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  5. WALLER FUNERAL HOME, INC.

WALLER FUNERAL HOME, INC.

Company Details

Name: WALLER FUNERAL HOME, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 15 Dec 1993 (31 years ago)
Business ID: 602886
ZIP code: 38655
County: Lafayette
State of Incorporation: MISSISSIPPI
Principal Office Address: 419 Highway 6 EastOxford, MS 38655

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WALLER FUNERAL HOME, INC. 401(K) PLAN 2023 640839921 2024-07-24 WALLER FUNERAL HOME, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 6622347971
Plan sponsor’s address PO BOX 1200, OXFORD, MS, 386551200

Signature of
Role Plan administrator
Date 2024-07-24
Name of individual signing BOB ROSSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-24
Name of individual signing BOB ROSSON
Valid signature Filed with authorized/valid electronic signature
WALLER FUNERAL HOME, INC. 401(K) PLAN 2022 640839921 2023-07-06 WALLER FUNERAL HOME, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 6622347971
Plan sponsor’s address PO BOX 1200, OXFORD, MS, 386551200

Signature of
Role Plan administrator
Date 2023-07-06
Name of individual signing BOB ROSSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-06
Name of individual signing BOB ROSSON
Valid signature Filed with authorized/valid electronic signature
WALLER FUNERAL HOME, INC. 401(K) PLAN 2021 640839921 2022-09-01 WALLER FUNERAL HOME, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 6622347971
Plan sponsor’s address PO BOX 1200, OXFORD, MS, 386551200

Signature of
Role Plan administrator
Date 2022-09-01
Name of individual signing BOB ROSSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-09-01
Name of individual signing BOB ROSSON
Valid signature Filed with authorized/valid electronic signature
WALLER FUNERAL HOME, INC. 401(K) PLAN 2020 640839921 2021-09-30 WALLER FUNERAL HOME, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 6622347971
Plan sponsor’s address PO BOX 1200, OXFORD, MS, 386551200

Signature of
Role Plan administrator
Date 2021-09-30
Name of individual signing ROBERT ROSSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-30
Name of individual signing ROBERT ROSSON
Valid signature Filed with authorized/valid electronic signature
WALLER FUNERAL HOME, INC. 401(K) PLAN 2019 640839921 2021-05-24 WALLER FUNERAL HOME, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 6622347971
Plan sponsor’s address PO BOX 1200, OXFORD, MS, 386551200

Signature of
Role Plan administrator
Date 2021-05-24
Name of individual signing BOB ROSSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-05-24
Name of individual signing BOB ROSSON
Valid signature Filed with authorized/valid electronic signature
WALLER FUNERAL HOME, INC. 401(K) PLAN 2018 640839921 2019-07-15 WALLER FUNERAL HOME, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 6622347971
Plan sponsor’s address PO BOX 1200, OXFORD, MS, 386551200

Signature of
Role Plan administrator
Date 2019-07-15
Name of individual signing ROBERTT ROSSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-15
Name of individual signing ROBERTT ROSSON
Valid signature Filed with authorized/valid electronic signature
WALLER FUNERAL HOME, INC. 401(K) PLAN 2017 640839921 2018-07-06 WALLER FUNERAL HOME, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 6622347971
Plan sponsor’s address PO BOX 1200, OXFORD, MS, 386551200

Signature of
Role Plan administrator
Date 2018-07-06
Name of individual signing ROBERT ROSSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-06
Name of individual signing ROBERT ROSSON
Valid signature Filed with authorized/valid electronic signature
WALLER FUNERAL HOME, INC. 401(K) PLAN 2016 640839921 2017-10-12 WALLER FUNERAL HOME, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 6622347971
Plan sponsor’s address PO BOX 1200, OXFORD, MS, 386551200

Signature of
Role Plan administrator
Date 2017-10-12
Name of individual signing BOB ROSSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-12
Name of individual signing BOB ROSSON
Valid signature Filed with authorized/valid electronic signature
WALLER FUNERAL HOME, INC. 401(K) PLAN 2015 640839921 2016-07-12 WALLER FUNERAL HOME, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 6622347971
Plan sponsor’s address PO BOX 1200, OXFORD, MS, 386551200

Signature of
Role Plan administrator
Date 2016-07-12
Name of individual signing ROBERT ROSSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-12
Name of individual signing ROBERT ROSSON
Valid signature Filed with authorized/valid electronic signature
WALLER FUNERAL HOME, INC. 401(K) PLAN 2014 640839921 2015-10-09 WALLER FUNERAL HOME, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 6622347971
Plan sponsor’s address PO BOX 1200, OXFORD, MS, 386551200

Signature of
Role Plan administrator
Date 2015-10-09
Name of individual signing BOB ROSSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-09
Name of individual signing BOB ROSSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/28/20140728150538P040059996791001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 6622347971
Plan sponsor’s address PO BOX 1200, OXFORD, MS, 386551200

