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Nathan K. Beavers, D.M.D., PLLC

Company Details

Name: Nathan K. Beavers, D.M.D., PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 01 Jun 2006 (19 years ago)
Business ID: 893127
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 312 Fountains DriveMADISON, MS 39110

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BEAVERS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2023 205220169 2024-10-02 NATHAN K. BEAVERS, D.M.D., PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6018565313
Plan sponsor’s address 312 FOUNTAINS DRIVE, MADISON, MS, 39110
BEAVERS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2022 205220169 2023-09-11 NATHAN K. BEAVERS, D.M.D., PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6018565313
Plan sponsor’s address 119 COLONY CROSSING, SUITE 740, MADISON, MS, 39110
BEAVERS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2021 205220169 2022-09-30 NATHAN K. BEAVERS, D.M.D., PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6018565313
Plan sponsor’s address 119 COLONY CROSSING, SUITE 740, MADISON, MS, 39110
BEAVERS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2020 205220169 2021-09-29 NATHAN K. BEAVERS, D.M.D., PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6018565313
Plan sponsor’s address 119 COLONY CROSSING, SUITE 740, MADISON, MS, 39110
BEAVERS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2019 205220169 2020-09-16 NATHAN K. BEAVERS, D.M.D., PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6018565313
Plan sponsor’s address 119 COLONY CROSSING, SUITE 740, MADISON, MS, 39110
BEAVERS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2018 205220169 2019-09-23 NATHAN K. BEAVERS, D.M.D., PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6018565313
Plan sponsor’s address 119 COLONY CROSSING, SUITE 740, MADISON, MS, 39110
BEAVERS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2017 205220169 2018-09-17 NATHAN K. BEAVERS, D.M.D., PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6018565313
Plan sponsor’s address 119 COLONY CROSSING, SUITE 740, MADISON, MS, 39110
BEAVERS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2016 205220169 2017-07-05 NATHAN K. BEAVERS, D.M.D., PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6018565313
Plan sponsor’s address 119 COLONY CROSSING, SUITE 740, MADISON, MS, 39110

Signature of

Role Plan administrator
Date 2017-07-05
Name of individual signing NATHAN K. BEAVERS, D.M.D.
Valid signature Filed with authorized/valid electronic signature
BEAVERS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2015 205220169 2016-08-22 NATHAN K. BEAVERS, D.M.D., PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6018565313
Plan sponsor’s address 119 COLONY CROSSING, SUITE 740, MADISON, MS, 39110

Signature of

Role Plan administrator
Date 2016-08-22
Name of individual signing NATHAN K. BEAVERS, D.M.D.
Valid signature Filed with authorized/valid electronic signature
BEAVERS PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST 2014 205220169 2015-10-11 NATHAN K. BEAVERS, D.M.D., PLLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 6018565313
Plan sponsor’s address 119 COLONY CROSSING, SUITE 740, MADISON, MS, 39110

Signature of

Role Plan administrator
Date 2015-10-11
Name of individual signing NATHAN K. BEAVERS, D.M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Simpkins, Monty Agent 240 Trace Colony Park Dr., Ste 200, Ridgeland, MS 39157

Member

Name Role Address
Nathan K Beavers Member 312 Fountains Drive, MADISON, MS 39110
Monty Simpkins Member P.O. Box 670, Madison, MS 39110

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-03-18 Annual Report For Nathan K. Beavers, D.M.D., PLLC
Amendment Form Filed 2023-09-15 Amendment For Nathan K. Beavers, D.M.D., PLLC
Annual Report LLC Filed 2023-03-10 Annual Report For Nathan K. Beavers, D.M.D., PLLC
Annual Report LLC Filed 2022-04-07 Annual Report For Nathan K. Beavers, D.M.D., PLLC
Annual Report LLC Filed 2021-08-20 Annual Report For Nathan K. Beavers, D.M.D., PLLC
Annual Report LLC Filed 2020-09-11 Annual Report For Nathan K. Beavers, D.M.D., PLLC
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report LLC Filed 2019-03-26 Annual Report For Nathan K. Beavers, D.M.D., PLLC
Annual Report LLC Filed 2018-04-17 Annual Report For Nathan K. Beavers, D.M.D., PLLC
Annual Report LLC Filed 2017-10-02 Annual Report For Nathan K. Beavers, D.M.D., PLLC

Date of last update: 31 Dec 2024

Sources: Mississippi Secretary of State