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  5. Ophthalmic Plastic Surgery Specialists, PLLC

Ophthalmic Plastic Surgery Specialists, PLLC

Company Details

Name: Ophthalmic Plastic Surgery Specialists, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 06 Aug 2002 (23 years ago)
Business ID: 720903
ZIP code: 39216
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 1501 Lakeland Dr. Suite 251JACKSON, MS 39216

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 401(K) PLAN 2023 201832509 2024-07-31 OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-12-30
Business code 621111
Sponsor’s telephone number 6013559537
Plan sponsor’s address 1501 LAKELAND DRIVE, SUITE 251, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2024-07-31
Name of individual signing DAVID F JONES
Valid signature Filed with authorized/valid electronic signature
OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 401(K) PLAN 2022 201832509 2023-07-26 OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-12-30
Business code 621111
Sponsor’s telephone number 6013559537
Plan sponsor’s address 1501 LAKELAND DRIVE, SUITE 251, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2023-07-26
Name of individual signing DAVID F JONES
Valid signature Filed with authorized/valid electronic signature
OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 401(K) PLAN 2021 201832509 2022-10-10 OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-12-30
Business code 621111
Sponsor’s telephone number 6013559537
Plan sponsor’s address 1501 LAKELAND DRIVE, SUITE 251, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2022-10-10
Name of individual signing DAVID F JONES
Valid signature Filed with authorized/valid electronic signature
OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 401(K) PLAN 2020 201832509 2021-07-30 OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-12-30
Business code 621111
Sponsor’s telephone number 6013559537
Plan sponsor’s address 1501 LAKELAND DRIVE, SUITE 251, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2021-07-30
Name of individual signing DAVID F JONES
Valid signature Filed with authorized/valid electronic signature
OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 401(K) PLAN 2019 201832509 2020-11-27 OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-12-30
Business code 621111
Sponsor’s telephone number 6013559537
Plan sponsor’s address 1501 LAKELAND DRIVE, SUITE 251, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2020-11-27
Name of individual signing DAVID F JONES
Valid signature Filed with authorized/valid electronic signature
OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 401(K) PLAN 2018 201832509 2019-10-09 OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-12-30
Business code 621111
Sponsor’s telephone number 6013559537
Plan sponsor’s address 1501 LAKELAND DRIVE, SUITE 251, JACKSON, MS, 39216
OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 401(K) PLAN 2017 201832509 2018-09-13 OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-12-30
Business code 621111
Sponsor’s telephone number 6013559537
Plan sponsor’s address 1501 LAKELAND DRIVE, SUITE 251, JACKSON, MS, 39216
OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 401(K) PLAN 2016 201832509 2017-08-07 OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-12-30
Business code 621111
Sponsor’s telephone number 6013559537
Plan sponsor’s address 1421 NORTH STATE STREET, SUITE 304, JACKSON, MS, 39202
OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 401(K) PLAN 2015 201832509 2016-09-14 OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-12-30
Business code 621111
Sponsor’s telephone number 6013559537
Plan sponsor’s address 1421 NORTH STATE STREET, SUITE 304, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2016-09-14
Name of individual signing DAVID R SEGREST M.D.
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-14
Name of individual signing DAVID R SEGREST M.D.
Valid signature Filed with authorized/valid electronic signature
OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 401(K) PLAN 2014 201832509 2015-07-10 OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-12-30
Business code 621111
Sponsor’s telephone number 6013559537
Plan sponsor’s address 1421 NORTH STATE STREET, SUITE 304, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2015-07-10
Name of individual signing DAVID SEGREST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-10
Name of individual signing DAVID SEGREST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/03/23/20140323125619P030089837589001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1985-12-30
Business code 621111
Sponsor’s telephone number 6013559537
Plan sponsor’s address 1421 NORTH STATE STREET, SUITE 304, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2014-03-23
Name of individual signing DAVID SEGREST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-23
Name of individual signing DAVID SEGREST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/04/20130604131529P040085972213001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1985-12-30
Business code 621111
Sponsor’s telephone number 6013559537
Plan sponsor’s address 1421 NORTH STATE STREET, SUITE 304, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2013-06-04
Name of individual signing DAVID SEGREST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-04
Name of individual signing DAVID SEGREST
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 002
Effective date of plan 1985-12-30
Business code 621111
Sponsor’s telephone number 6013559537
Plan sponsor’s address 1421 NORTH STATE STREET, SUITE 304, JACKSON, MS, 39202

Signature of
Role Plan administrator
Date 2013-05-10
Name of individual signing DAVID SEGREST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-10
Name of individual signing DAVID SEGREST
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 002
Effective date of plan 1985-12-30
Business code 621111
Sponsor’s telephone number 6013559537
Plan sponsor’s address 1421 NORTH STATE STREET, SUITE 304, JACKSON, MS, 39202

