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  5. Susanne Reynolds Moore, D.M.D, PLLC

Susanne Reynolds Moore, D.M.D, PLLC

Company Details

Name: Susanne Reynolds Moore, D.M.D, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 24 Feb 2005 (20 years ago)
Business ID: 868363
ZIP code: 39047
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 5403 Castlewood Cr Suite DBrandon, MS 39047

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUSANNE REYNOLDS MOORE, D.M.D., PLLC SAFE HARBOR 401(K) PROFIT SHARING PLAN 2016 202341888 2017-10-13 SUSANNE REYNOLDS MOORE, D.M.D., PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-03-01
Business code 621210
Sponsor’s telephone number 6019927972
Plan sponsor’s address P.O. BOX 4053, 1149 OLD FANIN ROAD, SUITE 26, BRANDON, MS, 39047

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-13
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature
SUSANNE REYNOLDS MOORE, D.M.D., PLLC SAFE HARBOR 401(K) PROFIT SHARING PLAN 2015 202341888 2016-10-10 SUSANNE REYNOLDS MOORE, D.M.D., PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-03-01
Business code 621210
Sponsor’s telephone number 6019927972
Plan sponsor’s address P.O. BOX 4053, 1149 OLD FANIN ROAD, SUITE 26, BRANDON, MS, 39047

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-10
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature
SUSANNE REYNOLDS MOORE, D.M.D., PLLC SAFE HARBOR 401(K) PROFIT SHARING PLAN 2014 202341888 2016-10-10 SUSANNE REYNOLDS MOORE, D.M.D., PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-03-01
Business code 621210
Sponsor’s telephone number 6019927972
Plan sponsor’s address P.O. BOX 4053, 1149 OLD FANIN ROAD, SUITE 26, BRANDON, MS, 39047

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-10
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature
SUSANNE REYNOLDS MOORE, D.M.D., PLLC SAFE HARBOR 401(K) PROFIT SHARING PLAN 2014 203679777 2015-10-05 SUSANNE REYNOLDS MOORE, D.M.D., PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-03-01
Business code 621210
Sponsor’s telephone number 6019927972
Plan sponsor’s address P.O. BOX 4053, 1149 OLD FANIN ROAD, SUITE 26, BRANDON, MS, 39047

Signature of
Role Plan administrator
Date 2015-10-05
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-05
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature
SUSANNE REYNOLDS MOORE, D.M.D., PLLC SAFE HARBOR 401(K) PROFIT SHARING PLAN 2013 202341888 2016-10-10 SUSANNE REYNOLDS MOORE, D.M.D., PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-03-01
Business code 621210
Sponsor’s telephone number 6019927972
Plan sponsor’s address P.O. BOX 4053, 1149 OLD FANIN ROAD, SUITE 26, BRANDON, MS, 39047

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-10
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature
SUSANNE REYNOLDS MOORE, D.M.D., PLLC SAFE HARBOR 401(K) PROFIT SHARING PLAN 2013 203679777 2014-04-18 SUSANNE REYNOLDS MOORE, D.M.D., PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-03-01
Business code 621210
Sponsor’s telephone number 6019927972
Plan sponsor’s address P.O. BOX 4053, 1149 OLD FANIN ROAD, SUITE 26, BRANDON, MS, 39047

Signature of
Role Plan administrator
Date 2014-04-18
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-04-18
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature
SUSANNE REYNOLDS MOORE, D.M.D., PLLC SAFE HARBOR 401(K) PROFIT SHARING PLAN 2012 202341888 2013-07-24 SUSANNE REYNOLDS MOORE, D.M.D., PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-03-01
Business code 621210
Sponsor’s telephone number 6019927972
Plan sponsor’s address P.O. BOX 4053, 1149 OLD FANIN ROAD, SUITE 26, BRANDON, MS, 39047

Signature of
Role Plan administrator
Date 2013-07-24
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-24
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature
SUSANNE REYNOLDS MOORE, D.M.D., PLLC SAFE HARBOR 401(K) PROFIT SHARING PLAN 2011 202341888 2012-10-11 SUSANNE REYNOLDS MOORE, D.M.D., PLLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-03-01
Business code 621210
Sponsor’s telephone number 6019927972
Plan sponsor’s address P.O. BOX 4053, 1149 OLD FANIN ROAD, SUITE 26, BRANDON, MS, 39047

Plan administrator’s name and address
Administrator’s EIN 202341888
Plan administrator’s name SUSANNE REYNOLDS MOORE, D.M.D., PLLC
Plan administrator’s address P.O. BOX 4053, 1149 OLD FANIN ROAD, SUITE 26, BRANDON, MS, 39047
Administrator’s telephone number 6019927972

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-11
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature
SUSANNE REYNOLDS MOORE, D.M.D., PLLC SAFE HARBOR 401(K) PROFIT SHARING PLAN 2010 202341888 2011-10-11 SUSANNE REYNOLDS MOORE, D.M.D., PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-03-01
Business code 621210
Sponsor’s telephone number 6019927972
Plan sponsor’s address P.O. BOX 4053, 1149 OLD FANIN ROAD, SUITE 26, BRANDON, MS, 39047

Plan administrator’s name and address
Administrator’s EIN 202341888
Plan administrator’s name SUSANNE REYNOLDS MOORE, D.M.D., PLLC
Plan administrator’s address P.O. BOX 4053, 1149 OLD FANIN ROAD, SUITE 26, BRANDON, MS, 39047
Administrator’s telephone number 6019927972

Signature of
Role Plan administrator
Date 2011-10-11
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-11
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature
SUSANNE REYNOLDS MOORE, D.M.D., PLLC SAFE HARBOR 401(K) PROFIT SHARING PLAN 2009 202341888 2010-10-08 SUSANNE REYNOLDS MOORE, D.M.D., PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-03-01
Business code 621210
Sponsor’s telephone number 6019927972
Plan sponsor’s address P.O. BOX 4053, 1149 OLD FANIN ROAD, SUITE 26, BRANDON, MS, 39047

Plan administrator’s name and address
Administrator’s EIN 202341888
Plan administrator’s name SUSANNE REYNOLDS MOORE, D.M.D., PLLC
Plan administrator’s address P.O. BOX 4053, 1149 OLD FANIN ROAD, SUITE 26, BRANDON, MS, 39047
Administrator’s telephone number 6019927972

Signature of
Role Plan administrator
Date 2010-10-08
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-10-08
Name of individual signing SUSANNE MOORE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Moore, Susanne Reynolds Agent 5403 Castlewoods Ct Suite D;PO Box 5098, Brandon, MS 39047

Member

Name Role Address
Susanne Moore Member 1149 OLD CANTON ROAD, SUITE 26, BRANDON, MS 39047
Susanne Reynolds Moore Member 5403 Castlewoods Ct Suite DPO Box 5098, Brandon, MS 39047

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2018-12-10 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Annual Report LLC Filed 2017-03-31 Annual Report For Susanne Reynolds Moore, D.M.D, PLLC
Annual Report LLC Filed 2016-04-07 Annual Report For Susanne Reynolds Moore, D.M.D, PLLC
Annual Report LLC Filed 2015-04-15 Annual Report For Susanne Reynolds Moore, D.M.D, PLLC
Annual Report LLC Filed 2014-01-15 Annual Report LLC
Annual Report LLC Filed 2013-01-31 Annual Report LLC
Annual Report LLC Filed 2012-03-20 Annual Report LLC
Annual Report LLC Filed 2011-05-12 Annual Report LLC
Formation Form Filed 2005-02-24 Formation

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 09 Jan 2025

Sources: Mississippi Secretary of State

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