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Children's Dental Clinic, PA

Company Details

Name: Children's Dental Clinic, PA
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 26 Dec 2007 (17 years ago)
Business ID: 924448
ZIP code: 38801
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: 1555 Medical Park CircleTupelo, MS 38801
Historical names: Trice W. Sumner,. DDS, PA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CHILDREN'S DENTAL CLINIC RETIREMENT PLAN 2023 261738181 2024-09-27 CHILDREN'S DENTAL CLINIC PA 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621210
Sponsor’s telephone number 6628443315
Plan sponsor’s address 1555 MEDICAL PARK CIRCLE, TUPELO, MS, 38801

Plan administrator’s name and address

Administrator’s EIN 812035355
Plan administrator’s name TOMMY HORST
Plan administrator’s address PO BOX 24628, KNOXVILLE, TN, 37933
Administrator’s telephone number 8659661225

Signature of

Role Plan administrator
Date 2024-09-27
Name of individual signing TOMMY HORST
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Sumner, Trice W Agent 1555 Medical Park Circle, Tupelo, MS 38801

Incorporator

Name Role Address
Harry Hall Sumner Incorporator 347 North Spring Street, Tupelo, MS 38804
Trice W Sumner Incorporator 1555 Medical Park Circle, Tupelo, MS 38801

President

Name Role Address
Trice W Sumner, DDS President 1555 Medical Park Circle, Tupelo, MS 38801

Secretary

Name Role Address
Harry Hall Sumner Secretary 1555 Medical Park Circle, Tupelo, MS 38801

Treasurer

Name Role Address
Harry Hall Sumner Treasurer 1555 Medical Park Circle, Tupelo, MS 38801

Director

Name Role Address
Trice W Sumner Director 1555 Medical Park Circle, Tupelo, MS 38801

Filings

Type Status Filed Date Description
Annual Report Filed 2025-02-07 Annual Report For Children's Dental Clinic, PA
Annual Report Filed 2024-02-01 Annual Report For Children's Dental Clinic, PA
Annual Report Filed 2023-04-15 Annual Report For Children's Dental Clinic, PA
Annual Report Filed 2022-05-08 Annual Report For Children's Dental Clinic, PA
Annual Report Filed 2021-07-07 Annual Report For Children's Dental Clinic, PA
Annual Report Filed 2020-05-18 Annual Report For Children's Dental Clinic, PA
Annual Report Filed 2019-04-06 Annual Report For Children's Dental Clinic, PA
Annual Report Filed 2018-02-08 Annual Report For Children's Dental Clinic, PA
Annual Report Filed 2017-04-13 Annual Report For Children's Dental Clinic, PA
Annual Report Filed 2016-04-05 Annual Report For Children's Dental Clinic, PA

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3511247100 2020-04-11 0470 PPP 1555 MEDICAL PARK CIR, TUPELO, MS, 38801-6580
Loan Status Date 2021-05-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 115565
Loan Approval Amount (current) 115565
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39848
Servicing Lender Name Cadence Bank
Servicing Lender Address 201 S Spring St, TUPELO, MS, 38804-4811
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address TUPELO, LEE, MS, 38801-6580
Project Congressional District MS-01
Number of Employees 12
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 39848
Originating Lender Name Cadence Bank
Originating Lender Address TUPELO, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 116772.01
Forgiveness Paid Date 2021-04-29
2253958306 2021-01-20 0470 PPS 1555 Medical Park Cir, Tupelo, MS, 38801-6580
Loan Status Date 2022-02-18
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 107547.5
Loan Approval Amount (current) 107547.5
Undisbursed Amount 0
Franchise Name -
Lender Location ID 188567
Servicing Lender Name Loan Source Incorporated
Servicing Lender Address 353 East 83rd Street Suite 3H, NEW YORK, NY, 10028
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Tupelo, LEE, MS, 38801-6580
Project Congressional District MS-01
Number of Employees 11
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 39848
Originating Lender Name Cadence Bank
Originating Lender Address TUPELO, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 108484.49
Forgiveness Paid Date 2021-12-14

Date of last update: 22 Mar 2025

Sources: Mississippi Secretary of State