Signature of
Role Plan administrator
Date 2014-07-28
Name of individual signing ROBERT ROSSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-28
Name of individual signing ROBERT ROSSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/24/20130724104800P030406081921001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 6622347971
Plan sponsor’s address PO BOX 1200, OXFORD, MS, 386551200

Signature of
Role Plan administrator
Date 2013-07-24
Name of individual signing ROBERT ROSSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-24
Name of individual signing ROBERT ROSSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/15/20121015175709P040039773808001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 6622347971
Plan sponsor’s address PO BOX 1200, OXFORD, MS, 386551200

Plan administrator’s name and address
Administrator’s EIN 640839921
Plan administrator’s name WALLER FUNERAL HOME, INC.
Plan administrator’s address PO BOX 1200, OXFORD, MS, 386551200
Administrator’s telephone number 6622347971

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing ROBERT ROSSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-15
Name of individual signing ROBERT ROSSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/19/20110719151359P040099293681001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 6622347971
Plan sponsor’s address PO BOX 1200, OXFORD, MS, 386551200

Plan administrator’s name and address
Administrator’s EIN 640839921
Plan administrator’s name WALLER FUNERAL HOME, INC.
Plan administrator’s address PO BOX 1200, OXFORD, MS, 386551200
Administrator’s telephone number 6622347971

Signature of
Role Plan administrator
Date 2011-07-19
Name of individual signing ROBERT ROSSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-19
Name of individual signing ROBERT ROSSON
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/31/20100731140442P040410770481001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 812210
Sponsor’s telephone number 6012347971
Plan sponsor’s address PO BOX 1200, OXFORD, MS, 386551200

Plan administrator’s name and address
Administrator’s EIN 640839921
Plan administrator’s name WALLER FUNERAL HOME, INC.
Plan administrator’s address PO BOX 1200, OXFORD, MS, 386551200
Administrator’s telephone number 6012347971

Signature of
Role Plan administrator
Date 2010-07-31
Name of individual signing ROBERT T ROSSON
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-31
Name of individual signing ROBERT T ROSSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DONALD A WALLER Agent HWY 6 W, OXFORD, MS 38655

Incorporator

Name Role Address
Donald A Waller Incorporator PO Box1200, Oxford, MS 38655

Director

Name Role Address
Donald A Waller Director PO Box1200, Oxford, MS 38655
Beth Waller Rosson Director PO Box1200, Oxford, MS 38655

President

Name Role Address
Donald A Waller President PO Box1200, Oxford, MS 38655

Secretary

Name Role Address
Beth Waller Rosson Secretary PO Box1200, Oxford, MS 38655

Treasurer

Name Role Address
Beth Waller Rosson Treasurer PO Box1200, Oxford, MS 38655

Vice President

Name Role Address
Beth Waller Rosson Vice President PO Box1200, Oxford, MS 38655

Filings

Type Status Filed Date Description
Annual Report Filed 2024-01-30 Annual Report For WALLER FUNERAL HOME, INC.
Annual Report Filed 2023-01-24 Annual Report For WALLER FUNERAL HOME, INC.
Annual Report Filed 2022-04-14 Annual Report For WALLER FUNERAL HOME, INC.
Annual Report Filed 2021-04-13 Annual Report For WALLER FUNERAL HOME, INC.
Annual Report Filed 2020-06-12 Annual Report For WALLER FUNERAL HOME, INC.
Annual Report Filed 2019-04-03 Annual Report For WALLER FUNERAL HOME, INC.
Annual Report Filed 2018-04-17 Annual Report For WALLER FUNERAL HOME, INC.
Annual Report Filed 2017-09-18 Annual Report For WALLER FUNERAL HOME, INC.
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke
Annual Report Filed 2016-03-15 Annual Report For WALLER FUNERAL HOME, INC.

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
3286717102 2020-04-11 0470 PPP 419 HIGHWAY 6 WEST, OXFORD, MS, 38655-8761
Loan Status Date 2021-08-04
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 101988.12
Loan Approval Amount (current) 101988.12
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39657
Servicing Lender Name FNB Oxford Bank
Servicing Lender Address 101 Courthouse Sq, OXFORD, MS, 38655-4098
Rural or Urban Indicator R
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address OXFORD, LAFAYETTE, MS, 38655-8761
Project Congressional District MS-01
Number of Employees 6
NAICS code 812210
Borrower Race White
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 39657
Originating Lender Name FNB Oxford Bank
Originating Lender Address OXFORD, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 103160.86
Forgiveness Paid Date 2021-06-24

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Related by address

No related companies by address

Date of last update: 15 Mar 2025

Sources: Mississippi Secretary of State

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