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  5. Hattiesburg Family Dental Care, PLLC

Hattiesburg Family Dental Care, PLLC

Company Details

Name: Hattiesburg Family Dental Care, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 04 Nov 2005 (19 years ago)
Business ID: 881033
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 6142 U.S. Highway 98, Suite 10Hattiesburg, MS 39402
Historical names: Hattiesburg Family Dental Clinic, PLLC
Hattiesburg Family Dental Clinic, LLC

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HATTIESBURG FAMILY DENTAL CARE 2023 203881046 2024-07-29 HATTIESBURG FAMILY DENTAL CARE 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6014501123
Plan sponsor’s address 6142 US 98 #10, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2024-07-29
Name of individual signing LANA J. CLARKE
Valid signature Filed with authorized/valid electronic signature
HATTIESBURG FAMILY DENTAL CARE 2022 203881046 2023-07-31 HATTIESBURG FAMILY DENTAL CARE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6014501123
Plan sponsor’s address 6142 US 98 #10, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2023-07-31
Name of individual signing LANA J. CLARKE
Valid signature Filed with authorized/valid electronic signature
HATTIESBURG FAMILY DENTAL CARE 2021 203881046 2022-07-06 HATTIESBURG FAMILY DENTAL CARE 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6014501123
Plan sponsor’s address 6142 US 98 #10, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2022-07-06
Name of individual signing LANA J. CLARKE
Valid signature Filed with authorized/valid electronic signature
HATTIESBURG FAMILY DENTAL CARE 2020 203881046 2021-07-16 HATTIESBURG FAMILY DENTAL CARE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6014501123
Plan sponsor’s address 6142 US 98 #10, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2021-07-16
Name of individual signing LANA J. CLARKE
Valid signature Filed with authorized/valid electronic signature
HATTIESBURG FAMILY DENTAL CARE 2019 203881046 2020-07-30 HATTIESBURG FAMILY DENTAL CARE 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6014501123
Plan sponsor’s address 6142 US 98 #10, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2020-07-30
Name of individual signing LANA J. CLARKE
Valid signature Filed with authorized/valid electronic signature
HATTIESBURG FAMILY DENTAL CARE 2018 203881046 2019-06-18 HATTIESBURG FAMILY DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6014501123
Plan sponsor’s address 6142 US 98 #10, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2019-06-18
Name of individual signing LANA J. CLARKE
Valid signature Filed with authorized/valid electronic signature
HATTIESBURG FAMILY DENTAL CARE 2017 203881046 2018-06-30 HATTIESBURG FAMILY DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6014501123
Plan sponsor’s address 6142 US 98 #10, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2018-06-30
Name of individual signing LANA J. CLARKE
Valid signature Filed with authorized/valid electronic signature
HATTIESBURG FAMILY DENTAL CARE 2016 203881046 2017-02-07 HATTIESBURG FAMILY DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6014501123
Plan sponsor’s address 6142 US 98 #10, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2017-02-07
Name of individual signing LANA J. CLARKE
Valid signature Filed with authorized/valid electronic signature
HATTIESBURG FAMILY DENTAL CARE 2015 203881046 2016-09-07 HATTIESBURG FAMILY DENTAL CARE 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621210
Sponsor’s telephone number 6014501123
Plan sponsor’s address 6142 US 98 #10, HATTIESBURG, MS, 39402

Agent

Name Role Address
Clarke, Lana J Agent 67 W. Lake Rd., Hattiesburg, MS 39402

Manager

Name Role Address
Lana J Clarke Manager 175 West Canebrake Boulevard, HATTIESBURG, MS 39402

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-01-15 Annual Report For Hattiesburg Family Dental Care, PLLC
Annual Report LLC Filed 2023-01-17 Annual Report For Hattiesburg Family Dental Care, PLLC
Annual Report LLC Filed 2022-01-25 Annual Report For Hattiesburg Family Dental Care, PLLC
Annual Report LLC Filed 2021-01-26 Annual Report For Hattiesburg Family Dental Care, PLLC
Annual Report LLC Filed 2020-06-05 Annual Report For Hattiesburg Family Dental Care, PLLC
Annual Report LLC Filed 2019-01-17 Annual Report For Hattiesburg Family Dental Care, PLLC
Annual Report LLC Filed 2018-01-23 Annual Report For Hattiesburg Family Dental Care, PLLC
Annual Report LLC Filed 2017-01-18 Annual Report For Hattiesburg Family Dental Care, PLLC
Annual Report LLC Filed 2016-01-19 Annual Report For Hattiesburg Family Dental Care, PLLC
Amendment Form Filed 2015-06-24 Amendment For Hattiesburg Family Dental Clinic, PLLC

Related by officers

Clarke, Lana J

L & L Properties of Hattiesburg, LLC

Related by address

No related companies by address

Date of last update: 31 Dec 2024

Sources: Mississippi Secretary of State

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