MAX HOME, LLC WELFARE BENEFIT PLAN
|
2023
|
200055577
|
2025-02-17
|
MAX HOME, LLC
|
341
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-10-01
|
Business code |
337000
|
Sponsor’s telephone number |
6628629966
|
Plan
sponsor’s DBA name |
LARRY GENTRY
|
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611
|
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 38843
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2025-02-17 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC LIFE/AD&D
|
2023
|
200055577
|
2025-01-06
|
MAX HOME, LLC
|
414
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2009-10-01
|
Business code |
337000
|
Sponsor’s telephone number |
6628629966
|
Plan sponsor’s mailing address |
LARRY GENTRY, 101 MAX PL, FULTON, MS, 388436611
|
Plan sponsor’s
address |
LARRY GENTRY, 101 MAX PL, FULTON, MS, 388436611
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2025-01-06 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC WELFARE BENEFIT PLAN
|
2022
|
200055577
|
2024-05-08
|
MAX HOME, LLC
|
406
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-10-01
|
Business code |
337000
|
Sponsor’s telephone number |
6628629966
|
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611
|
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-05-08 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC LIFE/AD&D
|
2022
|
200055577
|
2024-05-07
|
MAX HOME, LLC
|
412
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2009-10-01
|
Business code |
337000
|
Sponsor’s telephone number |
6628629966
|
Plan sponsor’s mailing address |
LARRY GENTRY, 101 MAX PL, FULTON, MS, 388436611
|
Plan sponsor’s
address |
LARRY GENTRY, 101 MAX PL, FULTON, MS, 388436611
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-05-07 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC LIFE/AD&D
|
2021
|
200055577
|
2022-12-22
|
MAX HOME, LLC
|
453
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2009-10-01
|
Business code |
337000
|
Sponsor’s telephone number |
6628629966
|
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611
|
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-12-22 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC WELFARE BENEFIT PLAN
|
2021
|
200055577
|
2023-01-27
|
MAX HOME LLC
|
368
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-10-01
|
Business code |
337000
|
Sponsor’s telephone number |
6628629966
|
Plan
sponsor’s DBA name |
MAX HOME LLC
|
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611
|
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-01-27 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC LIFE/AD&D
|
2021
|
200055577
|
2022-08-24
|
MAX HOME LLC
|
450
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2009-10-01
|
Business code |
337000
|
Sponsor’s telephone number |
6628629966
|
Plan
sponsor’s DBA name |
MAX HOME LLC
|
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611
|
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-24 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC LIFE/AD&D
|
2021
|
200055577
|
2022-08-24
|
MAX HOME LLC
|
393
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2009-10-01
|
Business code |
337000
|
Sponsor’s telephone number |
6628629966
|
Plan
sponsor’s DBA name |
MAX HOME LLC
|
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611
|
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-24 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC LIFE/AD&D
|
2021
|
200055577
|
2022-08-24
|
MAX HOME LLC
|
388
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2009-10-01
|
Business code |
337000
|
Sponsor’s telephone number |
6628629966
|
Plan
sponsor’s DBA name |
MAX HOME LLC
|
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611
|
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-24 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC LIFE/AD&D
|
2021
|
200055577
|
2022-08-24
|
MAX HOME LLC
|
377
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2009-10-01
|
Business code |
337000
|
Sponsor’s telephone number |
6628629966
|
Plan
sponsor’s DBA name |
MAX HOME LLC
|
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611
|
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-24 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC LIFE/AD&D
|
2021
|
200055577
|
2022-08-24
|
MAX HOME LLC
|
355
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/24/20220824151251NAL0006520627001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2009-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan
sponsor’s DBA name |
MAX HOME LLC |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-24 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC LIFE/AD&D
|
2021
|
200055577
|
2022-08-24
|
MAX HOME LLC
|
0
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/24/20220824151157NAL0010331408001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2009-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan
sponsor’s DBA name |
MAX HOME LLC |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-24 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC EMPLOYEE HEALTH BENEFIT PLAN
|
2021
|
200055577
|
2022-08-11
|
MAX HOME LLC
|
0
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/11/20220811150849NAL0008676657001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2004-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC EMPLOYEE HEALTH BENEFIT PLAN
|
2021
|
200055577
|
2022-08-11
|
MAX HOME LLC
|
143
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/11/20220811150821NAL0006296931001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2004-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC EMPLOYEE HEALTH BENEFIT PLAN
|
2021
|
200055577
|
2022-08-11
|
MAX HOME LLC
|
158
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/11/20220811150747NAL0006785331001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2004-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC EMPLOYEE HEALTH BENEFIT PLAN
|
2021
|
200055577
|
2022-08-11
|
MAX HOME LLC
|
178
