JACKSON ACADEMY INC FLEXIBLE BENEFITS CAFETERIA PLAN
|
2013
|
646012819
|
2015-07-02
|
JACKSON ACADEMY INC
|
183
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-09-01
|
Business code |
611000
|
Sponsor’s telephone number |
6013629676
|
Plan sponsor’s mailing address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39236
|
Plan sponsor’s
address |
ANGELA ANTICI, 4908 RIDGEWOOD ROAD, JACKSON, MS, 39211
|
Number of participants as of the end of the plan year
Active participants |
183 |
Retired or separated participants receiving
benefits |
18 |
Signature of
Role |
Plan administrator |
Date |
2015-07-02 |
Name of individual signing |
ANGELA ANTICI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-02 |
Name of individual signing |
ANGELA ANTICI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON ACADEMY INC FLEXIBLE BENEFITS CAFETERIA PLAN
|
2012
|
646012819
|
2014-05-13
|
JACKSON ACADEMY INC
|
167
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-09-01
|
Business code |
611000
|
Sponsor’s telephone number |
6013665012
|
Plan sponsor’s mailing address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39236
|
Plan sponsor’s
address |
ANGELA ANTICI, 4908 RIDGEWOOD ROAD, JACKSON, MS, 39211
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-05-13 |
Name of individual signing |
ANGIE ANTICI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-13 |
Name of individual signing |
ANGIE ANTICI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON ACADEMY, INC. FLEXIBLE BENEFITS CAFETERIA PLAN
|
2011
|
646012819
|
2013-05-15
|
JACKSON ACADEMY, INC.
|
145
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-09-01
|
Business code |
611000
|
Sponsor’s telephone number |
6013665012
|
Plan sponsor’s mailing address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39236
|
Plan sponsor’s
address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39236
|
Plan administrator’s name and address
Administrator’s EIN |
646012819 |
Plan administrator’s name |
JACKSON ACADEMY, INC. |
Plan administrator’s
address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39236 |
Administrator’s telephone number |
6013665012 |
Number of participants as of the end of the plan year
Active participants |
129 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-05-15 |
Name of individual signing |
CLIFTON KLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-15 |
Name of individual signing |
CLIFTON KLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON ACADEMY, INC. FLEXIBLE BENEFITS CAFETERIA PLAN
|
2010
|
646012819
|
2012-05-17
|
JACKSON ACADEMY, INC.
|
173
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-09-01
|
Business code |
611000
|
Sponsor’s telephone number |
6013665012
|
Plan sponsor’s mailing address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39236
|
Plan sponsor’s
address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39236
|
Plan administrator’s name and address
Administrator’s EIN |
646012819 |
Plan administrator’s name |
JACKSON ACADEMY, INC. |
Plan administrator’s
address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39236 |
Administrator’s telephone number |
6013665012 |
Number of participants as of the end of the plan year
Active participants |
164 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2012-05-17 |
Name of individual signing |
CLIFTON KLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-17 |
Name of individual signing |
CLIFTON KLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON ACADEMY, INC. FLEXIBLE CAFETERIA PLAN
|
2010
|
646012819
|
2011-12-15
|
JACKSON ACADEMY, INC.
|
168
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-09-01
|
Business code |
611000
|
Sponsor’s telephone number |
6013665012
|
Plan sponsor’s mailing address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211
|
Plan sponsor’s
address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211
|
Plan administrator’s name and address
Administrator’s EIN |
646012819 |
Plan administrator’s name |
JACKSON ACADEMY, INC. |
Plan administrator’s
address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211 |
Administrator’s telephone number |
6013665012 |
Number of participants as of the end of the plan year
Active participants |
168 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2011-12-15 |
Name of individual signing |
SHARON HEARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON ACADEMY, INC. FLEXIBLE CAFETERIA PLAN
|
2010
|
646012819
|
2011-12-15
|
JACKSON ACADEMY, INC.
