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Eternity Hospice Inc

Company Details

Name: Eternity Hospice Inc
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: InActive
Effective Date: 14 Oct 2004 (20 years ago)
Business ID: 862297
State of Incorporation: MISSISSIPPI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ETERNITY HOSPICE RETIREMENT PLAN 2009 364546738 2010-08-19 ETERNITY HOSPICE INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-01-01
Business code 623000
Sponsor’s telephone number 6013191211
Plan sponsor’s address 337 ELLISVILLE BLVD, LAUREL, MS, 39440

Plan administrator’s name and address

Administrator’s EIN 364546738
Plan administrator’s name ETERNITY HOSPICE INC
Plan administrator’s address 337 ELLISVILLE BLVD, LAUREL, MS, 39440
Administrator’s telephone number 6013191211

Signature of

Role Plan administrator
Date 2010-08-19
Name of individual signing FRANK HARRISON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Fairley, Charles Agent 11 Captain Fairley Rd;P O Box 6424, Laurel, MS 39441

Incorporator

Name Role Address
Charles Fairley Incorporator 11 Captain Fairley, Collins, MS 39428
Donald H Pugh Sr Incorporator P O Box 6424, Laurel, MS 39441

Filings

Type Status Filed Date Description
Dissolution Filed 2004-12-08 Dissolution
Formation Form Filed 2004-10-14 Formation

Date of last update: 08 Jan 2025

Sources: Mississippi Secretary of State