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  5. CROSSROADS EYE CENTER, LLC

CROSSROADS EYE CENTER, LLC

Company Details

Name: CROSSROADS EYE CENTER, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 27 Jun 2001 (24 years ago)
Business ID: 703782
ZIP code: 38834
County: Alcorn
State of Incorporation: MISSISSIPPI
Principal Office Address: 306 Bradley Road, 306 Bradley RoadCorinth, MS 38834

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CROSSROADS EYE CENTER LLC 401(K) PLAN 2019 640942859 2020-07-14 CROSSROADS EYE CENTER LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 6622869292
Plan sponsor’s address P. O. BOX 1740, 3035 CORDER DRIVE, CORINTH, MS, 388351740

Signature of
Role Plan administrator
Date 2020-07-14
Name of individual signing MICHELLE STEPHENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-14
Name of individual signing MICHELLE STEPHENS
Valid signature Filed with authorized/valid electronic signature
CROSSROADS EYE CENTER LLC 401(K) PLAN 2019 640942859 2020-08-13 CROSSROADS EYE CENTER LLC 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 6622869292
Plan sponsor’s address P. O. BOX 1740, 3035 CORDER DRIVE, CORINTH, MS, 388351740

Signature of
Role Plan administrator
Date 2020-08-13
Name of individual signing MICHELLE STEPHENS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-08-13
Name of individual signing MICHELLE STEPHENS
Valid signature Filed with authorized/valid electronic signature
CROSSROADS EYE CENTER LLC 401(K) PLAN 2018 640942859 2019-04-09 CROSSROADS EYE CENTER LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 6622869292
Plan sponsor’s address P. O. BOX 1740, 3035 CORDER DRIVE, CORINTH, MS, 388351740

Signature of
Role Plan administrator
Date 2019-04-09
Name of individual signing DARWIN B WOOTEN, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-09
Name of individual signing DARWIN B WOOTEN, MD
Valid signature Filed with authorized/valid electronic signature
CROSSROADS EYE CENTER LLC 401(K) PLAN 2017 640942859 2018-05-31 CROSSROADS EYE CENTER LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 6622869292
Plan sponsor’s address P. O. BOX 1740, 3035 CORDER DRIVE, CORINTH, MS, 388351740

Signature of
Role Plan administrator
Date 2018-05-31
Name of individual signing DARWIN WOOTEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-31
Name of individual signing DARWIN WOOTEN
Valid signature Filed with authorized/valid electronic signature
CROSSROADS EYE CENTER LLC 401(K) PLAN 2016 640942859 2017-06-08 CROSSROADS EYE CENTER LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 6622869292
Plan sponsor’s address P. O. BOX 1740, 3035 CORDER DRIVE, CORINTH, MS, 388351740

Signature of
Role Plan administrator
Date 2017-06-08
Name of individual signing DARWIN WOOTEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-06-08
Name of individual signing DARWIN WOOTEN
Valid signature Filed with authorized/valid electronic signature
CROSSROADS EYE CENTER LLC 401(K) PLAN 2015 640942859 2016-06-14 CROSSROADS EYE CENTER LLC 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 6622869292
Plan sponsor’s address P. O. BOX 1740, 3035 CORDER DRIVE, CORINTH, MS, 388351740

Signature of
Role Plan administrator
Date 2016-06-14
Name of individual signing DARWIN WOOTEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-14
Name of individual signing DARWIN WOOTEN
Valid signature Filed with authorized/valid electronic signature
CROSSROADS EYE CENTER LLC 401(K) PLAN 2014 640942859 2015-07-27 CROSSROADS EYE CENTER LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 6622869292
Plan sponsor’s address P. O. BOX 1740, 3035 CORDER DRIVE, CORINTH, MS, 388351740

Signature of
Role Plan administrator
Date 2015-07-27
Name of individual signing DARWIN WOOTEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-27
Name of individual signing DARWIN WOOTEN
Valid signature Filed with authorized/valid electronic signature
CROSSROADS EYE CENTER LLC 401(K) PLAN 2013 640942859 2014-09-08 CROSSROADS EYE CENTER LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 6622869292
Plan sponsor’s address P. O. BOX 1740, 3035 CORDER DRIVE, CORINTH, MS, 388351740

Signature of
Role Plan administrator
Date 2014-09-08
Name of individual signing DARWIN WOOTEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-09-08
Name of individual signing DARWIN WOOTEN
Valid signature Filed with authorized/valid electronic signature
CROSSROADS EYE CENTER LLC 401(K) PLAN 2012 640942859 2013-07-19 CROSSROADS EYE CENTER LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 6622869292
Plan sponsor’s address P. O. BOX 1740, 3035 CORDER DRIVE, CORINTH, MS, 388351740

