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SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY

Headquarter

Company Details

Name: SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 25 Sep 1947 (77 years ago)
Business ID: 402128
ZIP code: 39157
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: -RIDGELAND, MS 39157

Links between entities

Type Company Name Company Number State
Headquarter of SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY, ALABAMA 000-796-720 ALABAMA
Headquarter of SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY, COLORADO 20051382740 COLORADO
Headquarter of SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY, FLORIDA P04263 FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN FARM BUREAU GROUP MEDICAL AND DENTAL INSURANCE PLAN FOR EMPLOYEES 2023 640288243 2024-10-10 SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY 543
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2011-01-01
Business code 524290
Sponsor’s telephone number 6019574496
Plan sponsor’s mailing address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Plan sponsor’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916

Number of participants as of the end of the plan year

Active participants 559
Retired or separated participants receiving benefits 84
Other retired or separated participants entitled to future benefits 14

Signature of

Role Plan administrator
Date 2024-10-10
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-10
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
ACCIDENTAL DEATH AND DISMEMBERMENT PLAN 2023 640288243 2024-10-04 SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY 1419
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1964-02-01
Business code 524290
Sponsor’s telephone number 6019574496
Plan sponsor’s mailing address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Plan sponsor’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Administrator’s telephone number 6019574496

Number of participants as of the end of the plan year

Active participants 1250
Retired or separated participants receiving benefits 152

Signature of

Role Plan administrator
Date 2024-10-04
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-04
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
SOUTHERN FARM BUREAU CASUALTY GROUP DISABILITY PLAN 2023 620288243 2024-09-30 SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY 1489
File View Page
Three-digit plan number (PN) 508
Effective date of plan 2020-01-01
Business code 524290
Sponsor’s telephone number 6019574496
Plan sponsor’s mailing address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Plan sponsor’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916

Number of participants as of the end of the plan year

Active participants 1321
Retired or separated participants receiving benefits 13

Signature of

Role Plan administrator
Date 2024-09-30
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-09-30
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
SOUTHERN FARM BUREAU EMPLOYEE ASSISTANCE PROGRAM 2023 640288243 2024-10-01 SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY 593
File View Page
Three-digit plan number (PN) 506
Effective date of plan 2000-03-15
Business code 524290
Sponsor’s telephone number 6019574496
Plan sponsor’s mailing address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Plan sponsor’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916

Number of participants as of the end of the plan year

Active participants 604
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2024-10-01
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-01
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
SOUTHERN FARM BUREAU CAS INS COMP RETIREE HEALTH REIMBURSEMENT ARRANGEMENT 2023 640288243 2024-10-01 SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY 856
File View Page
Three-digit plan number (PN) 507
Effective date of plan 2014-01-01
Business code 524290
Sponsor’s telephone number 6019574496
Plan sponsor’s mailing address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Plan sponsor’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916

Number of participants as of the end of the plan year

Retired or separated participants receiving benefits 672
Other retired or separated participants entitled to future benefits 209

Signature of

Role Plan administrator
Date 2024-10-01
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-10-01
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
SOUTHERN FARM BUREAU CAS INS COMP RETIREE HEALTH REIMBURSEMENT ARRANGEMENT 2022 640288243 2023-07-07 SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY 799
File View Page
Three-digit plan number (PN) 507
Effective date of plan 2014-01-01
Business code 524290
Sponsor’s telephone number 6019574496
Plan sponsor’s mailing address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Plan sponsor’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916

Number of participants as of the end of the plan year

Retired or separated participants receiving benefits 640
Other retired or separated participants entitled to future benefits 216

Signature of

Role Plan administrator
Date 2023-07-07
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-07
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
ACCIDENTAL DEATH AND DISMEMBERMENT PLAN 2022 640288243 2023-07-06 SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY 1398
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1964-02-01
Business code 524290
Sponsor’s telephone number 6019574496
Plan sponsor’s mailing address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Plan sponsor’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Administrator’s telephone number 6019574496

Number of participants as of the end of the plan year

Active participants 1202
Retired or separated participants receiving benefits 217

Signature of

Role Plan administrator
Date 2023-07-06
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-06
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
SOUTHERN FARM BUREAU GROUP MEDICAL AND DENTAL INSURANCE PLAN FOR EMPLOYEES 2022 640288243 2023-07-13 SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY 505
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2011-01-01
Business code 524290
Sponsor’s telephone number 6019574496
Plan sponsor’s mailing address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Plan sponsor’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916