Plan administrator’s name and address
Administrator’s EIN 201832509
Plan administrator’s name OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC
Plan administrator’s address 1421 NORTH STATE STREET, SUITE 304, JACKSON, MS, 39202
Administrator’s telephone number 6013559537

Signature of
Role Plan administrator
Date 2012-03-16
Name of individual signing DAVID SEGREST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-03-16
Name of individual signing DAVID SEGREST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/04/20130604131203P040085969653001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1985-12-30
Business code 621111
Sponsor’s telephone number 6013559537
Plan sponsor’s address 1421 NORTH STATE STREET, SUITE 304, JACKSON, MS, 39202

Plan administrator’s name and address
Administrator’s EIN 201832509
Plan administrator’s name OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC
Plan administrator’s address 1421 NORTH STATE STREET, SUITE 304, JACKSON, MS, 39202
Administrator’s telephone number 6013559537

Signature of
Role Plan administrator
Date 2013-06-04
Name of individual signing DAVID SEGREST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-04
Name of individual signing DAVID SEGREST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/04/20130604130859P040085968389001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1985-12-30
Business code 621111
Sponsor’s telephone number 6013559537
Plan sponsor’s address 1421 NORTH STATE STREET, SUITE 304, JACKSON, MS, 39202

Plan administrator’s name and address
Administrator’s EIN 201832509
Plan administrator’s name OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC
Plan administrator’s address 1421 NORTH STATE STREET, SUITE 304, JACKSON, MS, 39202
Administrator’s telephone number 6013559537

Signature of
Role Plan administrator
Date 2013-06-04
Name of individual signing DAVID SEGREST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-04
Name of individual signing DAVID SEGREST
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 002
Effective date of plan 1985-12-30
Business code 621111
Sponsor’s telephone number 6013559537
Plan sponsor’s address 1421 NORTH STATE STREET, SUITE 304, JACKSON, MS, 39202

Plan administrator’s name and address
Administrator’s EIN 201832509
Plan administrator’s name OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC
Plan administrator’s address 1421 NORTH STATE STREET, SUITE 304, JACKSON, MS, 39202
Administrator’s telephone number 6013559537

Signature of
Role Plan administrator
Date 2011-08-16
Name of individual signing DAVID SEGREST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-16
Name of individual signing DAVID SEGREST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/10/20100810155748P070001428050001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1985-12-30
Business code 621111
Sponsor’s telephone number 6013559537
Plan sponsor’s address 1421 NORTH STATE STREET, SUITE 304, JACKSON, MS, 39202

Plan administrator’s name and address
Administrator’s EIN 201832509
Plan administrator’s name OPHTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC
Plan administrator’s address 1421 NORTH STATE STREET, SUITE 304, JACKSON, MS, 39202
Administrator’s telephone number 6013559537

Signature of
Role Plan administrator
Date 2010-08-10
Name of individual signing DAVID SEGREST
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-10
Name of individual signing DAVID SEGREST
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
David F. Jones MD Agent 1501 Lakeland Drive , Suite 251, Jackson, MS 39216

Manager

Name Role Address
David F. Jones MD Manager 1501 Lakeland Dr. Suite 251, JACKSON, MS 39216

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-04 Annual Report For Ophthalmic Plastic Surgery Specialists, PLLC
Annual Report LLC Filed 2024-01-25 Annual Report For Ophthalmic Plastic Surgery Specialists, PLLC
Registered Agent Change of Address Filed 2024-01-25 Agent Address Change For David F. Jones MD
Annual Report LLC Filed 2023-01-24 Annual Report For Ophthalmic Plastic Surgery Specialists, PLLC
Annual Report LLC Filed 2022-01-25 Annual Report For Ophthalmic Plastic Surgery Specialists, PLLC
Annual Report LLC Filed 2021-02-11 Annual Report For Ophthalmic Plastic Surgery Specialists, PLLC
Amendment Form Filed 2020-04-20 Amendment For OPTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC
Correction Amendment Form Filed 2020-04-20 Correction For OPTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC
Annual Report LLC Filed 2020-03-30 Annual Report For OPTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC
Annual Report LLC Filed 2019-03-06 Annual Report For OPTHALMIC PLASTIC SURGERY SPECIALISTS, PLLC

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6975568307 2021-01-27 0470 PPS 1501 Lakeland Dr Ste 251, Jackson, MS, 39216-4848
Loan Status Date 2021-08-10
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 75700
Loan Approval Amount (current) 75700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 202885
Servicing Lender Name First Commercial Bank
Servicing Lender Address 4450 Old Canton Rd, Ste 101, Jackson, MS, 39211-6376
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Jackson, HINDS, MS, 39216-4848
Project Congressional District MS-03
Number of Employees 6
NAICS code 621111
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 202885
Originating Lender Name First Commercial Bank
Originating Lender Address Jackson, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 76025.93
Forgiveness Paid Date 2021-07-08

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Date of last update: 19 Mar 2025

Sources: Mississippi Secretary of State

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