Eye Institute of Mississippi, LLC 20230725_185630

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Company Name: Eye Institute of Mississippi, LLC
Address: 3000 Old Canton Road, Suite 305
City: Jackson State: MS
Zip Code: 39216
Point of Contact: Kelly Hughes Pryor Email Census to: sales@safeharborsavings.com
Safe Harbor Rep: Allen Guy
Payroll Frequency: Bi-Weekly * Please note any changes to Employee census info will result in changes to estimated savings
First Name Last Name Employee = P
Spouse = S Child = C
Date of Birth Home State Tax Filing:
Single=I
Married Filling Jointly=M
Married Filling Separately=MS
Head of Household= HH
Approx. Annual Income
(Emp. Only)
Date of Hire Child Dependents Claimed Other Dependents Claimed Health Insurance Premiums PRE-TAX 401(K) Additional Pre-Tax Witholdings (Only Pre-Tax)
Kelly Pryor P 1/19/93 MS M $49,613.78 3/19/18 0 0 $- $- $39.46
Sharonia Hoye P 1/29/77 MS I $28,418.74 5/4/22 2 0 $- $- $123.83
Michele Ivy P 2/18/69 MS M $56,000.00 5/14/10 0 0 $- $- $136.63
Yolanda Johnson P 8/30/68 MS I $38,757.48 8/19/19 1 0 $- $- $133.73
Jennifer Lobos P 9/16/88 MS I $30,508.68 3/1/21 0 0 $- $- $91.06
Josh Shufelt P MS M
Taylor Coleman P MS M
Terrel Williams P MS I
Blond Lady P MS I

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