Number of participants as of the end of the plan year

Active participants 485
Retired or separated participants receiving benefits 39
Other retired or separated participants entitled to future benefits 19

Signature of

Role Plan administrator
Date 2023-07-13
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-07-13
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
SOUTHERN FARM BUREAU CASUALTY GROUP DISABILITY PLAN 2022 620288243 2023-05-31 SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY 1358
File View Page
Three-digit plan number (PN) 508
Effective date of plan 2020-01-01
Business code 524290
Sponsor’s telephone number 6019574496
Plan sponsor’s mailing address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Plan sponsor’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916

Number of participants as of the end of the plan year

Active participants 1475
Retired or separated participants receiving benefits 14

Signature of

Role Plan administrator
Date 2023-05-31
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-31
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
SOUTHERN FARM BUREAU FLEXIBLE SPENDING PLAN- CAS 2022 640288243 2023-05-31 SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY 273
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1989-04-01
Business code 524290
Sponsor’s telephone number 6019574496
Plan sponsor’s mailing address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Plan sponsor’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Administrator’s telephone number 6019574496

Number of participants as of the end of the plan year

Active participants 274
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2023-05-31
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-31
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2023/06/01/20230601092728NAL0020725777001.pdf
Three-digit plan number (PN) 506
Effective date of plan 2000-03-15
Business code 524290
Sponsor’s telephone number 6019574496
Plan sponsor’s mailing address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Plan sponsor’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916

Number of participants as of the end of the plan year

Active participants 593
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2023-06-01
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-01
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/08/20220808112331NAL0004139779001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1964-02-01
Business code 524290
Sponsor’s telephone number 6019574496
Plan sponsor’s mailing address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Plan sponsor’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Administrator’s telephone number 6019574496

Number of participants as of the end of the plan year

Active participants 1204
Retired or separated participants receiving benefits 194

Signature of

Role Plan administrator
Date 2022-08-08
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-08
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2022/07/28/20220728125709NAL0024443858001.pdf
Three-digit plan number (PN) 505
Effective date of plan 1989-04-01
Business code 524290
Sponsor’s telephone number 6019574496
Plan sponsor’s mailing address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Plan sponsor’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Administrator’s telephone number 6019574496

Number of participants as of the end of the plan year

Active participants 273
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2022-07-28
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-28
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2022/07/29/20220729134343NAL0016534528001.pdf
Three-digit plan number (PN) 507
Effective date of plan 2014-01-01
Business code 524290
Sponsor’s telephone number 6019574496
Plan sponsor’s mailing address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Plan sponsor’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916

Number of participants as of the end of the plan year

Retired or separated participants receiving benefits 597
Other retired or separated participants entitled to future benefits 202

Signature of

Role Plan administrator
Date 2022-07-29
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-29
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2022/07/07/20220707092025NAL0019447136001.pdf
Three-digit plan number (PN) 508
Effective date of plan 2020-01-01
Business code 524290
Sponsor’s telephone number 6019574496
Plan sponsor’s mailing address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Plan sponsor’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916

Number of participants as of the end of the plan year

Active participants 1349
Retired or separated participants receiving benefits 9
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2022-07-07
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-07
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2022/07/07/20220707084016NAL0019395104001.pdf
Three-digit plan number (PN) 506
Effective date of plan 2000-03-15
Business code 524290
Sponsor’s telephone number 6019574496
Plan sponsor’s mailing address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Plan sponsor’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916

Number of participants as of the end of the plan year

Active participants 597
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2022-07-07
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-07
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/11/20220811125353NAL0006188467001.pdf
Three-digit plan number (PN) 503
Effective date of plan 2011-01-01
Business code 524290
Sponsor’s telephone number 6019574496
Plan sponsor’s mailing address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
Plan sponsor’s address 1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916

Number of participants as of the end of the plan year

Active participants 456
Retired or separated participants receiving benefits 34
Other retired or separated participants entitled to future benefits 15

Signature of

Role Plan administrator
Date 2022-08-11
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-11
Name of individual signing SHARON SCHMIDT
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 503
Effective date of plan 2011-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 495
Retired or separated participants receiving benefits 26
Other retired or separated participants entitled to future benefits 15

Signature of

Role Plan administrator
Date 2022-08-09
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-09
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/09/20220809161138NAL0004716371001.pdf
Three-digit plan number (PN) 503
Effective date of plan 2011-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 495
Retired or separated participants receiving benefits 26
Other retired or separated participants entitled to future benefits 15

