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EUPORA EYE CLINIC, INC.

Company Details

Name: EUPORA EYE CLINIC, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Effective Date: 15 Nov 1993 (31 years ago)
Business ID: 602154
ZIP code: 39744
County: Webster
State of Incorporation: MISSISSIPPI
Principal Office Address: 302 E ROANEEUPORA, MS 39744

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EUPORA EYE CLINIC, INC. PROFIT SHARING PLAN & SAFE HARBOR MATCH PLAN 2020 640839354 2021-10-13 EUPORA EYE CLINIC, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621320
Sponsor’s telephone number 6622582020
Plan sponsor’s address 840 CR 53, US HOUSTON, MS, 38851

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing CHARLIE TILLMAN
Valid signature Filed with authorized/valid electronic signature
EUPORA EYE CLINIC, INC. PROFIT SHARING PLAN & SAFE HARBOR MATCH PLAN 2019 640839354 2020-09-03 EUPORA EYE CLINIC, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621320
Sponsor’s telephone number 6622582020
Plan sponsor’s address 840 CR 53, US HOUSTON, MS, 38851

Signature of

Role Plan administrator
Date 2020-09-03
Name of individual signing CHARLIE TILLMAN
Valid signature Filed with authorized/valid electronic signature
EUPORA EYE CLINIC, INC. PROFIT SHARING PLAN & SAFE HARBOR MATCH PLAN 2018 640839354 2020-02-25 EUPORA EYE CLINIC, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621320
Sponsor’s telephone number 6622582020
Plan sponsor’s address 840 CR 53, US HOUSTON, MS, 38851

Signature of

Role Plan administrator
Date 2020-02-25
Name of individual signing CHARLIE TILLMAN
Valid signature Filed with authorized/valid electronic signature
EUPORA EYE CLINIC, INC. PROFIT SHARING PLAN & SAFE HARBOR MATCH PLAN 2017 640839354 2018-10-15 EUPORA EYE CLINIC, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621320
Sponsor’s telephone number 6622582020
Plan sponsor’s address 840 CR 53, US HOUSTON, MS, 38851

Signature of

Role Plan administrator
Date 2018-10-15
Name of individual signing CHARLIE TILLMAN
Valid signature Filed with authorized/valid electronic signature
EUPORA EYE CLINIC, INC. PROFIT SHARING PLAN & SAFE HARBOR MATCH PLAN 2016 640839354 2017-10-12 EUPORA EYE CLINIC, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621320
Sponsor’s telephone number 6622582020
Plan sponsor’s address 840 CR 53, US HOUSTON, MS, 38851

Signature of

Role Plan administrator
Date 2017-10-12
Name of individual signing CHARLIE TILLMAN
Valid signature Filed with authorized/valid electronic signature
EUPORA EYE CLINIC, INC. PSP & SHM PLAN 2015 640839354 2016-05-09 EUPORA EYE CLINIC, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621320
Sponsor’s telephone number 6622582020
Plan sponsor’s address 840 CR 53, HOUSTON, MS, 38851
EUPORA EYE CLINIC, INC. PSP & SHM PLAN 2014 640839354 2015-04-30 EUPORA EYE CLINIC, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621320
Sponsor’s telephone number 6622582020
Plan sponsor’s address 840 CR 53, HOUSTON, MS, 38851
EUPORA EYE CLINIC, INC. PSP & SHM PLAN 2013 640839354 2014-09-03 EUPORA EYE CLINIC, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621320
Sponsor’s telephone number 6622582020
Plan sponsor’s address 840 CR 53, HOUSTON, MS, 38851
EUPORA EYE CLINIC, INC. PSP & SHM PLAN 2012 640839354 2013-07-15 EUPORA EYE CLINIC, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621320
Sponsor’s telephone number 6622582020
Plan sponsor’s address 840 CR 53, HOUSTON, MS, 38851

Signature of

Role Plan administrator
Date 2013-07-15
Name of individual signing DR. CHARLES TILLMAN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-15
Name of individual signing DR. CHARLES TILLMAN
Valid signature Filed with authorized/valid electronic signature
EUPORA EYE CLINIC, INC. PSP & SHM PLAN 2011 640839354 2012-09-19 EUPORA EYE CLINIC, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621320
Sponsor’s telephone number 6622582020
Plan sponsor’s address 840 CR 53, HOUSTON, MS, 38851

Plan administrator’s name and address

Administrator’s EIN 640839354
Plan administrator’s name EUPORA EYE CLINIC, INC.
Plan administrator’s address 840 CR 53, HOUSTON, MS, 38851
Administrator’s telephone number 6622582020

Signature of

Role Plan administrator
Date 2012-09-19
Name of individual signing JULIE BOSS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/13/20111013094840P030148071025001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621320
Sponsor’s telephone number 6622582020
Plan sponsor’s address 840 CR 53, HOUSTON, MS, 38851

Plan administrator’s name and address

Administrator’s EIN 640839354
Plan administrator’s name EUPORA EYE CLINIC, INC.
Plan administrator’s address 840 CR 53, HOUSTON, MS, 38851
Administrator’s telephone number 6622582020

Signature of

Role Plan administrator
Date 2011-10-13
Name of individual signing JULIE BOSS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/24/20100624092824P040107947538001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2002-10-01
Business code 621320
Sponsor’s telephone number 6622582020
Plan sponsor’s address 840 CR 53, HOUSTON, MS, 38851

Plan administrator’s name and address

Administrator’s EIN 640839354
Plan administrator’s name EUPORA EYE CLINIC, INC.
Plan administrator’s address 840 CR 53, HOUSTON, MS, 38851
Administrator’s telephone number 6622582020

Signature of

Role Plan administrator
Date 2010-06-24
Name of individual signing CHARLES TILLMAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CHARLES P TILLMAN JR Agent 302 E ROANE, EUPORA, MS 39744

Vice President

Name Role
JOETTA TILLMAN Vice President

Director

Name Role
CHARLES P TILLMAN JR Director

President

Name Role
CHARLES P TILLMAN JR President

Incorporator

Name Role Address
REX F SANDERSON Incorporator 108-B JEFFERSON, HOUSTON, MS 38851

Filings

Type Status Filed Date Description
Amendment Form Filed 1998-10-16 Amendment

Date of last update: 23 Dec 2024

Sources: Mississippi Secretary of State