IRBY DENTAL/VISION PLAN
|
2015
|
640179020
|
2016-07-30
|
STUART C. IRBY COMPANY
|
621
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1996-07-01
|
Business code |
423600
|
Sponsor’s telephone number |
6019691811
|
Plan
sponsor’s DBA name |
IRBY
|
Plan sponsor’s mailing address |
815 IRBY DR, JACKSON, MS, 392015806
|
Plan sponsor’s
address |
815 IRBY DR, JACKSON, MS, 392015806
|
Number of participants as of the end of the plan year
Active participants |
637 |
Retired or separated participants receiving
benefits |
7 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2016-07-30 |
Name of individual signing |
JOHN HONIGFORT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STUART C. IRBY COMPANY WELFARE BENEFIT PLAN
|
2015
|
640179020
|
2016-07-30
|
STUART C. IRBY COMPANY
|
809
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1963-01-31
|
Business code |
423600
|
Sponsor’s telephone number |
6019691811
|
Plan
sponsor’s DBA name |
IRBY
|
Plan sponsor’s mailing address |
815 IRBY DR, JACKSON, MS, 392015806
|
Plan sponsor’s
address |
815 IRBY DR, JACKSON, MS, 392015806
|
Number of participants as of the end of the plan year
Active participants |
817 |
Retired or separated participants receiving
benefits |
13 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2016-07-30 |
Name of individual signing |
JOHN HONIGFORT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IRBY DENTAL/VISION PLAN
|
2014
|
640179020
|
2015-07-20
|
STUART C. IRBY COMPANY
|
611
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1996-07-01
|
Business code |
423600
|
Sponsor’s telephone number |
6019691811
|
Plan
sponsor’s DBA name |
IRBY
|
Plan sponsor’s mailing address |
P.O. BOX 1819, JACKSON, MS, 39215
|
Plan sponsor’s
address |
815 SOUTH PRESIDENT STREET, JACKSON, MS, 39201
|
Number of participants as of the end of the plan year
Active participants |
610 |
Retired or separated participants receiving
benefits |
9 |
Other
retired or separated participants entitled to future benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2015-07-20 |
Name of individual signing |
JOHN HONIGFORT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-20 |
Name of individual signing |
TODD DAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STUART C. IRBY COMPANY WELFARE BENEFIT PLAN
|
2014
|
640179020
|
2015-07-20
|
STUART C. IRBY COMPANY
|
795
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1963-01-31
|
Business code |
423600
|
Sponsor’s telephone number |
6019691811
|
Plan
sponsor’s DBA name |
IRBY
|
Plan sponsor’s mailing address |
P.O. BOX 1819, JACKSON, MS, 39215
|
Plan sponsor’s
address |
815 SOUTH PRESIDENT STREET, JACKSON, MS, 39201
|
Number of participants as of the end of the plan year
Active participants |
794 |
Retired or separated participants receiving
benefits |
14 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2015-07-20 |
Name of individual signing |
JOHN HONIGFORT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-20 |
Name of individual signing |
TODD DAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IRBY COMPANY DENTAL / VISION PLAN
|
2013
|
640179020
|
2014-07-28
|
STUART C. IRBY COMPANY
|
568
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1996-07-01
|
Business code |
423600
|
Sponsor’s telephone number |
6019691811
|
Plan
sponsor’s DBA name |
IRBY
|
Plan sponsor’s mailing address |
P.O. BOX 1819, JACKSON, MS, 39215
|
Plan sponsor’s
address |
815 SOUTH PRESIDENT STREET, JACKSON, MS, 39201
|
Plan administrator’s name and address
Administrator’s EIN |
640179020 |
Plan administrator’s name |
STUART C. IRBY COMPANY |
Plan administrator’s
address |
P.O. BOX 1819, JACKSON, MS, 39215 |
Administrator’s telephone number |
6019691811 |
Number of participants as of the end of the plan year
Active participants |
606 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
JOHN HONIGFORT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-28 |
Name of individual signing |
JOHN HONIGFORT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STUART C. IRBY COMPANY WELFARE BENEFIT PLAN
|
2013
|
640179020
|
2014-07-28
|
STUART C. IRBY COMPANY
|
737
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1963-01-31
|
Business code |
423600
|
Sponsor’s telephone number |
6019691811
|
Plan
sponsor’s DBA name |
IRBY
|
Plan sponsor’s mailing address |
P.O. BOX 1819, JACKSON, MS, 39215
|
Plan sponsor’s
address |
815 SOUTH PRESIDENT STREET, JACKSON, MS, 39201
|
Number of participants as of the end of the plan year
Active participants |
770 |
Retired or separated participants receiving
benefits |
24 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
JOHN HONIGFORT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-28 |
Name of individual signing |
