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Family Dental Clinic of Yazoo City, LLC

Company Details

Name: Family Dental Clinic of Yazoo City, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 29 Apr 2011 (14 years ago)
Business ID: 931313
ZIP code: 39194
County: Yazoo
State of Incorporation: MISSISSIPPI
Principal Office Address: 15415 Hwy 49 SouthYazoo City, MS 39194

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY DENTAL CLINIC 401(K) SALARY SAVINGS PLAN 2023 262432699 2024-09-25 FAMILY DENTAL CLINIC OF YAZOO CITY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 6627466433
Plan sponsor’s address 15415 HIGHWAY 49 SOUTH, YAZOO CITY, MS, 39194
FAMILY DENTAL CLINIC 401(K) SALARY SAVINGS PLAN 2022 262432699 2023-07-05 FAMILY DENTAL CLINIC OF YAZOO CITY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 6627466433
Plan sponsor’s address 15415 HIGHWAY 49 SOUTH, YAZOO CITY, MS, 39194
FAMILY DENTAL CLINIC 401(K) SALARY SAVINGS PLAN 2021 262432699 2022-10-11 FAMILY DENTAL CLINIC OF YAZOO CITY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 6627466433
Plan sponsor’s address 15415 HIGHWAY 49 SOUTH, YAZOO CITY, MS, 39194
FAMILY DENTAL CLINIC 401(K) SALARY SAVINGS PLAN 2020 262432699 2021-09-29 FAMILY DENTAL CLINIC OF YAZOO CITY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 6627466433
Plan sponsor’s address 15415 HIGHWAY 49 SOUTH, YAZOO CITY, MS, 39194

Signature of

Role Plan administrator
Date 2021-09-29
Name of individual signing EMILY BURTON, DMD
Valid signature Filed with authorized/valid electronic signature
FAMILY DENTAL CLINIC 401(K) SALARY SAVINGS PLAN 2019 262432699 2020-07-22 FAMILY DENTAL CLINIC OF YAZOO CITY, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 6627466433
Plan sponsor’s address 15415 HIGHWAY 49 SOUTH, YAZOO CITY, MS, 39194

Signature of

Role Plan administrator
Date 2020-07-22
Name of individual signing EMILY BURTON, DMD
Valid signature Filed with authorized/valid electronic signature
FAMILY DENTAL CLINIC 401(K) SALARY SAVINGS PLAN 2018 262432699 2019-10-07 FAMILY DENTAL CLINIC OF YAZOO CITY, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 6627466433
Plan sponsor’s address 15415 HIGHWAY 49, YAZOO CITY, MS, 39194

Signature of

Role Plan administrator
Date 2019-10-07
Name of individual signing EMILY BURTON, DMD
Valid signature Filed with authorized/valid electronic signature
FAMILY DENTAL CLINIC 401(K) SALARY SAVINGS PLAN 2017 262432699 2018-10-08 FAMILY DENTAL CLINIC OF YAZOO CITY, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 6627466433
Plan sponsor’s address 15415 HIGHWAY 49 SOUTH, YAZOO CITY, MS, 39194

Signature of

Role Plan administrator
Date 2018-10-08
Name of individual signing EMILY BURTON, DMD
Valid signature Filed with authorized/valid electronic signature
FAMILY DENTAL CLINIC 401K SALARY SAVINGS PLAN 2016 262432699 2017-03-21 FAMILY DENTAL CLINIC OF YAZOO CITY, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 6627466433
Plan sponsor’s address P. O. BOX 1319, YAZOO CITY, MS, 39194

Signature of

Role Plan administrator
Date 2017-03-21
Name of individual signing EMILY BURTON, DMD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-03-21
Name of individual signing EMILY BURTON, DMD
Valid signature Filed with authorized/valid electronic signature
FAMILY DENTAL CLINIC 401K SALARY SAVINGS PLAN 2015 262432699 2016-05-06 FAMILY DENTAL CLINIC OF YAZOO CITY, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 6627466433
Plan sponsor’s address P. O. BOX 1319, YAZOO CITY, MS, 39194

Signature of

Role Plan administrator
Date 2016-05-06
Name of individual signing EMILY BURTON, MD
Valid signature Filed with authorized/valid electronic signature
FAMILY DENTAL CLINIC 401K SALARY SAVINGS PLAN 2014 262432699 2015-04-28 FAMILY DENTAL CLINIC OF YAZOO CITY, LLC 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 6627466433
Plan sponsor’s address P. O. BOX 1319, YAZOO CITY, MS, 39194

Signature of

Role Plan administrator
Date 2015-04-28
Name of individual signing EMILY BURTON, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/04/01/20140401135600P030094094933001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 6627466433
Plan sponsor’s address P. O. BOX 1319, YAZOO CITY, MS, 39194

