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Compensation Insurance Services LLC

Company Details

Name: Compensation Insurance Services LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 22 Sep 2016 (8 years ago)
Business ID: 1101777
ZIP code: 39157
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 800 Woodlands ParkwayRidgeland, MS 39157

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMPENSATION INSURANCE SERVICES PROFIT SHARING PLAN 2015 640824516 2016-04-28 COMPENSATION INSURANCE SERVICES 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 524290
Sponsor’s telephone number 6019779456
Plan sponsor’s address PO BOX 12653, JACKSON, MS, 392362653

Signature of

Role Plan administrator
Date 2016-04-28
Name of individual signing JAMES HATHCOCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-04-28
Name of individual signing JAMES HATHCOCK
Valid signature Filed with authorized/valid electronic signature
COMPENSATION INSURANCE SERVICES PROFIT SHARING PLAN 2014 640824516 2015-06-16 COMPENSATION INSURANCE SERVICES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 524290
Sponsor’s telephone number 6019779456
Plan sponsor’s address P. O. BOX 12653, JACKSON, MS, 39236

Signature of

Role Plan administrator
Date 2015-06-16
Name of individual signing JAMES HATHCOCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-16
Name of individual signing JAMES HATHCOCK
Valid signature Filed with authorized/valid electronic signature
COMPENSATION INSURANCE SERVICES PROFIT SHARING PLAN 2013 640824516 2014-05-13 COMPENSATION INSURANCE SERVICES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 524290
Sponsor’s telephone number 6019779456
Plan sponsor’s address P. O. BOX 12653, JACKSON, MS, 39236

Signature of

Role Plan administrator
Date 2014-05-13
Name of individual signing JAMES HATHCOCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-05-13
Name of individual signing JAMES HATHCOCK
Valid signature Filed with authorized/valid electronic signature
COMPENSATION INSURANCE SERVICES PROFIT SHARING PLAN 2012 640824516 2013-06-19 COMPENSATION INSURANCE SERVICES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-01
Business code 524290
Sponsor’s telephone number 6019779456
Plan sponsor’s address P. O. BOX 12653, JACKSON, MS, 39236

Signature of

Role Plan administrator
Date 2013-06-19
Name of individual signing JAMES HATHCOCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-06-19
Name of individual signing JAMES HATHCOCK
Valid signature Filed with authorized/valid electronic signature
COMPENSATION INSURANCE SERVICES PROFIT SHARING PLAN 2011 640824516 2012-06-26 COMPENSATION INSURANCE SERVICES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-04
Business code 524290
Sponsor’s telephone number 6019779456
Plan sponsor’s address P. O. BOX 12653, JACKSON, MS, 39236

Plan administrator’s name and address

Administrator’s EIN 640824516
Plan administrator’s name COMPENSATION INSURANCE SERVICES
Plan administrator’s address P. O. BOX 12653, JACKSON, MS, 39236
Administrator’s telephone number 6019779456

Signature of

Role Plan administrator
Date 2012-06-26
Name of individual signing JAMES HATHCOCK
Valid signature Filed with authorized/valid electronic signature
COMPENSATION INSURANCE SERVICES PROFIT SHARING PLAN 2010 640824516 2011-05-02 COMPENSATION INSURANCE SERVICES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-04
Business code 524290
Sponsor’s telephone number 6019779456
Plan sponsor’s mailing address P. O. BOX 12653, JACKSON, MS, 39236
Plan sponsor’s address 800 WOODLAND PARKWAY, SUITE 204, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640824516
Plan administrator’s name COMPENSATION INSURANCE SERVICES
Plan administrator’s address P. O. BOX 12653, JACKSON, MS, 39236
Administrator’s telephone number 6019779456

Number of participants as of the end of the plan year

Active participants 3
Number of participants with account balances as of the end of the plan year 3

Signature of

Role Plan administrator
Date 2011-05-02
Name of individual signing JAMES HATHCOCK
Valid signature Filed with authorized/valid electronic signature
COMPENSATION INSURANCE SERVICES PROFIT SHARING PLAN 2010 640824516 2011-05-02 COMPENSATION INSURANCE SERVICES 3
Three-digit plan number (PN) 001
Effective date of plan 1993-01-04
Business code 524290
Sponsor’s telephone number 6019779456
Plan sponsor’s mailing address P. O. BOX 12653, JACKSON, MS, 39236
Plan sponsor’s address 800 WOODLAND PARKWAY, SUITE 204, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640824516
Plan administrator’s name COMPENSATION INSURANCE SERVICES
Plan administrator’s address P. O. BOX 12653, JACKSON, MS, 39236
Administrator’s telephone number 6019779456

Number of participants as of the end of the plan year

Active participants 3
Number of participants with account balances as of the end of the plan year 3

Signature of

Role Employer/plan sponsor
Date 2011-04-29
Name of individual signing JAMES HATHCOCK
Valid signature Filed with authorized/valid electronic signature
COMPENSATION INSURANCE SERVICES PROFIT SHARING PLAN 2009 640824516 2010-06-18 COMPENSATION INSURANCE SERVICES 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1993-01-04
Business code 524290
Sponsor’s telephone number 6019779456
Plan sponsor’s mailing address P. O. BOX 12653, JACKSON, MS, 39236
Plan sponsor’s address 800 WOODLANDS PARKWAY, SUITE 204, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640824516
Plan administrator’s name COMPENSATION INSURANCE SERVICES
Plan administrator’s address P. O. BOX 12653, JACKSON, MS, 39236
Administrator’s telephone number 6019779456

Number of participants as of the end of the plan year

Active participants 3
Number of participants with account balances as of the end of the plan year 3

Signature of

Role Plan administrator
Date 2010-06-18
Name of individual signing JAMES HATHCOCK
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Charles Barrett Hathcock Agent 306 Oakmont Trail, Ridgeland, MS 39157

Member

Name Role Address
Investors Indemnity LLC Member P. O. Box 12653, Jackson, MS 39236

Filings

Type Status Filed Date Description
Registered Agent Change of Address Filed 2024-04-10 Agent Address Change For Charles Barrett Hathcock
Annual Report LLC Filed 2024-04-10 Annual Report For Compensation Insurance Services LLC
Annual Report LLC Filed 2023-04-11 Annual Report For Compensation Insurance Services LLC
Annual Report LLC Filed 2022-04-12 Annual Report For Compensation Insurance Services LLC
Annual Report LLC Filed 2021-04-07 Annual Report For Compensation Insurance Services LLC
Annual Report LLC Filed 2020-04-09 Annual Report For Compensation Insurance Services LLC
Annual Report LLC Filed 2019-04-10 Annual Report For Compensation Insurance Services LLC
Annual Report LLC Filed 2018-04-14 Annual Report For Compensation Insurance Services LLC
Annual Report LLC Filed 2017-04-12 Annual Report For Compensation Insurance Services LLC
Formation Form Filed 2016-09-22 Formation For Compensation Insurance Services LLC

Date of last update: 14 Jan 2025

Sources: Mississippi Secretary of State