JOHN HONIGFORT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IRBY COMPANY DENTAL / VISION PLAN
|
2012
|
640179020
|
2013-07-30
|
STUART C. IRBY COMPANY
|
541
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1996-07-01
|
Business code |
423600
|
Sponsor’s telephone number |
6019691811
|
Plan
sponsor’s DBA name |
IRBY
|
Plan sponsor’s mailing address |
P.O. BOX 1819, JACKSON, MS, 39215
|
Plan sponsor’s
address |
815 SOUTH PRESIDENT STREET, JACKSON, MS, 39201
|
Number of participants as of the end of the plan year
Active participants |
561 |
Retired or separated participants receiving
benefits |
6 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2013-07-30 |
Name of individual signing |
JOHN HONIGFORT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-30 |
Name of individual signing |
JOHN HONIGFORT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STUART C. IRBY COMPANY WELFARE BENEFIT PLAN
|
2012
|
640179020
|
2013-07-30
|
STUART C. IRBY COMPANY
|
718
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1963-01-31
|
Business code |
423600
|
Sponsor’s telephone number |
6019691811
|
Plan
sponsor’s DBA name |
IRBY
|
Plan sponsor’s mailing address |
P.O. BOX 1819, JACKSON, MS, 39215
|
Plan sponsor’s
address |
815 S. PRESIDENT STREET, JACKSON, MS, 39201
|
Number of participants as of the end of the plan year
Active participants |
729 |
Retired or separated participants receiving
benefits |
7 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2013-07-30 |
Name of individual signing |
JOHN HONIGFORT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-30 |
Name of individual signing |
JOHN HONIGFORT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STUART C. IRBY COMPANY WELFARE BENEFIT PLAN
|
2011
|
640179020
|
2012-07-31
|
STUART C. IRBY COMPANY
|
745
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1963-01-31
|
Business code |
423600
|
Sponsor’s telephone number |
6019691811
|
Plan
sponsor’s DBA name |
IRBY
|
Plan sponsor’s mailing address |
P.O. BOX 1819, JACKSON, MS, 39215
|
Plan sponsor’s
address |
815 S. PRESIDENT STREET, JACKSON, MS, 39201
|
Plan administrator’s name and address
Administrator’s EIN |
640179020 |
Plan administrator’s name |
STUART C. IRBY COMPANY |
Plan administrator’s
address |
P.O. BOX 1819, JACKSON, MS, 39215 |
Administrator’s telephone number |
6019691811 |
Number of participants as of the end of the plan year
Active participants |
712 |
Retired or separated participants receiving
benefits |
6 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-07-31 |
Name of individual signing |
TODD DAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IRBY COMPANY DENTAL / VISION PLAN
|
2011
|
640179020
|
2012-07-31
|
STUART C. IRBY COMPANY
|
552
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1996-07-01
|
Business code |
423600
|
Sponsor’s telephone number |
6019691811
|
Plan
sponsor’s DBA name |
IRBY
|
Plan sponsor’s mailing address |
P.O. BOX 1819, JACKSON, MS, 39215
|
Plan sponsor’s
address |
815 S. PRESIDENT STREET, JACKSON, MS, 39201
|
Plan administrator’s name and address
Administrator’s EIN |
640179020 |
Plan administrator’s name |
STUART C. IRBY COMPANY |
Plan administrator’s
address |
P.O. BOX 1819, JACKSON, MS, 39215 |
Administrator’s telephone number |
6019691811 |
Number of participants as of the end of the plan year
Active participants |
538 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-07-31 |
Name of individual signing |
TODD DAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STUART C. IRBY COMPANY WELFARE BENEFIT PLAN
|
2010
|
640179020
|
2011-07-27
|
STUART C. IRBY COMPANY
|
806
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/27/20110727082553P030101449793001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1963-01-31 |
Business code |
423600 |
Sponsor’s telephone number |
6019691811 |
Plan
sponsor’s DBA name |
IRBY |
Plan sponsor’s mailing address |
P.O. BOX 1819, JACKSON, MS, 39201 |
Plan sponsor’s
address |
P.O. BOX 1819, JACKSON, MS, 39201 |
Plan administrator’s name and address
Administrator’s EIN |
640179020 |
Plan administrator’s name |
STUART C. IRBY COMPANY |
Plan administrator’s
address |
P.O. BOX 1819, JACKSON, MS, 39201 |
Administrator’s telephone number |
6019691811 |
Number of participants as of the end of the plan year
Active participants |
735 |
Retired or separated participants receiving
benefits |
10 |
Other
retired or separated participants entitled to future benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-07-22 |
Name of individual signing |
JOHN HONIGFORT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IRBY COMPANY DENTAL / VISION PLAN
|
2010
|
640179020
|
2011-07-27
|
STUART C. IRBY COMPANY
|
573
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/27/20110727082418P030101449009001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1996-07-01 |
