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INDEPENDENT INSURANCE AGENTS OF MISSISSIPPI

Company Details

Name: INDEPENDENT INSURANCE AGENTS OF MISSISSIPPI
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 03 Dec 1924 (100 years ago)
Business ID: 309671
ZIP code: 39232
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 124 Riverview DrFlowood, MS 39232

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INDEPENDENT INSURANCE AGENTS OF MISSISSIPPI SAFE HARBOR 401(K) PLAN 2013 640204857 2014-12-01 INDEPENDENT INSURANCE AGENTS OF MISSISSIPPI 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-03-01
Business code 524210
Sponsor’s telephone number 6019399909
Plan sponsor’s address 124 RIVERVIEW DRIVE, FLOWOOD, MS, 392328908

Signature of

Role Plan administrator
Date 2014-12-01
Name of individual signing CLINTON A GRAHAM
Valid signature Filed with authorized/valid electronic signature
INDEPENDENT INSURANCE AGENTS OF MISSISSIPPI SAFE HARBOR 401(K) PLAN 2013 640204857 2014-05-01 INDEPENDENT INSURANCE AGENTS OF MISSISSIPPI 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-03-01
Business code 524210
Sponsor’s telephone number 6019399909
Plan sponsor’s address 124 RIVERVIEW DRIVE, FLOWOOD, MS, 392328908

Signature of

Role Plan administrator
Date 2014-05-01
Name of individual signing CLINTON A GRAHAM
Valid signature Filed with authorized/valid electronic signature
INDEPENDENT INSURANCE AGENTS OF MISSISSIPPI SAFE HARBOR 401(K) PLAN 2012 640204857 2013-05-07 INDEPENDENT INSURANCE AGENTS OF MISSISSIPPI 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-03-01
Business code 524210
Sponsor’s telephone number 6019399909
Plan sponsor’s address 124 RIVERVIEW DRIVE, FLOWOOD, MS, 392328908

Signature of

Role Plan administrator
Date 2013-05-07
Name of individual signing CLINTON A. GRAHAM
Valid signature Filed with authorized/valid electronic signature
INDEPENDENT INSURANCE AGENTS OF MISSISSIPPI SAFE HARBOR 401(K) PLAN 2011 640204857 2012-04-26 INDEPENDENT INSURANCE AGENTS OF MISSISSIPPI 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-03-01
Business code 524210
Sponsor’s telephone number 6019399909
Plan sponsor’s address 124 RIVERVIEW DRIVE, FLOWOOD, MS, 392328908

Plan administrator’s name and address

Administrator’s EIN 640204857
Plan administrator’s name INDEPENDENT INSURANCE AGENTS OF MISSISSIPPI
Plan administrator’s address 124 RIVERVIEW DRIVE, FLOWOOD, MS, 392328908
Administrator’s telephone number 6019399909

Signature of

Role Plan administrator
Date 2012-04-26
Name of individual signing CLINTON A. GRAHAM
Valid signature Filed with authorized/valid electronic signature
INDEPENDENT INSURANCE AGENTS OF MISSISSIPPI SAFE HARBOR 401(K) PLAN 2010 640204857 2011-07-06 INDEPENDENT INSURANCE AGENTS OF MISSISSIPPI 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-03-01
Business code 524210
Sponsor’s telephone number 6019399909
Plan sponsor’s address 124 RIVERVIEW DRIVE, FLOWOOD, MS, 392328908

Plan administrator’s name and address

Administrator’s EIN 640204857
Plan administrator’s name INDEPENDENT INSURANCE AGENTS OF MISSISSIPPI
Plan administrator’s address 124 RIVERVIEW DRIVE, FLOWOOD, MS, 392328908
Administrator’s telephone number 6019399909

Signature of

Role Plan administrator
Date 2011-07-06
Name of individual signing CLINTON GRAHAM
Valid signature Filed with authorized/valid electronic signature
INDEPENDENT INSURANCE AGENTS OF MISSISSIPPI SAFE HARBOR 401(K) PLAN 2009 640204857 2010-08-06 INDEPENDENT INSURANCE AGENTS OF MISSISSIPPI 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-03-01
Business code 524210
Sponsor’s telephone number 6019399909
Plan sponsor’s address 124 RIVERVIEW DRIVE, FLOWOOD, MS, 392328908

Plan administrator’s name and address

Administrator’s EIN 640204857
Plan administrator’s name INDEPENDENT INSURANCE AGENTS OF MISSISSIPPI
Plan administrator’s address 124 RIVERVIEW DRIVE, FLOWOOD, MS, 392328908
Administrator’s telephone number 6019399909

Signature of

Role Plan administrator
Date 2010-08-06
Name of individual signing CLINTON GRAHAM
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Graham, Clinton A Agent 124 Riverview Dr, Flowood, MS 39232

Incorporator

Name Role Address
F L NELSON Incorporator J, JACKSON, MS
H E GRAVES Incorporator L, LAUREL, MS
W H PULLEN JR Incorporator L, LAUREL, MS

Director

Name Role Address
Scott Lemon Director 806 Washington, Ocean Springs, MS 39564
Shaw Johnson III Director PO Box 68, Clarksdale, MS 38614
Dudley Wooley Director PO Box 1134, Jackson, MS 39215

Other

Name Role Address
Scott Lemon Other 806 Washington, Ocean Springs, MS 39564
Shaw Johnson III Other PO Box 68, Clarksdale, MS 38614
Dudley Wooley Other PO Box 1134, Jackson, MS 39215

Filings

Type Status Filed Date Description
Formation Form Filed 2011-07-11 Formation
See File Filed 1982-07-09 See File
Amendment Form Filed 1976-08-04 Amendment
Undetermined Event Filed 1924-12-16 Undetermined Event
Name Reservation Form Filed 1924-12-03 Name Reservation

Date of last update: 13 Dec 2024

Sources: Mississippi Secretary of State