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  5. Willis and Parker Family Dentistry, P.A.

Willis and Parker Family Dentistry, P.A.

Company Details

Name: Willis and Parker Family Dentistry, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Merged
Effective Date: 01 Dec 2005 (19 years ago)
Business ID: 882291
ZIP code: 39567
County: Jackson
State of Incorporation: MISSISSIPPI
Principal Office Address: 1226 Jackson AvenuePascagoula, MS 39567
Historical names: J. A. Willis, D.M.D. and Russell Parker, D.M.D., Family Dentistry, P.A.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WILLIS AND PARKER FAMILY DENTISTRY 401(K) RETIREMENT PLAN 2014 204929423 2015-04-22 WILLIS AND PARKER FAMILY DENTISTRY, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2287699010
Plan sponsor’s address 1226 JACKSON AVENUE, PASCAGOULA, MS, 39567

Signature of
Role Plan administrator
Date 2015-04-22
Name of individual signing RUSSELL PARKER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-04-22
Name of individual signing RUSSELL PARKER
Valid signature Filed with authorized/valid electronic signature
WILLIS AND PARKER FAMILY DENTISTRY 401(K) RETIREMENT PLAN 2013 204929423 2014-08-28 WILLIS AND PARKER FAMILY DENTISTRY, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2287699010
Plan sponsor’s address 1226 JACKSON AVENUE, PASCAGOULA, MS, 395681086

Signature of
Role Plan administrator
Date 2014-08-28
Name of individual signing RUSSELL PARKER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-08-28
Name of individual signing RUSSELL PARKER
Valid signature Filed with authorized/valid electronic signature
WILLIS AND PARKER FAMILY DENTISTRY 401(K) RETIREMENT PLAN 2011 204929423 2012-07-24 WILLIS AND PARKER FAMILY DENTISTRY, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2287699010
Plan sponsor’s address 1226 JACKSON AVENUE, PASCAGOULA, MS, 39567

Plan administrator’s name and address
Administrator’s EIN 204929423
Plan administrator’s name WILLIS AND PARKER FAMILY DENTISTRY, P.A.
Plan administrator’s address 1226 JACKSON AVENUE, PASCAGOULA, MS, 39567
Administrator’s telephone number 2287699010

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing JULIUS WILLIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-24
Name of individual signing JULIUS WILLIS
Valid signature Filed with authorized/valid electronic signature
WILLIS AND PARKER FAMILY DENTISTRY 401(K) RETIREMENT PLAN 2010 204929423 2011-06-23 WILLIS AND PARKER FAMILY DENTISTRY, P.A. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2287699010
Plan sponsor’s address 1226 JACKSON AVENUE, PASCAGOULA, MS, 395681086

Plan administrator’s name and address
Administrator’s EIN 204929423
Plan administrator’s name WILLIS AND PARKER FAMILY DENTISTRY, P.A.
Plan administrator’s address 1226 JACKSON AVENUE, PASCAGOULA, MS, 395681086
Administrator’s telephone number 2287699010

Signature of
Role Plan administrator
Date 2011-06-23
Name of individual signing JULIUS WILLIS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-06-23
Name of individual signing JULIUS WILLIS
Valid signature Filed with authorized/valid electronic signature
WILLIS AND PARKER FAMILY DENTISTRY 401(K) RETIREMENT PLAN 2010 204929423 2011-06-22 WILLIS AND PARKER FAMILY DENTISTRY, P.A. 16
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2287699010
Plan sponsor’s address 1226 JACKSON AVENUE, PASCAGOULA, MS, 39567

Plan administrator’s name and address
Administrator’s EIN 204929423
Plan administrator’s name WILLIS AND PARKER FAMILY DENTISTRY, P.A.
Plan administrator’s address 1226 JACKSON AVENUE, PASCAGOULA, MS, 39567
Administrator’s telephone number 2287699010

Signature of
Role Plan administrator
Date 2011-06-22
Name of individual signing JULIUS WILLIS
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-06-22
Name of individual signing JULIUS WILLIS
Valid signature Filed with incorrect/unrecognized electronic signature
WILLIS AND PARKER FAMILY DENTISTRY 401(K) RETIREMENT PLAN 2009 204929423 2010-09-23 WILLIS AND PARKER FAMILY DENTISTRY, P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621210
Sponsor’s telephone number 2287699010
Plan sponsor’s address 1226 JACKSON AVENUE, PASCAGOULA, MS, 39567

Plan administrator’s name and address
Administrator’s EIN 204929423
Plan administrator’s name WILLIS AND PARKER FAMILY DENTISTRY, P.A.
Plan administrator’s address 1226 JACKSON AVENUE, PASCAGOULA, MS, 39567
Administrator’s telephone number 2287699010

Signature of
Role Plan administrator
Date 2010-09-22
Name of individual signing JULIUS A. WILLIS, D.M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
JOHN A BANAHAN Agent 1103 JACKSON AVENUE, P O BOX 1529, PASCAGOULA, MS 39567

Incorporator

Name Role Address
Banahan, John A Incorporator 1103 Jackson Avenue, P O Box 1529, Pascagoula, MS 39567
Johnson, Melinda O Incorporator 1103 Jackson Avenue, P O Box 1529, Pascagoula, MS 39567

Director

Name Role Address
Russell Parker, Dmd Director 1226 Jackson AvenuePo Box 1086, Pascagoula, MS 39567

President

Name Role Address
Russell Parker, Dmd President 1226 Jackson AvenuePo Box 1086, Pascagoula, MS 39567

Filings

Type Status Filed Date Description
Merger Filed 2015-09-09 Merger For Russell C. Parker, D.M.D., P.A.
Annual Report Filed 2014-01-26 Annual Report
Annual Report Filed 2013-03-20 Annual Report
Annual Report Filed 2012-07-28 Annual Report
Annual Report Filed 2011-07-12 Annual Report
Annual Report Filed 2011-06-20 Annual Report
Problem Report Filed 2011-04-18 Problem Report
Annual Report Filed 2010-03-16 Annual Report
Annual Report Filed 2009-07-23 Annual Report
Annual Report Filed 2008-07-14 Annual Report

Related by officers

JOHN A BANAHAN

BRUMFIELD MARKETING CORPORATION UNIVERSAL CONTRACTING, INC. MISSISSIPPI OFFSHORE EMPLOYMENT AGENCY, INC. GENIE FISH COMPANY, INC. TECHNICAL MARINE SERVICES, INC. HOMEPORT SERVICES, INC. KOAST KARATE KLUB, INC. GAUTIER PRIDE, INC. JACKSON COUNTY ECONOMIC DEVELOPMENT FOUNDATION, INC. M. D. REAL ESTATE LIMITED PARTNERSHIP

Banahan, John A

Willis & Associates, LLC

Johnson, Melinda O

PRP, INC. PRP OF MISSISSIPPI, INC. Melinda O Johnson, PLLC

Related by address

1226 Jackson AvenuePascagoula, MS 39567

Jessica B. Taylor, D.M.D., P.C.

Date of last update: 31 Dec 2024

Sources: Mississippi Secretary of State

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