SMITH INSURANCE AGENCY,INC. 401(K) PLAN
|
2021
|
640508362
|
2022-10-10
|
SMITH INSURANCE AGENCY, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6018234916
|
Plan sponsor’s
address |
315 SOUTH JACKSON STREET, BROOKHAVEN, MS, 39601
|
Signature of
Role |
Plan administrator |
Date |
2022-10-10 |
Name of individual signing |
JOSHUA R. SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH INSURANCE AGENCY 401(K) PLAN
|
2021
|
640508362
|
2022-06-10
|
SMITH INSURANCE AGENCY, INC.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6018234916
|
Plan sponsor’s
address |
315 SOUTH JACKSON STREET, BROOKHAVEN, MS, 39601
|
Signature of
Role |
Plan administrator |
Date |
2022-06-10 |
Name of individual signing |
SANDRA L. WINBORNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-10 |
Name of individual signing |
SANDRA L. WINBORNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH INSURANCE AGENCY 401(K) PLAN
|
2020
|
640508362
|
2021-05-17
|
SMITH INSURANCE AGENCY, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6018234916
|
Plan sponsor’s
address |
315 SOUTH JACKSON STREET, BROOKHAVEN, MS, 39601
|
Signature of
Role |
Plan administrator |
Date |
2021-05-17 |
Name of individual signing |
SANDRA L WINBORNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-17 |
Name of individual signing |
SANDRA L WINBORNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH INSURANCE AGENCY, INC. 401(K) PLAN
|
2019
|
640508362
|
2020-04-27
|
SMITH INSURANCE AGENCY, INC
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6018336321
|
Plan sponsor’s
address |
315 SOUTH JACKSON STREET, BROOKHAVEN, MS, 39601
|
|
SMITH INSURANCE AGENCY, INC. 401(K) PLAN
|
2018
|
640508362
|
2019-05-07
|
SMITH INSURANCE AGENCY, INC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6018336321
|
Plan sponsor’s
address |
315 SOUTH JACKSON STREET, BROOKHAVEN, MS, 39601
|
|
SMITH INSURANCE AGENCY, INC. 401(K) PLAN
|
2017
|
640508362
|
2018-06-26
|
SMITH INSURANCE AGENCY, INC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6018336321
|
Plan sponsor’s
address |
315 SOUTH JACKSON STREET, BROOKHAVEN, MS, 39601
|
Signature of
Role |
Plan administrator |
Date |
2018-06-26 |
Name of individual signing |
SANDRA WINBORNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH INSURANCE AGENCY, INC. 401(K) PLAN
|
2016
|
640508362
|
2017-04-11
|
SMITH INSURANCE AGENCY, INC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6018336321
|
Plan sponsor’s
address |
315 SOUTH JACKSON STREET, BROOKHAVEN, MS, 39601
|
Signature of
Role |
Plan administrator |
Date |
2017-04-11 |
Name of individual signing |
SANDRA WINBORNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-11 |
Name of individual signing |
SANDRA WINBORNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH INSURANCE AGENCY, INC. 401(K) PLAN
|
2015
|
640508362
|
2016-04-25
|
SMITH INSURANCE AGENCY, INC
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6018336321
|
Plan sponsor’s
address |
315 SOUTH JACKSON STREET, BROOKHAVEN, MS, 39601
|
Signature of
Role |
Plan administrator |
Date |
2016-04-25 |
Name of individual signing |
SANDRA WINBORNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-25 |
Name of individual signing |
SANDRA WINBORNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SMITH INSURANCE AGENCY, INC. 401(K) PLAN
|
2014
|
640508362
|
2015-08-27
|
SMITH INSURANCE AGENCY, INC.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6018336321
|
Plan sponsor’s
address |
315 SOUTH JACKSON STREET, BROOKHAVEN, MS, 39601
|
Signature of
Role |
Plan administrator |
Date |
2015-08-27 |
Name of individual signing |
SANDRA WINBORNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-08-27 |
Name of individual signing |
SANDRA WINBORNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|