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  5. L. Randy Buntyn, Jr., DMD, PLLC

L. Randy Buntyn, Jr., DMD, PLLC

Company Details

Name: L. Randy Buntyn, Jr., DMD, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 10 Sep 2007 (18 years ago)
Business ID: 918946
ZIP code: 39507
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 1423 MAGNOLIA ST, SUITE JGULFPORT, MS 39507

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
L. RANDY BUNTYN 401(K) AND PROFIT SHARING PLAN 2023 261139800 2024-03-15 L. RANDY BUNTYN JR, DMD, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2288753343
Plan sponsor’s address 1203 GOVERNMENT STREET, OCEAN SPRINGS, MS, 39564

Signature of
Role Plan administrator
Date 2024-03-15
Name of individual signing LARRY RANDY BUNTYN
Valid signature Filed with authorized/valid electronic signature
L. RANDY BUNTYN 401(K) AND PROFIT SHARING PLAN 2022 261139800 2023-08-24 L. RANDY BUNTYN JR, DMD, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2288753343
Plan sponsor’s address 1203 GOVERNMENT STREET, OCEAN SPRINGS, MS, 39564

Signature of
Role Plan administrator
Date 2023-08-24
Name of individual signing LARRY RANDY BUNTYN
Valid signature Filed with authorized/valid electronic signature
L. RANDY BUNTYN 401(K) AND PROFIT SHARING PLAN 2021 261139800 2022-09-27 L. RANDY BUNTYN JR, DMD, PLLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2288753343
Plan sponsor’s address 1203 GOVERNMENT STREET, OCEAN SPRINGS, MS, 39564

Signature of
Role Plan administrator
Date 2022-09-27
Name of individual signing LARRY RANDY BUNTYN
Valid signature Filed with authorized/valid electronic signature
L. RANDY BUNTYN 401(K) AND PROFIT SHARING PLAN 2020 261139800 2021-10-11 L. RANDY BUNTYN JR, DMD, PLLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2288753343
Plan sponsor’s address 1203 GOVERNMENT STREET, OCEAN SPRINGS, MS, 39564

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing LARRY RANDY BUNTYN
Valid signature Filed with authorized/valid electronic signature
L. RANDY BUNTYN 401(K) AND PROFIT SHARING PLAN 2019 261139800 2020-10-12 L. RANDY BUNTYN JR, DMD, PLLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2288753343
Plan sponsor’s address 1203 GOVERNMENT STREET, OCEAN SPRINGS, MS, 39564

Signature of
Role Plan administrator
Date 2020-10-12
Name of individual signing LARRY RANDY BUNTYN
Valid signature Filed with authorized/valid electronic signature
L. RANDY BUNTYN 401(K) AND PROFIT SHARING PLAN 2018 261139800 2019-10-10 L. RANDY BUNTYN JR, DMD, PLLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2288753343
Plan sponsor’s address 1203 GOVERNMENT STREET, OCEAN SPRINGS, MS, 39564

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing LARRY RANDY BUNTYN
Valid signature Filed with authorized/valid electronic signature
L. RANDY BUNTYN 401(K) AND PROFIT SHARING PLAN 2017 261139800 2018-10-14 L. RANDY BUNTYN JR, DMD, PLLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2288753343
Plan sponsor’s address 1203 GOVERNMENT STREET, OCEAN SPRINGS, MS, 39564

Signature of
Role Plan administrator
Date 2018-10-14
Name of individual signing LARRY RANDY BUNTYN
Valid signature Filed with authorized/valid electronic signature
L. RANDY BUNTYN 401(K) AND PROFIT SHARING PLAN 2016 261139800 2017-10-12 L. RANDY BUNTYN JR, DMD, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2288753343
Plan sponsor’s address 1203 GOVERNMENT STREET, OCEAN SPRINGS, MS, 39564

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing LARRY RANDY BUNTYN
Valid signature Filed with authorized/valid electronic signature
L. RANDY BUNTYN 401(K) AND PROFIT SHARING PLAN 2015 261139800 2016-10-11 L. RANDY BUNTYN JR, DMD, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2288753343
Plan sponsor’s address 1203 GOVERNMENT STREET, OCEAN SPRINGS, MS, 39564

Signature of
Role Plan administrator
Date 2016-10-11
Name of individual signing LARRY RANDY BUNTYN
Valid signature Filed with authorized/valid electronic signature
L. RANDY BUNTYN 401(K) AND PROFIT SHARING PLAN 2014 261139800 2015-08-17 L. RANDY BUNTYN JR, DMD, PLLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621210
Sponsor’s telephone number 2288753343
Plan sponsor’s address 1203 GOVERNMENT STREET, OCEAN SPRINGS, MS, 39564

Signature of
Role Plan administrator
Date 2015-08-17
Name of individual signing LARRY RANDY BUNTYN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Cogency Global Inc. Agent 248 E CAPITOL STREET, SUITE 840, JACKSON, MS 39201

Manager

Name Role Address
Kyle Hollis Manager 43 Ford Way, Richmond Hill, GA 31324

President

Name Role Address
Kyle Hollis President 43 Ford Way, Richmond Hill, GA 31324

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-30 Annual Report For L. Randy Buntyn, Jr., DMD, PLLC
Amendment Form Filed 2024-08-09 Amendment For L. Randy Buntyn, Jr., DMD, PLLC
Annual Report LLC Filed 2024-03-08 Annual Report For L. Randy Buntyn, Jr., DMD, PLLC
Annual Report LLC Filed 2023-07-24 Annual Report For L. Randy Buntyn, Jr., DMD, PLLC
Annual Report LLC Filed 2022-02-02 Annual Report For L. Randy Buntyn, Jr., DMD, PLLC
Annual Report LLC Filed 2021-04-12 Annual Report For L. Randy Buntyn, Jr., DMD, PLLC
Annual Report LLC Filed 2020-04-09 Annual Report For L. Randy Buntyn, Jr., DMD, PLLC
Annual Report LLC Filed 2019-03-29 Annual Report For L. Randy Buntyn, Jr., DMD, PLLC
Annual Report LLC Filed 2018-04-02 Annual Report For L. Randy Buntyn, Jr., DMD, PLLC
Annual Report LLC Filed 2017-03-23 Annual Report For L. Randy Buntyn, Jr., DMD, PLLC

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8755068307 2021-01-30 0470 PPS 1203 Government St, Ocean Springs, MS, 39564-3819
Loan Status Date 2021-11-06
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 89677
Loan Approval Amount (current) 89677
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Ocean Springs, JACKSON, MS, 39564-3819
Project Congressional District MS-04
Number of Employees 9
NAICS code 621210
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Veteran
Forgiveness Amount 90298.6
Forgiveness Paid Date 2021-10-20
1952427309 2020-04-28 0470 PPP 1203 Government Street,, Ocean Springs, MS, 39564
Loan Status Date 2021-05-06
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 89600
Loan Approval Amount (current) 89600
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Ocean Springs, JACKSON, MS, 39564-0002
Project Congressional District MS-04
Number of Employees 9
NAICS code 621210
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Not Hispanic or Latino
Business Type Corporation
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Male Owned
Veteran Veteran
Forgiveness Amount 90451.81
Forgiveness Paid Date 2021-04-19

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Kyle Hollis

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Date of last update: 22 Mar 2025

Sources: Mississippi Secretary of State

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