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HUMPHREYS ACADEMY FOUNDATION

Company Details

Name: HUMPHREYS ACADEMY FOUNDATION
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 05 Aug 1966 (58 years ago)
Business ID: 306211
ZIP code: 39038
County: Humphreys
State of Incorporation: MISSISSIPPI
Principal Office Address: JACKSON STREET, P O BOX 634BELZONI, MS 39038

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
401K EMPLOYEE RETIREMENT PLAN 2023 646034406 2024-07-16 HUMPHREYS ACADEMY FOUNDATION 42
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2012-07-01
Business code 611000
Sponsor’s telephone number 6622471572
Plan sponsor’s address 800 PLUCK ROAD, BELZONI, MS, 39038

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2024-07-16
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2022 646034406 2023-07-14 HUMPHREYS ACADEMY FOUNDATION 41
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2012-07-01
Business code 611000
Sponsor’s telephone number 6622471572
Plan sponsor’s address 800 PLUCK ROAD, BELZONI, MS, 39038

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2023-07-14
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2021 646034406 2022-07-14 HUMPHREYS ACADEMY FOUNDATION 42
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2012-07-01
Business code 611000
Sponsor’s telephone number 6622471572
Plan sponsor’s address 800 PLUCK ROAD, BELZONI, MS, 39038

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2022-07-14
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2020 646034406 2021-07-27 HUMPHREYS ACADEMY FOUNDATION 41
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2012-07-01
Business code 611000
Sponsor’s telephone number 6622471572
Plan sponsor’s address 800 PLUCK ROAD, BELZONI, MS, 39038

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2021-07-27
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2019 646034406 2020-07-07 HUMPHREYS ACADEMY FOUNDATION 36
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2012-07-01
Business code 611000
Sponsor’s telephone number 6622471572
Plan sponsor’s address 800 PLUCK ROAD, BELZONI, MS, 39038

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2020-07-07
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2018 646034406 2019-07-26 HUMPHREYS ACADEMY FOUNDATION 34
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2012-07-01
Business code 611000
Sponsor’s telephone number 6622471572
Plan sponsor’s address 800 PLUCK ROAD, BELZONI, MS, 39038

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2019-07-26
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2017 646034406 2018-07-30 HUMPHREYS ACADEMY FOUNDATION 35
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2012-07-01
Business code 611000
Sponsor’s telephone number 6622471572
Plan sponsor’s address 800 PLUCK ROAD, BELZONI, MS, 39038

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2018-07-30
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2016 646034406 2017-05-12 HUMPHREYS ACADEMY FOUNDATION 35
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2012-07-01
Business code 611000
Sponsor’s telephone number 6622471572
Plan sponsor’s address 800 PLUCK ROAD, BELZONI, MS, 39038

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2017-05-12
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2015 646034406 2016-10-13 HUMPHREYS ACADEMY FOUNDATION 31
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2012-07-01
Business code 611000
Sponsor’s telephone number 6622471572
Plan sponsor’s address 800 PLUCK ROAD, BELZONI, MS, 39038

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2016-10-13
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
401K EMPLOYEE RETIREMENT PLAN 2014 646034406 2015-07-31 HUMPHREYS ACADEMY FOUNDATION 31
File View Page
Three-digit plan number (PN) 005
Effective date of plan 2012-07-01
Business code 611000
Sponsor’s telephone number 6622471572
Plan sponsor’s address 800 PLUCK ROAD, BELZONI, MS, 39038

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2015-07-31
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/15/20141015153839P040052920417001.pdf
Three-digit plan number (PN) 005
Effective date of plan 2012-07-01
Business code 611000
Sponsor’s telephone number 6622471572
Plan sponsor’s address 800 PLUCK ROAD, BELZONI, MS, 39038

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2014-10-15
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/31/20130731140356P040330214275001.pdf
Three-digit plan number (PN) 005
Effective date of plan 2012-07-01
Business code 611000
Sponsor’s telephone number 6622471572
Plan sponsor’s address 800 PLUCK ROAD, BELZONI, MS, 39038

Plan administrator’s name and address

Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of

Role Plan administrator
Date 2013-07-31
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role Address
JAMES S REED Incorporator P O BOX 88, P O BOX 88, SILVER CITY, MS 39166
PETER HARISTON Incorporator P O BOX 13, SILVER CITY, MS
JOE BECKHAM Incorporator P O BOX 297, BELZONI, MS

Agent

Name Role Address
JAMES S REED Agent PO BOX 88, SILVER CITY, MS 39166

Filings

Type Status Filed Date Description
Amendment Form Filed 2012-08-14 Amendment
Undetermined Event Filed 1966-09-06 Undetermined Event
Name Reservation Form Filed 1966-08-05 Name Reservation

Date of last update: 01 Feb 2025

Sources: Mississippi Secretary of State