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FAB- TEK of Central Mississippi, Inc.

Company Details

Name: FAB- TEK of Central Mississippi, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 01 Jun 2012 (13 years ago)
Business ID: 1002951
ZIP code: 39083
County: Copiah
State of Incorporation: MISSISSIPPI
Principal Office Address: 19171 Highway 51 SouthHazlehurst, MS 39083

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAB-TEK OF CENTRAL MISSISSIPPI, INC. 401(K) PLAN 2023 455335463 2024-09-01 FAB-TEK OF CENTRAL MISSISSIPPI, 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 811310
Sponsor’s telephone number 6018925017
Plan sponsor’s address 19171 HIGHWAY 51, HAZLEHURST, MS, 39083

Signature of

Role Plan administrator
Date 2024-09-01
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
FAB-TEK OF CENTRAL MISSISSIPPI, INC. 401(K) PLAN 2022 455335463 2023-09-14 FAB-TEK OF CENTRAL MISSISSIPPI, 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 811310
Sponsor’s telephone number 6018925017
Plan sponsor’s address 19171 HIGHWAY 51, HAZLEHURST, MS, 39083

Signature of

Role Plan administrator
Date 2023-09-14
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
FAB-TEK OF CENTRAL MISSISSIPPI, INC. 401(K) PLAN 2021 455335463 2022-09-21 FAB-TEK OF CENTRAL MISSISSIPPI, 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 811310
Sponsor’s telephone number 6018925017
Plan sponsor’s address 19171 HIGHWAY 51, HAZLEHURST, MS, 39083

Signature of

Role Plan administrator
Date 2022-09-21
Name of individual signing NICK RICE
Valid signature Filed with authorized/valid electronic signature
FAB-TEK OF CENTRAL MISSISSIPPI, INC. 401(K) PLAN 2020 455335463 2021-07-14 FAB-TEK OF CENTRAL MISSISSIPPI, 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 811310
Sponsor’s telephone number 6018925017
Plan sponsor’s address 19171 HIGHWAY 51, HAZLEHURST, MS, 39083

Signature of

Role Plan administrator
Date 2021-07-14
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
FAB-TEK OF CENTRAL MISSISSIPPI, INC. 401(K) PLAN 2019 455335463 2020-09-15 FAB-TEK OF CENTRAL MISSISSIPPI, 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 811310
Sponsor’s telephone number 6018925017
Plan sponsor’s address 19171 HIGHWAY 51, HAZLEHURST, MS, 39083

Signature of

Role Plan administrator
Date 2020-09-15
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature
FAB-TEK OF CENTRAL MISSISSIPPI, INC 401(K) PLAN 2018 455335463 2019-10-15 FAB-TEK OF CENTRAL MISSISSIPPI, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 238900
Sponsor’s telephone number 6018925017
Plan sponsor’s address P.O. BOX 127, GALLMAN, MS, 39077

Signature of

Role Plan administrator
Date 2019-10-15
Name of individual signing BROOKLYN WARREN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-15
Name of individual signing BROOKLYN WARREN
Valid signature Filed with authorized/valid electronic signature
FAB-TEK OF CENTRAL MISSISSIPPI, INC 401(K) PLAN 2017 455335463 2018-10-12 FAB-TEK OF CENTRAL MISSISSIPPI, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 238900
Sponsor’s telephone number 6018925017
Plan sponsor’s address P.O. BOX 127, GALLMAN, MS, 39077

Signature of

Role Plan administrator
Date 2018-10-12
Name of individual signing BROOKLYN WARREN
Valid signature Filed with authorized/valid electronic signature
FAB-TEK OF CENTRAL MISSISSIPPI, INC 401(K) PLAN 2016 455335463 2017-07-26 FAB-TEK OF CENTRAL MISSISSIPPI, INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 238900
Sponsor’s telephone number 6018925017
Plan sponsor’s address P.O. BOX 127, GALLMAN, MS, 39077

Signature of

Role Plan administrator
Date 2017-07-26
Name of individual signing BECKY BROWN
Valid signature Filed with authorized/valid electronic signature
FAB-TEK OF CENTRAL MISSISSIPPI, INC 401(K) PLAN 2015 455335463 2016-10-12 FAB-TEK OF CENTRAL MISSISSIPPI, INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 238900
Sponsor’s telephone number 6018925017
Plan sponsor’s address P.O.BOX 127, GALLMAN, MS, 39077

Signature of

Role Plan administrator
Date 2016-10-12
Name of individual signing BECKY BROWN
Valid signature Filed with authorized/valid electronic signature
FAB-TEK OF CENTRAL MISSISSIPPI, INC 401(K) PLAN 2014 455335463 2015-07-07 FAB-TEK OF CENTRAL MISSISSIPPI, INC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 238900
Sponsor’s telephone number 6018925017
Plan sponsor’s address 19171 HIGHWAY 51, HAZLEHURST, MS, 39083

Signature of

Role Plan administrator
Date 2015-07-07
Name of individual signing GREG JACOBS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Moore, Shannon L Agent 19171 Hwy 51 South;P O Box 127, Gallman, MS 39077

Incorporator

Name Role Address
Shannon Moore Incorporator 19171 Hwy 51 South, Gallman, MS 39077

Secretary

Name Role Address
Brooklyn Moore Warren Secretary PO Box 127, Gallman, MS 39077

Chief Executive Officer

Name Role Address
Shannon Moore Chief Executive Officer 19171 Highway 51 South, Hazlehurst, MS 39083

Director

Name Role Address
Shannon Moore Director 19171 Highway 51 South, Hazlehurst, MS 39083

Filings

Type Status Filed Date Description
Annual Report Filed 2024-02-27 Annual Report For FAB- TEK of Central Mississippi, Inc.
Annual Report Filed 2023-04-05 Annual Report For FAB- TEK of Central Mississippi, Inc.
Annual Report Filed 2022-04-05 Annual Report For FAB- TEK of Central Mississippi, Inc.
Annual Report Filed 2021-06-16 Annual Report For FAB- TEK of Central Mississippi, Inc.
Annual Report Filed 2020-09-09 Annual Report For FAB- TEK of Central Mississippi, Inc.
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report Filed 2019-04-04 Annual Report For FAB- TEK of Central Mississippi, Inc.
Annual Report Filed 2018-09-20 Annual Report For FAB- TEK of Central Mississippi, Inc.
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Annual Report Filed 2017-01-12 Annual Report For FAB- TEK of Central Mississippi, Inc.

Date of last update: 06 Jan 2025

Sources: Mississippi Secretary of State