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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 2025-01-04 Annual Report For PICAYUNE GENERAL DENTISTRY, INC.
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.

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7072127105 2020-04-14 0470 PPP 500 GOODYEAR BLVD, PICAYUNE, MS, 39466-3217
Loan Status Date 2021-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 105000
Loan Approval Amount (current) 105000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39099
Servicing Lender Name BankPlus
Servicing Lender Address 202 E Jackson St, BELZONI, MS, 39038-3524
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address PICAYUNE, PEARL RIVER, MS, 39466-3217
Project Congressional District MS-04
Number of Employees 9
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 39099
Originating Lender Name BankPlus
Originating Lender Address BELZONI, MS
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 105732.08
Forgiveness Paid Date 2020-12-23
2660698308 2021-01-21 0470 PPS 500 Goodyear Blvd, Picayune, MS, 39466-3217
Loan Status Date 2021-09-14
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 97309.05
Loan Approval Amount (current) 97309.05
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39099
Servicing Lender Name BankPlus
Servicing Lender Address 202 E Jackson St, BELZONI, MS, 39038-3524
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Picayune, PEARL RIVER, MS, 39466-3217
Project Congressional District MS-04
Number of Employees 9
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 39099
Originating Lender Name BankPlus
Originating Lender Address BELZONI, MS
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 97836.14
Forgiveness Paid Date 2021-08-06

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Related by address

500 Goodyear BlvdPicayune, MS 39466

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Date of last update: 20 Mar 2025

Sources: Mississippi Secretary of State

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