Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Lamar
    4. ›
  4. 39402
    5. ›
  5. GREEN EYE, P.A.

GREEN EYE, P.A.

Company Details

Name: GREEN EYE, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 31 Dec 1971 (53 years ago)
Business ID: 585048
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 1420 S 28th AveHattiesburg, MS 39402
Fictitious names: Midtown Optical at Green Eye
Historical names: GREEN EYE INSTITUTE, P.A.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GREEN EYE INSTITUTE, P. A. PROFIT SHARING AND 401(K) PLAN 2020 640511473 2021-12-01 GREEN EYE INSTITUTE, P.A. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 621111
Sponsor’s telephone number 6012685144
Plan sponsor’s address 2901 ARLINGTON LOOP, HATTIESBURG, MS, 39401

Signature of
Role Plan administrator
Date 2021-12-01
Name of individual signing DEBRA HUNT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-12-01
Name of individual signing DEBRA HUNT
Valid signature Filed with authorized/valid electronic signature
GREEN EYE INSTITUTE, P.A. PROFIT SHARING AND 401(K) PLAN 2020 640511473 2021-06-29 GREEN EYE INSTITUTE, P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 621111
Sponsor’s telephone number 6012685144
Plan sponsor’s address 102 E HOSPITAL DRIVE, HATTIESBURG, MS, 39402

Signature of
Role Plan administrator
Date 2021-06-29
Name of individual signing DEBRA HUNT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-29
Name of individual signing DEBRA HUNT
Valid signature Filed with authorized/valid electronic signature
GREEN EYE INSTITUTE, P.A. PROFIT SHARING AND 401(K) PLAN 2019 640511473 2020-06-30 GREEN EYE INSTITUTE, P.A. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 621111
Sponsor’s telephone number 6012685144
Plan sponsor’s address 102 E HOSPITAL DRIVE, HATTIESBURG, MS, 39401

Signature of
Role Plan administrator
Date 2020-06-30
Name of individual signing DEBRA HUNT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-06-30
Name of individual signing DEBRA HUNT
Valid signature Filed with authorized/valid electronic signature
GREEN EYE INSTITUTE, P.A. PROFIT SHARING AND 401(K) PLAN 2018 640511473 2019-07-31 GREEN EYE INSTITUTE, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 621111
Sponsor’s telephone number 6012685144
Plan sponsor’s address 102 E HOSPITAL DRIVE, HATTIESBURG, MS, 39401

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing JOHN PETRO
Valid signature Filed with authorized/valid electronic signature
GREEN EYE INSTITUTE, P.A. PROFIT SHARING AND 401(K) PLAN 2017 640511473 2018-05-24 GREEN EYE INSTITUTE, P.A. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 621111
Sponsor’s telephone number 6012685144
Plan sponsor’s address 102 E HOSPITAL DRIVE, HATTIESBURG, MS, 39401

Signature of
Role Plan administrator
Date 2018-05-24
Name of individual signing JOHN PETRO
Valid signature Filed with authorized/valid electronic signature
GREEN EYE INSTITUTE, P.A. PROFIT SHARING AND 401(K) PLAN 2016 640511473 2017-05-16 GREEN EYE INSTITUTE, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 621111
Sponsor’s telephone number 6012685144
Plan sponsor’s address 102 HOSPITAL DRIVE, HATTIESBURG, MS, 39401

Signature of
Role Plan administrator
Date 2017-05-16
Name of individual signing JOHN PETRO
Valid signature Filed with authorized/valid electronic signature
GREEN EYE INSTITUTE, P.A. PROFIT SHARING AND 401(K) PLAN 2015 640511473 2016-06-07 GREEN EYE INSTITUTE, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 621111
Sponsor’s telephone number 6012685144
Plan sponsor’s address 102 HOSPITAL DRIVE, HATTIESBURG, MS, 39401

Signature of
Role Plan administrator
Date 2016-06-07
Name of individual signing JOHN PETRO
Valid signature Filed with authorized/valid electronic signature
GREEN EYE INSTITUTE, P.A. PROFIT SHARING AND 401(K) PLAN 2014 640511473 2015-06-24 GREEN EYE INSTITUTE, P.A. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 621111
Sponsor’s telephone number 6012685144
Plan sponsor’s address 102 HOSPITAL DRIVE, HATTIESBURG, MS, 39401