Signature of

Role Plan administrator
Date 2022-08-09
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-09
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2021/10/11/20211011172449NAL0021889792001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1964-02-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1224
Retired or separated participants receiving benefits 173

Signature of

Role Plan administrator
Date 2021-10-11
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-11
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 503
Effective date of plan 2011-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 495
Retired or separated participants receiving benefits 26
Other retired or separated participants entitled to future benefits 15

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2021/10/12/20211012090018NAL0035596162001.pdf
Three-digit plan number (PN) 507
Effective date of plan 2014-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157

Number of participants as of the end of the plan year

Retired or separated participants receiving benefits 586
Other retired or separated participants entitled to future benefits 180

Signature of

Role Plan administrator
Date 2021-10-12
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2021/10/12/20211012142130NAL0033939042001.pdf
Three-digit plan number (PN) 505
Effective date of plan 1989-04-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 330
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2021-10-12
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-12
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2021/06/24/20210624160712NAL0009156529001.pdf
Three-digit plan number (PN) 508
Effective date of plan 2020-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E COUNTY LINE RD, RIDGELAND, MS, 391571916
Plan sponsor’s address 1800 E COUNTY LINE RD, RIDGELAND, MS, 391571916

Number of participants as of the end of the plan year

Active participants 1542
Retired or separated participants receiving benefits 9
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2021-06-24
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-06-24
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/10/14/20201014100800NAL0007618720001.pdf
Three-digit plan number (PN) 503
Effective date of plan 2011-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 531
Retired or separated participants receiving benefits 23
Other retired or separated participants entitled to future benefits 18

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/07/30/20200730173708NAL0009716272001.pdf
Three-digit plan number (PN) 507
Effective date of plan 2014-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157

Number of participants as of the end of the plan year

Retired or separated participants receiving benefits 403
Other retired or separated participants entitled to future benefits 158

Signature of

Role Plan administrator
Date 2020-07-30
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-30
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/07/31/20200731102107NAL0009062065001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1964-02-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1230
Retired or separated participants receiving benefits 163
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2020-07-31
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-31
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/07/30/20200730162413NAL0012223536001.pdf
Three-digit plan number (PN) 505
Effective date of plan 1989-04-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 344
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2020-07-30
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-30
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/01/20/20200120144438NAL0001615568001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1977-07-01
Business code 524150
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address PO BOX 1800, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E COUNTY LINE RD, SUITE 400, RIDGLEAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address PO BOX 1800, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1398
Other retired or separated participants entitled to future benefits 417

Signature of

Role Plan administrator
Date 2020-01-20
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-01-20
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/07/31/20190731161440P040283011485001.pdf
Three-digit plan number (PN) 507
Effective date of plan 2014-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157

Number of participants as of the end of the plan year

Retired or separated participants receiving benefits 417
Other retired or separated participants entitled to future benefits 73

Signature of

Role Plan administrator
Date 2019-07-31
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-31
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/16/20190916181504P030018677633001.pdf
Three-digit plan number (PN) 503
Effective date of plan 2011-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 531
Retired or separated participants receiving benefits 161
Other retired or separated participants entitled to future benefits 15
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2019-09-16
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-16
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/16/20190916180937P040019291063001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1964-02-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1215
Retired or separated participants receiving benefits 149
Other retired or separated participants entitled to future benefits 164

Signature of

Role Plan administrator
Date 2019-09-16
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-16
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/07/24/20190724164956P040274039245001.pdf
Three-digit plan number (PN) 505
Effective date of plan 1989-04-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 343
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2019-07-24
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-07-24
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/01/17/20190117152523P040000292029001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1977-07-01
Business code 524150
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address PO BOX 1800, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E COUNTY LINE RD, SUITE 400, RIDGLEAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address PO BOX 1800, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1392
Other retired or separated participants entitled to future benefits 404

Signature of

Role Plan administrator
Date 2019-01-17
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/08/31/20180831162114P030116192733001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1964-02-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1217
Retired or separated participants receiving benefits 149
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2018-08-31
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-08-31
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/06/22/20180622135652P030012639857001.pdf
Three-digit plan number (PN) 505
Effective date of plan 1989-04-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 330
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2018-06-22
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-22
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/06/22/20180622101446P030012112081001.pdf
Three-digit plan number (PN) 507
Effective date of plan 2014-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 352
Other retired or separated participants entitled to future benefits 90

