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  5. Ballard Dental Group Inc

Ballard Dental Group Inc

Company Details

Name: Ballard Dental Group Inc
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 15 Dec 2005 (19 years ago)
Business ID: 883093
ZIP code: 39180
County: Warren
State of Incorporation: MISSISSIPPI
Principal Office Address: 3040 Indiana AveVicksburg, MS 39180

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BALLARD DENTAL GROUP DEFINED BENEFIT PLAN 2016 203929494 2017-10-03 BALLARD DENTAL GROUP 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-10-01
Business code 621210
Sponsor’s telephone number 6015299200
Plan sponsor’s address 441 EVANS STREET, VICKSBURG, MS, 39180

Signature of
Role Plan administrator
Date 2017-10-02
Name of individual signing PAUL BALLARD
Valid signature Filed with authorized/valid electronic signature
BALLARD DENTAL GROUP DEFINED BENEFIT PLAN 2015 203929494 2016-10-05 BALLARD DENTAL GROUP 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-10-01
Business code 621210
Sponsor’s telephone number 6015299200
Plan sponsor’s address 441 EVANS STREET, VICKSBURG, MS, 39180

Signature of
Role Plan administrator
Date 2016-10-05
Name of individual signing PAUL BALLARD
Valid signature Filed with authorized/valid electronic signature
BALLARD DENTAL GROUP DEFINED BENEFIT PLAN 2014 203929494 2015-10-14 BALLARD DENTAL GROUP 2
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2013-10-01
Business code 621210
Sponsor’s telephone number 6015299200
Plan sponsor’s address 441 EVANS STREET, VICKSBURG, MS, 39180

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing PAUL BALLARD
Valid signature Filed with authorized/valid electronic signature
BALLARD DENTAL GROUP 401K PLAN 2014 203929494 2015-07-14 BALLARD DENTAL GROUP 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6016346277
Plan sponsor’s address 3040 INDIANA AVENUE, VICKSBURG, MS, 39180

Signature of
Role Plan administrator
Date 2015-07-14
Name of individual signing PAUL E. BALLARD
Valid signature Filed with authorized/valid electronic signature
BALLARD DENTAL GROUP 401K PLAN 2013 203929494 2014-10-02 BALLARD DENTAL GROUP 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6016346277
Plan sponsor’s address 3040 INDIANA AVENUE, VICKSBURG, MS, 39180

Signature of
Role Plan administrator
Date 2014-10-02
Name of individual signing PAUL BALLARD
Valid signature Filed with authorized/valid electronic signature
BALLARD DENTAL GROUP 401K PLAN 2012 203929494 2013-05-01 BALLARD DENTAL GROUP 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6016346277
Plan sponsor’s address 3040 INDIANA AVENUE, VICKSBURG, MS, 39180

Signature of
Role Plan administrator
Date 2013-05-01
Name of individual signing PAUL BALLARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-01
Name of individual signing PAUL E BALLARD, DMD
Valid signature Filed with authorized/valid electronic signature
BALLARD DENTAL GROUP 401K PLAN 2011 203929494 2012-04-21 BALLARD DENTAL GROUP 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6016346277
Plan sponsor’s address 3040 INDIANA AVENUE, VICKSBURG, MS, 39180

Plan administrator’s name and address
Administrator’s EIN 203929494
Plan administrator’s name BALLARD DENTAL GROUP
Plan administrator’s address 3040 INDIANA AVENUE, VICKSBURG, MS, 39180
Administrator’s telephone number 6016346277

Signature of
Role Plan administrator
Date 2012-04-21
Name of individual signing PAUL BALLARD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-04-21
Name of individual signing PAUL E BALLARD, DMD
Valid signature Filed with authorized/valid electronic signature
BALLARD DENTAL GROUP 401K PLAN 2010 203929494 2011-09-23 BALLARD DENTAL GROUP 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6016346277
Plan sponsor’s address 3040 INDIANA AVENUE, VICKSBURG, MS, 39180

Plan administrator’s name and address
Administrator’s EIN 203929494
Plan administrator’s name BALLARD DENTAL GROUP
Plan administrator’s address 3040 INDIANA AVENUE, VICKSBURG, MS, 39180
Administrator’s telephone number 6016346277

Signature of
Role Plan administrator
Date 2011-09-23
Name of individual signing PAUL BALLARD
Valid signature Filed with authorized/valid electronic signature
BALLARD DENTAL GROUP 401K PLAN 2009 203929494 2010-07-18 BALLARD DENTAL GROUP 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6016346277
Plan sponsor’s address 3040 INDIANA AVENUE, VICKSBURG, MS, 39180

Plan administrator’s name and address
Administrator’s EIN 203929494
Plan administrator’s name BALLARD DENTAL GROUP
Plan administrator’s address 3040 INDIANA AVENUE, VICKSBURG, MS, 39180
Administrator’s telephone number 6016346277

Signature of
Role Plan administrator
Date 2010-06-29
Name of individual signing PAUL BALLARD
Valid signature Filed with authorized/valid electronic signature
BALLARD DENTAL GROUP 401K PLAN 2009 203929494 2010-06-30 BALLARD DENTAL GROUP 10
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621210
Sponsor’s telephone number 6016346277
Plan sponsor’s address 3040 INDIANA AVENUE, VICKSBURG, MS, 39180

Plan administrator’s name and address
Administrator’s EIN 203929494
Plan administrator’s name BALLARD DENTAL GROUP
Plan administrator’s address 3040 INDIANA AVENUE, VICKSBURG, MS, 39180
Administrator’s telephone number 6016346277

Signature of
Role Plan administrator
Date 2010-06-29
Name of individual signing PAUL BALLARD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Ballard, Paul E Agent 3040 Indiana Avenue;P O Box 821492, Vicksburg, MS 39182-1492

Incorporator

Name Role Address
Paul E Ballard Incorporator 3040 Indiana AvenueP O Box 821492, Vicksburg, MS 39182-1492

Director

Name Role Address
Paul Ballard Director 441 Evans St, Vicksburg, MS 39180

President

Name Role Address
Paul Ballard President 441 Evans St, Vicksburg, MS 39180

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2016-11-30 Admin Dissolution
Notice to Dissolve/Revoke Filed 2016-09-06 Notice to Dissolve/Revoke
Annual Report Filed 2015-10-22 Annual Report For Ballard Dental Group Inc
Notice to Dissolve/Revoke Filed 2015-09-16 Notice to Dissolve/Revoke
Annual Report Filed 2014-02-27 Annual Report
Annual Report Filed 2013-04-01 Annual Report
Annual Report Filed 2012-04-04 Annual Report
Annual Report Filed 2011-04-18 Annual Report
Annual Report Filed 2010-03-24 Annual Report
Annual Report Filed 2009-04-21 Annual Report

Related by officers

Ballard, Paul E

Indiana Avenue Properties LLC A Family Smile Center Inc. Premier Leasing of Vicksburg Inc. Omni Leasing, Inc.

Paul E Ballard

Indiana Avenue Properties LLC

Paul Ballard

Indiana Avenue Properties LLC

Related by address

3040 Indiana AveVicksburg, MS 39180

Omni Leasing, Inc.

Date of last update: 31 Dec 2024

Sources: Mississippi Secretary of State

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