Business code |
423600 |
Sponsor’s telephone number |
6019691811 |
Plan
sponsor’s DBA name |
IRBY |
Plan sponsor’s mailing address |
P.O. BOX 1819, JACKSON, MS, 39215 |
Plan sponsor’s
address |
P.O. BOX 1819, JACKSON, MS, 39215 |
Plan administrator’s name and address
Administrator’s EIN |
640179020 |
Plan administrator’s name |
STUART C. IRBY COMPANY |
Plan administrator’s
address |
P.O. BOX 1819, JACKSON, MS, 39215 |
Administrator’s telephone number |
6019691811 |
Number of participants as of the end of the plan year
Active participants |
545 |
Retired or separated participants receiving
benefits |
7 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-07-22 |
Name of individual signing |
JOHN HONIGFORT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IRBY COMPANY DENTAL/VISION PLAN
|
2009
|
640179020
|
2010-07-28
|
STUART C. IRBY COMPANY
|
584
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/28/20100728102222P040098854056001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1996-07-01 |
Business code |
423600 |
Sponsor’s telephone number |
6019691811 |
Plan
sponsor’s DBA name |
STUART C. IRBY COMPANY |
Plan sponsor’s mailing address |
P.O. BOX 1819, JACKSON, MS, 39215 |
Plan sponsor’s
address |
P.O. BOX 1819, JACKSON, MS, 39215 |
Plan administrator’s name and address
Administrator’s EIN |
640179020 |
Plan administrator’s name |
STUART C. IRBY COMPANY |
Plan administrator’s
address |
P.O. BOX 1819, JACKSON, MS, 39215 |
Administrator’s telephone number |
6019691811 |
Number of participants as of the end of the plan year
Active participants |
565 |
Retired or separated participants receiving
benefits |
8 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
JOHN HONIGFORT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STUART C. IRBY COMPANY WELFARE BENEFIT PLAN
|
2009
|
640179020
|
2010-07-27
|
STUART C. IRBY COMPANY
|
863
|
|
Three-digit plan number (PN) |
501 |
Effective date of plan |
1963-01-31 |
Business code |
423600 |
Sponsor’s telephone number |
6019691811 |
Plan
sponsor’s DBA name |
STUART C. IRBY COMPANY |
Plan sponsor’s mailing address |
P.O. BOX 1819, JACKSON, MS, 39201 |
Plan sponsor’s
address |
P.O. BOX 1819, JACKSON, MS, 39201 |
Plan administrator’s name and address
Administrator’s EIN |
640179020 |
Plan administrator’s name |
STUART C. IRBY COMPANY |
Plan administrator’s
address |
P.O. BOX 1819, JACKSON, MS, 39201 |
Administrator’s telephone number |
6019691811 |
Number of participants as of the end of the plan year
Active participants |
789 |
Retired or separated participants receiving
benefits |
17 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-07-27 |
Name of individual signing |
JOHN HONIGFORT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
IRBY COMPANY DENTAL/VISION PLAN
|
2009
|
640179020
|
2010-07-27
|
STUART C. IRBY COMPANY
|
584
|
|
Three-digit plan number (PN) |
503 |
Effective date of plan |
1996-07-01 |
Business code |
423600 |
Sponsor’s telephone number |
6019691811 |
Plan
sponsor’s DBA name |
STUART C. IRBY COMPANY |
Plan sponsor’s mailing address |
P.O. BOX 1819, JACKSON, MS, 39215 |
Plan sponsor’s
address |
P.O. BOX 1819, JACKSON, MS, 39215 |
Plan administrator’s name and address
Administrator’s EIN |
640179020 |
Plan administrator’s name |
STUART C. IRBY COMPANY |
Plan administrator’s
address |
P.O. BOX 1819, JACKSON, MS, 39215 |
Administrator’s telephone number |
6019691811 |
Number of participants as of the end of the plan year
Active participants |
565 |
Retired or separated participants receiving
benefits |
8 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-07-27 |
Name of individual signing |
JOHN HONIGFORT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STUART C. IRBY COMPANY WELFARE BENEFIT PLAN
|
2009
|
640179020
|
2010-07-28
|
STUART C. IRBY COMPANY
|
863
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/28/20100728102131P070017966616001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1963-01-31 |
Business code |
423600 |
Sponsor’s telephone number |
6019691811 |
Plan
sponsor’s DBA name |
STUART C. IRBY COMPANY |
Plan sponsor’s mailing address |
P.O. BOX 1819, JACKSON, MS, 39201 |
Plan sponsor’s
address |
P.O. BOX 1819, JACKSON, MS, 39201 |
Plan administrator’s name and address
Administrator’s EIN |
640179020 |
Plan administrator’s name |
STUART C. IRBY COMPANY |
Plan administrator’s
address |
P.O. BOX 1819, JACKSON, MS, 39201 |
Administrator’s telephone number |
6019691811 |
Number of participants as of the end of the plan year
Active participants |
789 |
Retired or separated participants receiving
benefits |
17 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
JOHN HONIGFORT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|