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MAIN STREET FAMILY DENTISTRY, P.A.

Company Details

Name: MAIN STREET FAMILY DENTISTRY, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 28 Jul 2000 (24 years ago)
Business ID: 744339
ZIP code: 38804
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: _627 WEST MAIN ST_TUPELO, MS 38804

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MAIN STREET FAMILY DENTISTRY, P.A. DEFINED BENEFIT PLAN 2013 640927182 2014-06-09 MAIN STREET FAMILY DENTISTRY, P.A. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6628400066
Plan sponsor’s address 627 W. MAIN STREET, TUPELO, MS, 38804
MAIN STREET FAMILY DENTISTRY, P.A. DEFINED BENEFIT PLAN 2012 640927182 2013-06-10 MAIN STREET FAMILY DENTISTRY, P.A. 9
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6628400066
Plan sponsor’s address 627 W. MAIN STREET, TUPELO, MS, 38804

Signature of

Role Plan administrator
Date 2013-06-10
Name of individual signing BRETT HILDENBRAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-10
Name of individual signing BRETT HILDENBRAND
Valid signature Filed with authorized/valid electronic signature
MAIN STREET FAMILY DENTISTRY, P.A. DEFINED BENEFIT PLAN 2012 640927182 2013-06-10 MAIN STREET FAMILY DENTISTRY, P.A. 9
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6628400066
Plan sponsor’s address 627 W. MAIN STREET, TUPELO, MS, 38804

Signature of

Role Plan administrator
Date 2013-06-10
Name of individual signing BRETT HILDENBRAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-10
Name of individual signing BRETT HILDENBRAND
Valid signature Filed with authorized/valid electronic signature
MAIN STREET FAMILY DENTISTRY, P.A. DEFINED BENEFIT PLAN 2011 640927182 2012-10-15 MAIN STREET FAMILY DENTISTRY, P.A. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6628400066
Plan sponsor’s address 627 W. MAIN STREET, TUPELO, MS, 38804

Plan administrator’s name and address

Administrator’s EIN 640927182
Plan administrator’s name MAIN STREET FAMILY DENTISTRY, P.A.
Plan administrator’s address 627 W. MAIN STREET, TUPELO, MS, 38804
Administrator’s telephone number 6628400066

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing BRETT HILDENBRAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing BRETT HILDENBRAND
Valid signature Filed with authorized/valid electronic signature
MAIN STREET FAMILY DENTISTRY, P.A. DEFINED BENEFIT PLAN 2011 640927182 2012-10-15 MAIN STREET FAMILY DENTISTRY, P.A. 6
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6628400066
Plan sponsor’s address 627 W. MAIN STREET, TUPELO, MS, 38804

Plan administrator’s name and address

Administrator’s EIN 640927182
Plan administrator’s name MAIN STREET FAMILY DENTISTRY, P.A.
Plan administrator’s address 627 W. MAIN STREET, TUPELO, MS, 38804
Administrator’s telephone number 6628400066

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing BRETT HILDENBRAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing BRETT HILDENBRAND
Valid signature Filed with authorized/valid electronic signature
MAIN STREET FAMILY DENTISTRY, P.A. DEFINED BENEFIT PLAN 2010 640927182 2012-10-15 MAIN STREET FAMILY DENTISTRY, P.A. 5
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6628400066
Plan sponsor’s address 627 W. MAIN STREET, TUPELO, MS, 38804

Plan administrator’s name and address

Administrator’s EIN 640927182
Plan administrator’s name MAIN STREET FAMILY DENTISTRY, P.A.
Plan administrator’s address 627 W. MAIN STREET, TUPELO, MS, 38804
Administrator’s telephone number 6628400066

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing BRETT HILDENBRAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing BRETT HILDENBRAND
Valid signature Filed with authorized/valid electronic signature
MAIN STREET FAMILY DENTISTRY, P.A. DEFINED BENEFIT PLAN 2009 640927182 2012-10-15 MAIN STREET FAMILY DENTISTRY, P.A. 6
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2006-01-01
Business code 621210
Sponsor’s telephone number 6628400066
Plan sponsor’s address 627 W. MAIN STREET, TUPELO, MS, 38804

Plan administrator’s name and address

Administrator’s EIN 640927182
Plan administrator’s name MAIN STREET FAMILY DENTISTRY, P.A.
Plan administrator’s address 627 W. MAIN STREET, TUPELO, MS, 38804
Administrator’s telephone number 6628400066

Signature of

Role Plan administrator
Date 2012-10-15
Name of individual signing BRETT HILDENBRAND
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing BRETT HILDENBRAND
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Hildenbrand, Brett M. Agent 627 W. Main Street, Tupelo, MS 38804

Incorporator

Name Role Address
Brett M Hildenbrand Dmd Incorporator 627 West Main St, Tupelo, MS 38804

Director

Name Role Address
Brett M Hildenbrand Dmd Director 627 West Main St, Tupelo, MS 38804

President

Name Role Address
Brett M Hildenbrand Dmd President 627 West Main St, Tupelo, MS 38804

Secretary

Name Role Address
Brett M Hildenbrand Dmd Secretary 627 West Main St, Tupelo, MS 38804

Treasurer

Name Role Address
Brett M Hildenbrand Dmd Treasurer 627 West Main St, Tupelo, MS 38804

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2024-01-05 Action of Intent to Dissolve: AR: MAIN STREET FAMILY DENTISTRY, P.A.
Notice to Dissolve/Revoke Filed 2023-09-08 Notice of Intent to Dissolve: AR: MAIN STREET FAMILY DENTISTRY, P.A.
Annual Report Filed 2022-09-26 Annual Report For MAIN STREET FAMILY DENTISTRY, P.A.
Notice to Dissolve/Revoke Filed 2022-09-05 Notice of Intent to Dissolve: AR: MAIN STREET FAMILY DENTISTRY, P.A.
Annual Report Filed 2021-09-20 Annual Report For MAIN STREET FAMILY DENTISTRY, P.A.
Notice to Dissolve/Revoke Filed 2021-09-07 Notice of Intent to Dissolve: AR: MAIN STREET FAMILY DENTISTRY, P.A.
Annual Report Filed 2020-09-22 Annual Report For MAIN STREET FAMILY DENTISTRY, P.A.
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report Filed 2019-09-03 Annual Report For MAIN STREET FAMILY DENTISTRY, P.A.
Notice to Dissolve/Revoke Filed 2019-08-22 Notice to Dissolve/Revoke

Date of last update: 07 Jan 2025

Sources: Mississippi Secretary of State