Signature of

Role Plan administrator
Date 2014-04-01
Name of individual signing EMILY BURTON, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/05/20130405143731P040160990899001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 6627466433
Plan sponsor’s address P. O. BOX 1319, YAZOO CITY, MS, 39194

Signature of

Role Plan administrator
Date 2013-04-05
Name of individual signing EMILY BURTON, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/05/20120605103422P040093146608001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 6627466433
Plan sponsor’s address P. O. BOX 1319, YAZOO CITY, MS, 39194

Plan administrator’s name and address

Administrator’s EIN 262432699
Plan administrator’s name FAMILY DENTAL CLINIC OF YAZOO CITY, LLC
Plan administrator’s address P. O. BOX 1319, YAZOO CITY, MS, 39194
Administrator’s telephone number 6627466433

Signature of

Role Plan administrator
Date 2012-05-29
Name of individual signing EMILY BURTON, MD
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/20/20110520112637P030010338198001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621210
Sponsor’s telephone number 6627466433
Plan sponsor’s address 15415 HWY 49 SOUTH, YAZOO CITY, MS, 39194

Plan administrator’s name and address

Administrator’s EIN 262432699
Plan administrator’s name FAMILY DENTAL CLINIC OF YAZOO CITY, LLC
Plan administrator’s address 15415 HWY 49 SOUTH, YAZOO CITY, MS, 39194
Administrator’s telephone number 6627466433

Signature of

Role Plan administrator
Date 2011-05-20
Name of individual signing EMILY BURTON, DMD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Burton, Emily G Agent 15415 Hwy 49 South;PO Box 1319, Yazoo City, MS 39194

Member

Name Role Address
Emily G Burton Member 15415 HWY 49 SOUTHPO BOX 1319, YAZOO CITY, MS 39194

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-06 Annual Report For Family Dental Clinic of Yazoo City, LLC
Annual Report LLC Filed 2024-01-04 Annual Report For Family Dental Clinic of Yazoo City, LLC
Annual Report LLC Filed 2023-01-11 Annual Report For Family Dental Clinic of Yazoo City, LLC
Annual Report LLC Filed 2022-02-03 Annual Report For Family Dental Clinic of Yazoo City, LLC
Annual Report LLC Filed 2021-09-14 Annual Report For Family Dental Clinic of Yazoo City, LLC
Notice to Dissolve/Revoke Filed 2021-09-07 Notice of Intent to Dissolve: AR: Family Dental Clinic of Yazoo City, LLC
Annual Report LLC Filed 2020-01-29 Annual Report For Family Dental Clinic of Yazoo City, LLC
Annual Report LLC Filed 2019-05-23 Annual Report For Family Dental Clinic of Yazoo City, LLC
Annual Report LLC Filed 2018-02-22 Annual Report For Family Dental Clinic of Yazoo City, LLC
Annual Report LLC Filed 2018-02-15 Annual Report For Family Dental Clinic of Yazoo City, LLC

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1053267207 2020-04-15 0470 PPP 15415 Highway 49 South, YAZOO CITY, MS, 39194
Loan Status Date 2021-02-05
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 51625.97
Loan Approval Amount (current) 51625.97
Undisbursed Amount 0
Franchise Name -
Lender Location ID 40078
Servicing Lender Name Bank of Yazoo City
Servicing Lender Address 104 N Main St, YAZOO CITY, MS, 39194-4209
Rural or Urban Indicator R
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address YAZOO CITY, YAZOO, MS, 39194-0001
Project Congressional District MS-02
Number of Employees 1
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 40078
Originating Lender Name Bank of Yazoo City
Originating Lender Address YAZOO CITY, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 51994.52
Forgiveness Paid Date 2021-01-07
4005288306 2021-01-22 0470 PPS 15415 HWY 49 S, Yazoo City, MS, 39194
Loan Status Date 2021-11-17
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 51625.97
Loan Approval Amount (current) 51625.97
Undisbursed Amount 0
Franchise Name -
Lender Location ID 40078
Servicing Lender Name Bank of Yazoo City
Servicing Lender Address 104 N Main St, YAZOO CITY, MS, 39194-4209
Rural or Urban Indicator R
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Yazoo City, YAZOO, MS, 39194
Project Congressional District MS-02
Number of Employees 4
NAICS code 621210
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 40078
Originating Lender Name Bank of Yazoo City
Originating Lender Address YAZOO CITY, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 52007.43
Forgiveness Paid Date 2021-10-19

Date of last update: 22 Mar 2025

Sources: Mississippi Secretary of State