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  5. RAYNER EYE CLINIC LLC

RAYNER EYE CLINIC LLC

Company Details

Name: RAYNER EYE CLINIC LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 02 Aug 1999 (25 years ago)
Business ID: 674093
ZIP code: 38655
County: Lafayette
State of Incorporation: MISSISSIPPI
Principal Office Address: 2606 S. Lamar Blvd.Oxford, MS 38655

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RAYNER EYE CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2023 640911897 2024-07-17 RAYNER EYE CLINIC, LLC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6622346551
Plan sponsor’s address 2606 S. LAMAR BOULEVARD, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2024-07-17
Name of individual signing TOM TANN
Valid signature Filed with authorized/valid electronic signature
RAYNER EYE CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2022 640911897 2023-07-25 RAYNER EYE CLINIC, LLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6622346551
Plan sponsor’s address 2606 S. LAMAR BOULEVARD, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2023-07-25
Name of individual signing TOM TANN
Valid signature Filed with authorized/valid electronic signature
RAYNER EYE CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2021 640911897 2022-07-27 RAYNER EYE CLINIC, LLC 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6622346551
Plan sponsor’s address 1308 BELK DR., OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2022-07-27
Name of individual signing TOM TANN
Valid signature Filed with authorized/valid electronic signature
RAYNER EYE CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2020 640911897 2021-07-28 RAYNER EYE CLINIC, LLC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6622346551
Plan sponsor’s address 1308 BELK DR., OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2021-07-28
Name of individual signing TOM TANN
Valid signature Filed with authorized/valid electronic signature
RAYNER EYE CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2019 640911897 2020-07-20 RAYNER EYE CLINIC, LLC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6622346551
Plan sponsor’s address 1308 BELK DR., OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2020-07-20
Name of individual signing TOM TANN
Valid signature Filed with authorized/valid electronic signature
RAYNER EYE CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2018 640911897 2019-08-08 RAYNER EYE CLINIC, LLC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6622346551
Plan sponsor’s address 1308 BELK DR., OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2019-08-08
Name of individual signing TOM TANN
Valid signature Filed with authorized/valid electronic signature
RAYNER EYE CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2017 640911897 2018-07-26 RAYNER EYE CLINIC, LLC 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6622346551
Plan sponsor’s address 1308 BELK DRIVE, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2018-07-26
Name of individual signing TOM TANN
Valid signature Filed with authorized/valid electronic signature
RAYNER EYE CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2016 640911897 2017-08-14 RAYNER EYE CLINIC, LLC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6622346551
Plan sponsor’s address 1308 BELK DRIVE, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2017-08-14
Name of individual signing TOM TANN
Valid signature Filed with authorized/valid electronic signature
RAYNER EYE CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST 2015 640911897 2016-07-25 RAYNER EYE CLINIC, LLC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6622346551
Plan sponsor’s address 1308 BELK DRIVE, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing TOM TANN
Valid signature Filed with authorized/valid electronic signature
RAYNER EYE CLINIC, LLC 401K PROFIT SHARING PLAN AND TRUST 2014 640911897 2015-05-11 RAYNER EYE CLINIC, LLC 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6622346551
Plan sponsor’s address 1308 BELK DRIVE, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2015-05-07
Name of individual signing DOTY FARMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-05-07
Name of individual signing DOTY FARMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/03/26/20140326104049P030091248645001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6622346551
Plan sponsor’s address 1308 BELK DRIVE, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2014-03-26
Name of individual signing DOTY FARMER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-26
Name of individual signing DOTY FARMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/29/20130429182119P040070202197001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6622346551
Plan sponsor’s address 1308 BELK DRIVE, OXFORD, MS, 38655

Signature of
Role Plan administrator
Date 2013-04-29
Name of individual signing DOTY FARMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/07/20120607113857P040031189362001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6622346551
Plan sponsor’s address 1308 BELK DRIVE, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 640911897
Plan administrator’s name RAYNER EYE CLINIC, LLC
Plan administrator’s address 1308 BELK DRIVE, OXFORD, MS, 38655
Administrator’s telephone number 6622346551

Signature of
Role Plan administrator
Date 2012-06-07
Name of individual signing DOTY FARMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/10/20110510141226P030266173328001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6622346551
Plan sponsor’s address 1308 BELK DRIVE, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 640911897
Plan administrator’s name RAYNER EYE CLINIC, LLC
Plan administrator’s address 1308 BELK DRIVE, OXFORD, MS, 38655
Administrator’s telephone number 6622346551

Signature of
Role Plan administrator
Date 2011-05-10
Name of individual signing DOTY FARMER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/30/20100630183323P030345055601001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6622346551
Plan sponsor’s address 1308 BELK DRIVE, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 640911897
Plan administrator’s name RAYNER EYE CLINIC, LLC
Plan administrator’s address 1308 BELK DRIVE, OXFORD, MS, 38655
Administrator’s telephone number 6622346551

Signature of
Role Plan administrator
Date 2010-06-30
Name of individual signing DOTY FARMER
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 6622346551
Plan sponsor’s address 1308 BELK DRIVE, OXFORD, MS, 38655

Plan administrator’s name and address
Administrator’s EIN 640911897
Plan administrator’s name RAYNER EYE CLINIC, LLC
Plan administrator’s address 1308 BELK DRIVE, OXFORD, MS, 38655
Administrator’s telephone number 6622346551

Signature of
Role Plan administrator
Date 2010-06-24
Name of individual signing DOTY FARMER
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
Tom M Tann Agent 2606 S. Lamar Blvd., Oxford, MS 38655

Member

Name Role Address
Tom M Tann Member 2606 S. Lamar Blvd., Oxford, MS 38655

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-03-28 Annual Report For RAYNER EYE CLINIC LLC
Annual Report LLC Filed 2023-02-08 Annual Report For RAYNER EYE CLINIC LLC
Annual Report LLC Filed 2023-01-31 Annual Report For RAYNER EYE CLINIC LLC
Registered Agent Change of Address Filed 2023-01-31 Agent Address Change For Tom M Tann
Amendment Form Filed 2023-01-31 Amendment For RAYNER EYE CLINIC LLC
Annual Report LLC Filed 2022-03-05 Annual Report For RAYNER EYE CLINIC LLC
Annual Report LLC Filed 2021-03-20 Annual Report For RAYNER EYE CLINIC LLC
Annual Report LLC Filed 2020-03-05 Annual Report For RAYNER EYE CLINIC LLC
Annual Report LLC Filed 2019-02-22 Annual Report For RAYNER EYE CLINIC LLC
Annual Report LLC Filed 2018-03-08 Annual Report For RAYNER EYE CLINIC LLC

Related by officers

No related officers

Related by address

2606 S. Lamar Blvd.Oxford, MS 38655

Rayner Optical, LLC Farmer Oxford Properties, LLC Jay-Z Worldwide Properties, LLC

Date of last update: 26 Dec 2024

Sources: Mississippi Secretary of State

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