Signature of
Role Plan administrator
Date 2015-06-24
Name of individual signing JOHN PETRO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-24
Name of individual signing JOHN PETRO
Valid signature Filed with authorized/valid electronic signature
GREEN EYE INSTITUTE, P.A. PROFIT SHARING AND 401(K) PLAN 2013 640511473 2014-07-22 GREEN EYE INSTITUTE, P.A. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 621111
Sponsor’s telephone number 6012685144
Plan sponsor’s address 102 HOSPITAL DRIVE, HATTIESBURG, MS, 39401

Signature of
Role Plan administrator
Date 2014-07-22
Name of individual signing JOHN PETRO
Valid signature Filed with authorized/valid electronic signature
GREEN EYE INSTITUTE, P. A. PROFIT SHARING AND 401K PLAN 2012 640511473 2013-06-26 GREEN EYE INSTITUTE, P. A. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 621111
Sponsor’s telephone number 6012685144
Plan sponsor’s address 102 HOSPITAL DRIVE, HATTIESBURG, MS, 39401

Plan administrator’s name and address
Administrator’s EIN 640511473
Plan administrator’s name GREEN EYE INSTITUTE, P. A.
Plan administrator’s address 102 HOSPITAL DRIVE, HATTIESBURG, MS, 39401
Administrator’s telephone number 6012685144

Signature of
Role Plan administrator
Date 2013-06-26
Name of individual signing JOHN PETRO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/22/20120522084101P040019938834001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 621111
Plan sponsor’s address 102 HOSPITAL DRIVE, HATTIESBURG, MS, 39401

Plan administrator’s name and address
Administrator’s EIN 640511473
Plan administrator’s name GREEN EYE INSTITUTE, P. A.
Plan administrator’s address 102 HOSPITAL DRIVE, HATTIESBURG, MS, 39401
Administrator’s telephone number 6012685144

Signature of
Role Plan administrator
Date 2012-05-22
Name of individual signing JOHN PETRO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/22/20110622161752P040083008865001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1976-01-01
Business code 621111
Sponsor’s telephone number 6012685144
Plan sponsor’s address 102 HOSPITAL DRIVE, HATTIESBURG, MS, 39401

Plan administrator’s name and address
Administrator’s EIN 640511473
Plan administrator’s name GREEN EYE INSTITUTE, P. A.
Plan administrator’s address 102 HOSPITAL DRIVE, HATTIESBURG, MS, 39401
Administrator’s telephone number 6012685144

Signature of
Role Plan administrator
Date 2011-06-22
Name of individual signing JOHN PETRO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Kiper C. Nelson MD Agent 1420 S 28th, HATTIESBURG, MS 39402

Director

Name Role Address
Kiper C. Nelson MD Director 1420 S 28th Ave, Hattiesburg, MS 39402
Cameron S. Griffith MD Director 1420 S 28th Ave, Hattiesburg, MS 39402

Secretary

Name Role Address
Cameron S. Griffith MD Secretary 1420 S 28th Ave, Hattiesburg, MS 39402

Treasurer

Name Role Address
Cameron S. Griffith MD Treasurer 1420 S 28th Ave, Hattiesburg, MS 39402

Vice President

Name Role Address
Cameron S. Griffith MD Vice President 1420 S 28th Ave, Hattiesburg, MS 39402

President

Name Role Address
Kiper C. Nelson MD President 1420 S 28th Ave, Hattiesburg, MS 39402

Filings

Type Status Filed Date Description
Annual Report Filed 2024-02-29 Annual Report For GREEN EYE, P.A.
Annual Report Filed 2023-02-20 Annual Report For GREEN EYE, P.A.
Annual Report Filed 2022-02-14 Annual Report For GREEN EYE, P.A.
Fictitious Name Registration Filed 2021-05-24 Fictitious Name Registration For GREEN EYE, P.A.
Amendment Form Filed 2021-05-24 Amendment For GREEN EYE INSTITUTE, P.A.
Annual Report Filed 2021-05-24 Annual Report For GREEN EYE INSTITUTE, P.A.
Annual Report Filed 2020-03-06 Annual Report For GREEN EYE INSTITUTE, P.A.
Amendment Form Filed 2019-09-09 Amendment For GREEN EYE INSTITUTE, P.A.
Annual Report Filed 2019-05-30 Annual Report For GREEN EYE INSTITUTE, P.A.
Annual Report Filed 2018-03-07 Annual Report For GREEN EYE INSTITUTE, P.A.

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 22 Dec 2024

Sources: Mississippi Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 msorgs.com, Part of Big Data Integrated