|
168
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-09-01
|
Business code |
611000
|
Sponsor’s telephone number |
6013665012
|
Plan sponsor’s mailing address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211
|
Plan sponsor’s
address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211
|
Plan administrator’s name and address
Administrator’s EIN |
646012819 |
Plan administrator’s name |
JACKSON ACADEMY, INC. |
Plan administrator’s
address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211 |
Administrator’s telephone number |
6013665012 |
Number of participants as of the end of the plan year
Active participants |
164 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2011-12-15 |
Name of individual signing |
SHARON HEARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON ACADEMY, INC. FLEXIBLE CAFETERIA PLAN
|
2010
|
646012819
|
2011-12-15
|
JACKSON ACADEMY, INC.
|
170
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-09-01
|
Business code |
611000
|
Sponsor’s telephone number |
6013665012
|
Plan sponsor’s mailing address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211
|
Plan sponsor’s
address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211
|
Plan administrator’s name and address
Administrator’s EIN |
646012819 |
Plan administrator’s name |
JACKSON ACADEMY, INC. |
Plan administrator’s
address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211 |
Administrator’s telephone number |
6013665012 |
Number of participants as of the end of the plan year
Active participants |
165 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2011-12-15 |
Name of individual signing |
SHARON HEARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON ACADEMY, INC. FLEXIBLE CAFETERIA PLAN
|
2010
|
646012819
|
2011-12-15
|
JACKSON ACADEMY, INC.
|
102
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-09-01
|
Business code |
611000
|
Sponsor’s telephone number |
6013665012
|
Plan sponsor’s mailing address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211
|
Plan sponsor’s
address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211
|
Plan administrator’s name and address
Administrator’s EIN |
646012819 |
Plan administrator’s name |
JACKSON ACADEMY, INC. |
Plan administrator’s
address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211 |
Administrator’s telephone number |
6013665012 |
Number of participants as of the end of the plan year
Active participants |
168 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2011-12-15 |
Name of individual signing |
SHARON HEARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON ACADEMY, INC. FLEXIBLE CAFETERIA PLAN
|
2010
|
646012819
|
2011-12-15
|
JACKSON ACADEMY, INC.
|
102
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-09-01
|
Business code |
611000
|
Sponsor’s telephone number |
6013665012
|
Plan sponsor’s mailing address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211
|
Plan sponsor’s
address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211
|
Plan administrator’s name and address
Administrator’s EIN |
646012819 |
Plan administrator’s name |
JACKSON ACADEMY, INC. |
Plan administrator’s
address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211 |
Administrator’s telephone number |
6013665012 |
Number of participants as of the end of the plan year
Active participants |
99 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2011-12-15 |
Name of individual signing |
SHARON HEARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON ACADEMY, INC. FLEXIBLE BENEFITS CAFETERIA PLAN
|
2010
|
646012819
|
2011-12-15
|
JACKSON ACADEMY, INC.
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-09-01
|
Business code |
611000
|
Sponsor’s telephone number |
6013665012
|
Plan sponsor’s mailing address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211
|
Plan sponsor’s
address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211
|
Plan administrator’s name and address
Administrator’s EIN |
646012819 |
Plan administrator’s name |
JACKSON ACADEMY, INC. |
Plan administrator’s
address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211 |
Administrator’s telephone number |
6013665012 |
Number of participants as of the end of the plan year
Active participants |
100 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2011-12-15 |
Name of individual signing |
SHARON HEARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON ACADEMY, INC. FLEXIBLE CAFETERIA PLAN
|
2009
|
646012819
|
2011-12-15
|
JACKSON ACADEMY, INC.
|
168
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/12/15/20111215102559P030000117154001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1992-09-01 |
Business code |
611000 |
Sponsor’s telephone number |
6013665012 |
Plan sponsor’s mailing address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211 |
Plan sponsor’s
address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211 |
Plan administrator’s name and address
Administrator’s EIN |
646012819 |
Plan administrator’s name |
JACKSON ACADEMY, INC. |
Plan administrator’s
address |
4908 RIDGEWOOD ROAD, JACKSON, MS, 39211 |
Administrator’s telephone number |
6013665012 |
Number of participants as of the end of the plan year
Active participants |
168 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2011-12-15 |
Name of individual signing |
SHARON HEARN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|