Signature of

Role Plan administrator
Date 2018-06-22
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-22
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/13/20180713145029P040060522145001.pdf
Three-digit plan number (PN) 503
Effective date of plan 2011-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 534
Retired or separated participants receiving benefits 29
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 2018-07-13
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-13
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/08/28/20170828092450P030102914071001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1964-02-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Retired or separated participants receiving benefits 145
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2017-08-28
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-08-28
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/01/08/20180108154813P030007404589001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1977-07-01
Business code 524150
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address PO BOX 1800, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E COUNTY LINE RD, SUITE 400, RIDGLEAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address PO BOX 1800, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1412
Other retired or separated participants entitled to future benefits 382

Signature of

Role Plan administrator
Date 2018-01-08
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/11/13/20171113093103P030273239281001.pdf
Three-digit plan number (PN) 503
Effective date of plan 2011-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 543
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 1

Signature of

Role Plan administrator
Date 2017-11-13
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-11-13
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/14/20170714094735P040038482109001.pdf
Three-digit plan number (PN) 505
Effective date of plan 1989-04-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 360
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2017-07-14
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-14
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/10/20170710152134P030037217047001.pdf
Three-digit plan number (PN) 507
Effective date of plan 2014-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 339
Other retired or separated participants entitled to future benefits 78

Signature of

Role Plan administrator
Date 2017-07-10
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-10
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/11/14/20161114074705P040013039713001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1977-07-01
Business code 524150
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address PO BOX 1800, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E COUNTY LINE RD, SUITE 400, RIDGLEAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address PO BOX 1800, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1423
Other retired or separated participants entitled to future benefits 349

Signature of

Role Plan administrator
Date 2016-11-13
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/08/30/20160830163630P040009471719001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1982-02-02
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E COUNTY LINE RD, RIDGELAND, MS, 391571916
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E COUNTY LINE RD, RIDGELAND, MS, 391571916
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 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 2016-08-30
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-08-30
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/28/20160728125857P040053161959001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1982-02-02
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1867
Retired or separated participants receiving benefits 38
Other retired or separated participants entitled to future benefits 369
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 22
Number of participants with account balances as of the end of the plan year 2189
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 2016-07-28
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-28
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/22/20160722111236P030036006669001.pdf
Three-digit plan number (PN) 505
Effective date of plan 1989-04-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 373
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2016-07-22
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-22
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/21/20160721120139P040042623335001.pdf
Three-digit plan number (PN) 507
Effective date of plan 2014-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 319
Other retired or separated participants entitled to future benefits 71

Signature of

Role Plan administrator
Date 2016-07-21
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-21
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/21/20160721120959P030034724045001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1964-02-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Retired or separated participants receiving benefits 139
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2016-07-21
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-21
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/12/20160712100758P030030426295001.pdf
Three-digit plan number (PN) 503
Effective date of plan 2011-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 536
Retired or separated participants receiving benefits 22
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2

Signature of

Role Plan administrator
Date 2016-07-12
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-12
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/21/20160721115900P040043720817001.pdf
Three-digit plan number (PN) 507
Effective date of plan 2014-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 285
Other retired or separated participants entitled to future benefits 54

Signature of

Role Plan administrator
Date 2016-07-21
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-21
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/01/13/20160113094856P040160541681001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1977-07-01
Business code 524150
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address PO BOX 1800, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E COUNTY LINE RD, SUITE 400, RIDGLEAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address PO BOX 1800, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1435
Other retired or separated participants entitled to future benefits 324

Signature of

Role Plan administrator
Date 2016-01-12
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/07/20151007150710P040027952925001.pdf
Three-digit plan number (PN) 503
Effective date of plan 2011-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 532
Retired or separated participants receiving benefits 15
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2

Signature of

Role Plan administrator
Date 2015-10-07
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-10-07
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/22/20150722131832P030110821943001.pdf
Three-digit plan number (PN) 506
Effective date of plan 2014-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157

Number of participants as of the end of the plan year

Active participants 0
Retired or separated participants receiving benefits 285
Other retired or separated participants entitled to future benefits 54

Signature of

Role Plan administrator
Date 2015-07-22
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-22
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/22/20150722150959P030036286285001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1964-02-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1210
Retired or separated participants receiving benefits 141
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2015-07-22
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-22
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/20/20150720141151P040101760247001.pdf
Three-digit plan number (PN) 505
Effective date of plan 1989-04-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 442
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2015-07-20
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-20
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/17/20150717150240P040096889095001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1982-02-02
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1824
Retired or separated participants receiving benefits 40
Other retired or separated participants entitled to future benefits 315
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 19
Number of participants with account balances as of the end of the plan year 1971
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 2015-07-17
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-17
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/01/15/20150115094427P030062231857001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1977-07-01
Business code 524150
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address PO BOX 1800, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E COUNTY LINE RD, SUITE 400, RIDGLEAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address PO BOX 1800, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1442
Other retired or separated participants entitled to future benefits 315