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/11/20220811150706NAL0006294419001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2004-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC EMPLOYEE HEALTH BENEFIT PLAN
|
2021
|
200055577
|
2022-08-11
|
MAX HOME LLC
|
265
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/11/20220811150504NAL0006780211001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2004-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC
|
2021
|
200055577
|
2022-08-11
|
MAX HOME LLC
|
281
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/11/20220811150422NAL0018358546001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2004-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC
|
2021
|
200055577
|
2022-08-11
|
MAX HOME LLC
|
394
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/11/20220811150344NAL0019185618001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2004-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC WELFARE BENEFIT PLAN
|
2021
|
200055577
|
2022-08-11
|
MAX HOME LLC
|
423
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/11/20220811150308NAL0019184418001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2004-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC WELFARE BENEFIT PLAN
|
2021
|
200055577
|
2022-08-11
|
MAX HOME LLC
|
385
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/11/20220811150223NAL0018355154001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2004-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC WELFARE BENEFIT PLAN
|
2021
|
200055577
|
2022-08-11
|
MAX HOME LLC
|
382
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/11/20220811150144NAL0019180162001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2004-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC WELFARE BENEFIT PLAN
|
2021
|
200055577
|
2022-08-11
|
MAX HOME LLC
|
365
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/11/20220811150002NAL0018345890001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2004-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC WELFARE BENEFIT PLAN
|
2021
|
200055577
|
2022-08-11
|
MAX HOME LLC
|
360
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/11/20220811145925NAL0006284723001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2004-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC WELFARE BENEFIT PLAN
|
2021
|
200055577
|
2022-08-11
|
MAX HOME LLC
|
389
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/11/20220811145827NAL0006772019001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2004-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC WELFARE BENEFIT PLAN
|
2021
|
200055577
|
2022-08-11
|
MAX HOME LLC
|
388
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/11/20220811145754NAL0006283091001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2004-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC WELFARE BENEFIT PLAN
|
2021
|
200055577
|
2022-08-11
|
MAX HOME LLC
|
377
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/11/20220811145653NAL0019164818001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2004-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC LIFE/AD&D
|
2021
|
200055577
|
2022-08-24
|
MAX HOME LLC
|
653
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/24/20220824151801NAL0006442227001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2009-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-24 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC LIFE/AD&D
|
2021
|
200055577
|
2022-08-24
|
MAX HOME LLC
|
529
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/24/20220824151723NAL0010339248001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2009-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan
sponsor’s DBA name |
MAX HOME LLC |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-24 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC LIFE/AD&D
|
2021
|
200055577
|
2022-08-24
|
MAX HOME LLC
|
611
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/24/20220824151643NAL0017374882001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2009-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan
sponsor’s DBA name |
MAX HOME LLC |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-24 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC LIFE/AD&D
|
2020
|
200055577
|
2022-08-24
|
MAX HOME, LLC
|
424
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/24/20220824154133NAL0010939872001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2009-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-24 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC WELFARE BENEFIT PLAN
|
2020
|
200055577
|
2022-08-11
|
MAX HOME, LLC
|
394
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/11/20220811145506NAL0008658081001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2004-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC LIFE/AD&D
|
2019
|
200055577
|
2022-08-24
|
MAX HOME, LLC
|
471
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/24/20220824154042NAL0010939616001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2009-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-24 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC WELFARE BENEFIT PLAN
|
2019
|
200055577
|
2022-08-11
|
MAX HOME, LLC
|
396
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/11/20220811145614NAL0018335778001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2004-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAX HOME, LLC LIFE/AD&D
|
2019
|
200055577
|
2022-08-24
|
MAX HOME, LLC
|
560
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/24/20220824151837NAL0006442595001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2009-10-01 |
Business code |
337000 |
Sponsor’s telephone number |
6628629966 |
Plan sponsor’s mailing address |
101 MAX PL, FULTON, MS, 388436611 |
Plan sponsor’s
address |
101 MAX PL, FULTON, MS, 388436611 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-24 |
Name of individual signing |
LARRY GENTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|