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  5. Family Dental Clinic of Yazoo City, LLC

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 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
Annual Report LLC Filed 2017-02-21 Annual Report For Family Dental Clinic of Yazoo City, LLC

Related by officers

No related officers

Related by address

15415 Hwy 49 SouthYazoo City, MS 39194

Emily Burton Properties, LLC

Date of last update: 03 Jan 2025

Sources: Mississippi Secretary of State

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