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MISSISSIPPI NURSES ASSOCIATION

Company Details

Name: MISSISSIPPI NURSES ASSOCIATION
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 18 May 1914 (111 years ago)
Business ID: 104232
State of Incorporation: MISSISSIPPI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MISSISSIPPI NURSES' ASSOCIATION SAFE HARBOR 401(K) PLAN 2023 640321143 2025-01-22 MISSISSIPPI NURSES ASSOCIATION 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 623000
Sponsor’s telephone number 6018980670
Plan sponsor’s address 31 WOODGREEN PLACE, MADISON, MS, 391109531
MISSISSIPPI NURSES' ASSOCIATION SAFE HARBOR 401(K) PLAN 2022 640321143 2024-04-15 MISSISSIPPI NURSES ASSOCIATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 623000
Sponsor’s telephone number 6018980670
Plan sponsor’s address 31 WOODGREEN PLACE, MADISON, MS, 391109531
MISSISSIPPI NURSES' ASSOCIATION SAFE HARBOR 401(K) PLAN 2021 640321143 2022-11-01 MISSISSIPPI NURSES ASSOCIATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 623000
Sponsor’s telephone number 6018980670
Plan sponsor’s address 31 WOODGREEN PLACE, MADISON, MS, 391109531

Signature of

Role Plan administrator
Date 2022-11-01
Name of individual signing TERESA MALONE
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI NURSES' ASSOCIATION SAFE HARBOR 401(K) PLAN 2020 640321143 2022-01-17 MISSISSIPPI NURSES ASSOCIATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 623000
Sponsor’s telephone number 6018980670
Plan sponsor’s address 31 WOODGREEN PLACE, MADISON, MS, 391109531

Signature of

Role Plan administrator
Date 2022-01-17
Name of individual signing TERESA MALONE
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI NURSES' ASSOCIATION SAFE HARBOR 401(K) PLAN 2019 640321143 2021-01-27 MISSISSIPPI NURSES ASSOCIATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 623000
Sponsor’s telephone number 6018980670
Plan sponsor’s address 31 WOODGREEN PLACE, MADISON, MS, 391109531

Signature of

Role Plan administrator
Date 2021-01-27
Name of individual signing TERESA MALONE
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI NURSES' ASSOCIATION SAFE HARBOR 401(K) PLAN 2018 640321143 2020-04-28 MISSISSIPPI NURSES ASSOCIATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 623000
Sponsor’s telephone number 6018980670
Plan sponsor’s address 31 WOODGREEN PLACE, MADISON, MS, 391109531

Signature of

Role Plan administrator
Date 2020-04-28
Name of individual signing TERESA MALONE
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI NURSES' ASSOCIATION SAFE HARBOR 401(K) PLAN 2017 640321143 2019-01-07 MISSISSIPPI NURSES ASSOCIATION 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 623000
Sponsor’s telephone number 6018980670
Plan sponsor’s address 31 WOODGREEN PLACE, MADISON, MS, 391109531

Signature of

Role Plan administrator
Date 2019-01-07
Name of individual signing TERESA MALONE
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI NURSES ASSOCIATION SAFE HARBOR 401(K) PLAN 2016 640321143 2018-01-12 MISSISSIPPI NURSES ASSOCIATION 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 623000
Sponsor’s telephone number 6018980670
Plan sponsor’s address 31 WOODGREEN PLACE, MADISON, MS, 391109531

Signature of

Role Plan administrator
Date 2018-01-12
Name of individual signing TERESA MALONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-01-12
Name of individual signing TERESA MALONE
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI NURSES ASSOCIATION SAFE HARBOR 401(K) PLAN 2015 640321143 2016-09-26 MISSISSIPPI NURSES ASSOCIATION 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 623000
Sponsor’s telephone number 6018980670
Plan sponsor’s address 31 WOODGREEN PLACE, MADISON, MS, 391109531

Signature of

Role Plan administrator
Date 2016-09-26
Name of individual signing TERESA MALONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-26
Name of individual signing TERESA MALONE
Valid signature Filed with authorized/valid electronic signature
MISSISSIPPI NURSES ASSOCIATION SAFE HARBOR 401(K) PLAN 2014 640321143 2015-12-11 MISSISSIPPI NURSES ASSOCIATION 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 623000
Sponsor’s telephone number 6018980670
Plan sponsor’s address 31 WOODGREEN PLACE, MADISON, MS, 391109531

