MS, 39466

Signature of
Role Plan administrator
Date 2016-03-08
Name of individual signing CRYSTAL COMBS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-03-08
Name of individual signing CRYSTAL COMBS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SHAWNASSEY HOWELL BRITT Agent 4400 Old Canton Road Suite 220 (39211);Post Office Box 23126, Jackson, MS 39225

Incorporator

Name Role Address
Shawnassey Howell Britt Incorporator 6360 I-55 N #150, Po Box 23126, Jackson, MS 39225-3126

Director

Name Role Address
Horace Eugene Combs Iii Director 500 Goodyear Blvd, Picayune, MS 39466
Crystal Grafton Combs Director 500 Goodyear Blvd, Picayune, MS 39466

President

Name Role Address
Horace Eugene Combs Iii President 500 Goodyear Blvd, Picayune, MS 39466

Secretary

Name Role Address
Crystal Grafton Combs Secretary 500 Goodyear Blvd, Picayune, MS 39466

Treasurer

Name Role Address
Crystal Grafton Combs Treasurer 500 Goodyear Blvd, Picayune, MS 39466

Vice President

Name Role Address
Crystal Grafton Combs Vice President 500 Goodyear Blvd, Picayune, MS 39466

Filings

Type Status Filed Date Description
Annual Report Filed 2024-01-06 Annual Report For PICAYUNE GENERAL DENTISTRY, INC.
Annual Report Filed 2023-01-06 Annual Report For PICAYUNE GENERAL DENTISTRY, INC.
Annual Report Filed 2022-01-04 Annual Report For PICAYUNE GENERAL DENTISTRY, INC.
Annual Report Filed 2021-01-05 Annual Report For PICAYUNE GENERAL DENTISTRY, INC.
Annual Report Filed 2020-01-07 Annual Report For PICAYUNE GENERAL DENTISTRY, INC.
Annual Report Filed 2019-01-08 Annual Report For PICAYUNE GENERAL DENTISTRY, INC.
Annual Report Filed 2018-01-03 Annual Report For PICAYUNE GENERAL DENTISTRY, INC.
Annual Report Filed 2017-01-06 Annual Report For PICAYUNE GENERAL DENTISTRY, INC.
Annual Report Filed 2016-04-11 Annual Report For PICAYUNE GENERAL DENTISTRY, INC.
Annual Report Filed 2016-01-08 Annual Report For PICAYUNE GENERAL DENTISTRY, INC.

Related by officers

Shawnassey Howell Britt

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Related by address

500 Goodyear BlvdPicayune, MS 39466

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Date of last update: 29 Dec 2024

Sources: Mississippi Secretary of State

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