Signature of
Role Plan administrator
Date 2013-07-19
Name of individual signing DARWIN WOOTEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-19
Name of individual signing DARWIN WOOTEN
Valid signature Filed with authorized/valid electronic signature
CROSSROADS EYE CENTER LLC 401(K) PLAN 2011 640942859 2012-10-04 CROSSROADS EYE CENTER LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 6622869292
Plan sponsor’s address P. O. BOX 1740, 3035 CORDER DRIVE, CORINTH, MS, 388351740

Plan administrator’s name and address
Administrator’s EIN 640942859
Plan administrator’s name CROSSROADS EYE CENTER LLC
Plan administrator’s address P. O. BOX 1740, 3035 CORDER DRIVE, CORINTH, MS, 388351740
Administrator’s telephone number 6622869292

Signature of
Role Plan administrator
Date 2012-10-04
Name of individual signing DARWIN WOOTEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-10-04
Name of individual signing DARWIN WOOTEN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/13/20111013090909P030687810608001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 6622869292
Plan sponsor’s address P. O. BOX 1740, 3035 CORDER DRIVE, CORINTH, MS, 388351740

Plan administrator’s name and address
Administrator’s EIN 640942859
Plan administrator’s name CROSSROADS EYE CENTER LLC
Plan administrator’s address P. O. BOX 1740, 3035 CORDER DRIVE, CORINTH, MS, 388351740
Administrator’s telephone number 6622869292

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing DARWIN WOOTEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing DARWIN WOOTEN
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 6622869292
Plan sponsor’s address P. O. BOX 1740, 3035 CORDER DRIVE, CORINTH, MS, 388351740

Plan administrator’s name and address
Administrator’s EIN 640942859
Plan administrator’s name CROSSROADS EYE CENTER LLC
Plan administrator’s address P. O. BOX 1740, 3035 CORDER DRIVE, CORINTH, MS, 388351740
Administrator’s telephone number 6622869292

Signature of
Role Plan administrator
Date 2011-10-13
Name of individual signing DARWIN WOOTEN
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-10-13
Name of individual signing DARWIN WOOTEN
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/15/20100715085903P070012164152001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621320
Sponsor’s telephone number 6622869292
Plan sponsor’s address P. O. BOX 1740, 3035 CORDER DRIVE, CORINTH, MS, 388351740

Plan administrator’s name and address
Administrator’s EIN 640942859
Plan administrator’s name CROSSROADS EYE CENTER LLC
Plan administrator’s address P. O. BOX 1740, 3035 CORDER DRIVE, CORINTH, MS, 388351740
Administrator’s telephone number 6622869292

Signature of
Role Plan administrator
Date 2010-07-15
Name of individual signing DARWIN B. WOOTEN, MD
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-15
Name of individual signing DARWIN B. WOOTEN, MD
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DARWIN B WOOTEN Agent 3302A W LINDEN ST, CORINTH, MS 38834

Manager

Name Role Address
Darwin B Wooten MD Manager 306 Bradley Road, Corinth, MS 38834
Katie McShane Manager 306 Bradley St, Ste B, Corinth, MS 38834

Member

Name Role Address
Theresa Wooten Member PO BOX 1740, CORINTH, MS 388351740
DARWIN B WOOTEN Member 3035 Corder Drive, CORINTH, MS 38834

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2022-11-28 Action of Intent to Dissolve: AR: CROSSROADS EYE CENTER, LLC
Notice to Dissolve/Revoke Filed 2022-09-05 Notice of Intent to Dissolve: AR: CROSSROADS EYE CENTER, LLC
Annual Report LLC Filed 2021-01-18 Annual Report For CROSSROADS EYE CENTER, LLC
Annual Report LLC Filed 2020-11-19 Annual Report For CROSSROADS EYE CENTER, LLC
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report LLC Filed 2019-09-19 Annual Report For CROSSROADS EYE CENTER, LLC
Notice to Dissolve/Revoke Filed 2019-08-22 Notice to Dissolve/Revoke
Annual Report LLC Filed 2018-03-30 Annual Report For CROSSROADS EYE CENTER, LLC
Annual Report LLC Filed 2017-10-02 Annual Report For CROSSROADS EYE CENTER, LLC
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke

Related by officers

Darwin B Wooten MD

Specialty Surgery & Laser Center, LLC

Theresa Wooten

Wooten Properties, LLC

Related by address

No related companies by address

Date of last update: 27 Dec 2024

Sources: Mississippi Secretary of State

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