Signature of

Role Plan administrator
Date 2015-12-11
Name of individual signing TERESA MALONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-12-11
Name of individual signing TERESA MALONE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/01/28/20150128153401P030087443505001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 623000
Sponsor’s telephone number 6018980670
Plan sponsor’s address 31 WOODGLEN PLACE, MADISON, MS, 391109531

Signature of

Role Plan administrator
Date 2015-01-28
Name of individual signing TERESA MALONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-01-28
Name of individual signing TERESA MALONE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/01/10/20140110155859P040189379009001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 623000
Sponsor’s telephone number 6018980670
Plan sponsor’s address 31 WOODGLEN PLACE, MADISON, MS, 391109531

Signature of

Role Plan administrator
Date 2014-01-10
Name of individual signing TERESA MALONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-01-10
Name of individual signing TERESA MALONE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/09/19/20120919144520P030003677765001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 623000
Sponsor’s telephone number 6018980670
Plan sponsor’s address 31 WOODGLEN PLACE, MADISON, MS, 391109531

Plan administrator’s name and address

Administrator’s EIN 640321143
Plan administrator’s name MISSISSIPPI NURSES ASSOCIATION
Plan administrator’s address 31 WOODGLEN PLACE, MADISON, MS, 391109531
Administrator’s telephone number 6018980670

Signature of

Role Plan administrator
Date 2012-09-19
Name of individual signing TERESA MALONE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-19
Name of individual signing TERESA MALONE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/19/20110819160939P040118244881001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 623000
Sponsor’s telephone number 6018980670
Plan sponsor’s address 31 WOODGLEN PLACE, MADISON, MS, 391109531

Plan administrator’s name and address

Administrator’s EIN 640321143
Plan administrator’s name MISSISSIPPI NURSES ASSOCIATION
Plan administrator’s address 31 WOODGLEN PLACE, MADISON, MS, 391109531
Administrator’s telephone number 6018980670

Signature of

Role Plan administrator
Date 2011-08-19
Name of individual signing RICKI GARRETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-19
Name of individual signing RICKI GARRETT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/11/23/20101123114008P030002130995001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1995-07-01
Business code 623000
Sponsor’s telephone number 6018980670
Plan sponsor’s address 31 WOODGLEN PLACE, MADISON, MS, 391109531

Plan administrator’s name and address

Administrator’s EIN 640321143
Plan administrator’s name MISSISSIPPI NURSES ASSOCIATION
Plan administrator’s address 31 WOODGLEN PLACE, MADISON, MS, 391109531
Administrator’s telephone number 6018980670

Signature of

Role Plan administrator
Date 2010-11-23
Name of individual signing RICKI GARRETT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-11-23
Name of individual signing RICKI GARRETT
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Garrett, Ricki R Agent 31 Woodgreen Pl, Madison, MS 39110

Incorporator

Name Role Address
CHARLES BAUER Incorporator N, NATCHEZ, MS
LENA MULLENS Incorporator N, NATCHEZ, MS
R M SHEPARD Incorporator N, NATCHEZ, MS

President

Name Role Address
Gayle Harrell President 1260 Parker Rd, Pelahatchie, MS 39145

Vice President

Name Role Address
Carl Mangum Vice President 152 Blackman Rd, Byram, MS 39272

Treasurer

Name Role Address
Jeffrey Hallman Treasurer 883 Trickhambridge Rd, Brandon, MS 39042

Filings

Type Status Filed Date Description
Formation Form Filed 2011-08-22 Formation
Amendment Form Filed 1998-07-28 Amendment
Amendment Form Filed 1998-07-27 Amendment
Amendment Form Filed 1993-07-13 Amendment
Amendment Form Filed 1961-11-30 Amendment
Undetermined Event Filed 1914-06-17 Undetermined Event
Name Reservation Form Filed 1914-05-18 Name Reservation
Amendment Form Filed 1776-01-01 Amendment

Date of last update: 25 Jan 2025

Sources: Mississippi Secretary of State