FISER INSURANCE AGENCY, INC. 401(K) PLAN
|
2021
|
640430764
|
2022-07-12
|
FISER INSURANCE AGENCY, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
6016274126
|
Plan sponsor’s
address |
215 1ST ST # 700, CLARKSDALE, MS, 386144326
|
Signature of
Role |
Plan administrator |
Date |
2022-07-12 |
Name of individual signing |
RHONDA HOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-12 |
Name of individual signing |
RHONDA HOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FISER INSURANCE AGENCY, INC. 401(K) PLAN
|
2020
|
640430764
|
2021-09-28
|
FISER INSURANCE AGENCY, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
6016274126
|
Plan sponsor’s
address |
215 1ST ST # 700, CLARKSDALE, MS, 386144326
|
Signature of
Role |
Plan administrator |
Date |
2021-09-28 |
Name of individual signing |
RHONDA HOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-28 |
Name of individual signing |
RHONDA HOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FISER INSURANCE AGENCY, INC. 401(K) PLAN
|
2019
|
640430764
|
2020-09-02
|
FISER INSURANCE AGENCY, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
6016274126
|
Plan sponsor’s
address |
215 1ST ST # 700, CLARKSDALE, MS, 386144326
|
Signature of
Role |
Plan administrator |
Date |
2020-09-02 |
Name of individual signing |
BOBBY HUGGINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-09-02 |
Name of individual signing |
BOBBY HUGGINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FISER INSURANCE AGENCY, INC. 401(K) PLAN
|
2018
|
640430764
|
2019-07-30
|
FISER INSURANCE AGENCY, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
6016274126
|
Plan sponsor’s
address |
215 1ST ST # 700, CLARKSDALE, MS, 386144326
|
Signature of
Role |
Plan administrator |
Date |
2019-07-30 |
Name of individual signing |
RHONDA HOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-30 |
Name of individual signing |
RHONDA HOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FISER INSURANCE AGENCY, INC. 401(K) PLAN
|
2017
|
640430764
|
2018-09-05
|
FISER INSURANCE AGENCY, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
6016274126
|
Plan sponsor’s
address |
215 1ST ST # 700, CLARKSDALE, MS, 386144326
|
Signature of
Role |
Plan administrator |
Date |
2018-09-05 |
Name of individual signing |
RHONDA HOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-05 |
Name of individual signing |
RHONDA HOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FISER INSURANCE AGENCY, INC. 401(K) PLAN
|
2016
|
640430764
|
2017-09-21
|
FISER INSURANCE AGENCY, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
6016274126
|
Plan sponsor’s
address |
215 1ST ST # 700, CLARKSDALE, MS, 386144326
|
Signature of
Role |
Plan administrator |
Date |
2017-09-21 |
Name of individual signing |
RHONDA HOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-21 |
Name of individual signing |
RHONDA HOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FISER INSURANCE AGENCY, INC. 401(K) PLAN
|
2015
|
640430764
|
2016-09-19
|
FISER INSURANCE AGENCY, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
6016274126
|
Plan sponsor’s
address |
215 1ST ST # 700, CLARKSDALE, MS, 386144326
|
Signature of
Role |
Plan administrator |
Date |
2016-09-19 |
Name of individual signing |
RHONDA HOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-19 |
Name of individual signing |
RHONDA HOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FISER INSURANCE AGENCY, INC. 401(K) PLAN
|
2014
|
640430764
|
2015-09-17
|
FISER INSURANCE AGENCY, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
6016274126
|
Plan sponsor’s
address |
215 1ST ST # 700, CLARKSDALE, MS, 386144326
|
Signature of
Role |
Plan administrator |
Date |
2015-09-17 |
Name of individual signing |
KAREN PITTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-17 |
Name of individual signing |
KAREN PITTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FISER INSURANCE AGENCY, INC. 401(K) PLAN
|
2013
|
640430764
|
2014-04-23
|
FISER INSURANCE AGENCY, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
6016274126
|
Plan sponsor’s
address |
215 1ST ST # 700, CLARKSDALE, MS, 386144326
|
Signature of
Role |
Plan administrator |
Date |
2014-04-23 |
Name of individual signing |
KAREN PITTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-23 |
Name of individual signing |
KAREN PITTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FISER INSURANCE AGENCY, INC. 401(K) PLAN
|
2012
|
640430764
|
2013-09-16
|
FISER INSURANCE AGENCY, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
6016274126
|
Plan sponsor’s
address |
215 1ST ST # 700, CLARKSDALE, MS, 386144326
|
Signature of
Role |
Plan administrator |
Date |
2013-09-16 |
Name of individual signing |
KAREN PITTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-16 |
Name of individual signing |
KAREN PITTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FISER INSURANCE AGENCY, INC. 401(K) PLAN
|
2011
|
640430764
|
2012-04-04
|
FISER INSURANCE AGENCY, INC.
|
12
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/04/20120404150838P030001877731001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1988-03-01 |
Business code |
524210 |
Sponsor’s telephone number |
6016274126 |
Plan sponsor’s
address |
215 1ST ST # 700, CLARKSDALE, MS, 386144326 |
Plan administrator’s name and address
Administrator’s EIN |
640430764 |
Plan administrator’s name |
FISER INSURANCE AGENCY, INC. |
Plan administrator’s
address |
215 1ST ST # 700, CLARKSDALE, MS, 386144326 |
Administrator’s telephone number |
6016274126 |
Signature of
Role |
Plan administrator |
Date |
2012-04-04 |
Name of individual signing |
JAMES WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-04 |
Name of individual signing |
JAMES WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FISER INSURANCE AGENCY, INC. 401(K) PLAN
|
2011
|
640430764
|
2012-03-22
|
FISER INSURANCE AGENCY, INC.
|
12
|
|
Three-digit plan number (PN) |
002 |
Effective date of plan |
1988-03-01 |
Business code |
524210 |
Sponsor’s telephone number |
6016274126 |
Plan sponsor’s
address |
215 1ST ST # 700, CLARKSDALE, MS, 386144326 |
Plan administrator’s name and address
Administrator’s EIN |
640430764 |
Plan administrator’s name |
FISER INSURANCE AGENCY, INC. |
Plan administrator’s
address |
215 1ST ST # 700, CLARKSDALE, MS, 386144326 |
Administrator’s telephone number |
6016274126 |
Signature of
Role |
Plan administrator |
Date |
2012-03-22 |
Name of individual signing |
JAMES WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-03-22 |
Name of individual signing |
JAMES WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FISER INSURANCE AGENCY, INC. 401(K) PLAN
|
2010
|
640430764
|
2011-09-14
|
FISER INSURANCE AGENCY, INC.
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/14/20110914153618P040042918311001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1988-03-01 |
Business code |
524210 |
Sponsor’s telephone number |
6016274126 |
Plan sponsor’s
address |
215 1ST ST # 700, CLARKSDALE, MS, 386144326 |
Plan administrator’s name and address
Administrator’s EIN |
640430764 |
Plan administrator’s name |
FISER INSURANCE AGENCY, INC. |
Plan administrator’s
address |
215 1ST ST # 700, CLARKSDALE, MS, 386144326 |
Administrator’s telephone number |
6016274126 |
Signature of
Role |
Plan administrator |
Date |
2011-09-12 |
Name of individual signing |
KAREN PITTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-14 |
Name of individual signing |
JAMES WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FISER INSURANCE AGENCY, INC. 401(K) PLAN
|
2009
|
640430764
|
2010-09-23
|
FISER INSURANCE AGENCY, INC.
|
10
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/23/20100923120706P070008169473001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1988-03-01 |
Business code |
524210 |
Sponsor’s telephone number |
6016274126 |
Plan sponsor’s
address |
215 1ST ST # 700, CLARKSDALE, MS, 386144326 |
Plan administrator’s name and address
Administrator’s EIN |
640430764 |
Plan administrator’s name |
FISER INSURANCE AGENCY, INC. |
Plan administrator’s
address |
215 1ST ST # 700, CLARKSDALE, MS, 386144326 |
Administrator’s telephone number |
6016274126 |
Signature of
Role |
Plan administrator |
Date |
2010-09-23 |
Name of individual signing |
KAREN L PITTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-23 |
Name of individual signing |
KAREN L PITTMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|