Signature of

Role Plan administrator
Date 2015-01-15
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/30/20140730162702P030021360895001.pdf
Three-digit plan number (PN) 503
Effective date of plan 2011-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 502
Retired or separated participants receiving benefits 99
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 19

Signature of

Role Plan administrator
Date 2014-07-30
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-30
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/31/20140731171632P040003330425001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1964-02-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1223
Retired or separated participants receiving benefits 134
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2014-07-31
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-31
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/25/20140725140156P040055474711001.pdf
Three-digit plan number (PN) 505
Effective date of plan 1989-04-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 448
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2014-07-25
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-25
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/22/20140722162257P040050781335001.pdf
Three-digit plan number (PN) 003
Effective date of plan 1982-02-02
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1853
Retired or separated participants receiving benefits 40
Other retired or separated participants entitled to future benefits 341
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 18
Number of participants with account balances as of the end of the plan year 1983
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 2014-07-22
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-22
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/01/29/20140129094021P030064974021001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1977-07-01
Business code 524150
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address PO BOX 1800, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E COUNTY LINE RD, SUITE 400, RIDGLEAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address PO BOX 1800, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1452
Other retired or separated participants entitled to future benefits 295

Signature of

Role Plan administrator
Date 2014-01-28
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/15/20130915105438P040145710261001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1964-02-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1191
Retired or separated participants receiving benefits 130
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2013-09-15
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-15
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/19/20130719151326P030304151459001.pdf
Three-digit plan number (PN) 002
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Signature of

Role Plan administrator
Date 2013-07-19
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-19
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/19/20130719150942P040113329269001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1982-02-02
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1892
Retired or separated participants receiving benefits 38
Other retired or separated participants entitled to future benefits 283
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 20
Number of participants with account balances as of the end of the plan year 1995
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 2013-07-19
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-19
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/17/20130717164105P030301317827001.pdf
Three-digit plan number (PN) 503
Effective date of plan 2011-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 505
Retired or separated participants receiving benefits 98
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 16

Signature of

Role Plan administrator
Date 2013-07-17
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-07-17
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/18/20130718152913P030302599699001.pdf
Three-digit plan number (PN) 505
Effective date of plan 1989-04-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 486
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2013-07-18
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/02/08/20130208164409P030008182007001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1987-08-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1423
Retired or separated participants receiving benefits 9
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2013-02-08
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/11/16/20121116153348P030039617010001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1977-07-01
Business code 524150
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address PO BOX 1800, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E COUNTY LINE RD, SUITE 400, RIDGLEAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address PO BOX 1800, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1495
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 279
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2012-11-16
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/25/20120725094533P040035204144001.pdf
Three-digit plan number (PN) 503
Effective date of plan 2011-01-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 518
Retired or separated participants receiving benefits 122
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 17

Signature of

Role Plan administrator
Date 2012-07-25
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/20/20120720102905P040008410210001.pdf
Three-digit plan number (PN) 505
Effective date of plan 1989-04-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 465
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2012-07-20
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/12/20120712125748P030002131874001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1982-02-02
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1808
Retired or separated participants receiving benefits 44
Other retired or separated participants entitled to future benefits 261
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 16
Number of participants with account balances as of the end of the plan year 1898
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 2012-07-12
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/20/20120720134235P030000731300001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1964-02-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1147
Retired or separated participants receiving benefits 124
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2012-07-20
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/18/20120718145408P030000504036001.pdf
Three-digit plan number (PN) 002
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Signature of

Role Plan administrator
Date 2012-07-18
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/18/20120718145111P030000327109001.pdf
Three-digit plan number (PN) 002
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Signature of

Role Plan administrator
Date 2012-07-18
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/02/27/20120227142435P030043402689001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1987-08-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1418
Retired or separated participants receiving benefits 11
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2012-02-27
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/11/08/20111108143132P030001991713001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1977-07-01
Business code 524150
Sponsor’s telephone number 6019577777
Plan sponsor’s mailing address PO BOX 1800, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E COUNTY LINE RD, SUITE 400, RIDGLEAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address PO BOX 1800, RIDGELAND, MS, 39158
Administrator’s telephone number 6019577777

Number of participants as of the end of the plan year

Active participants 1422
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 258

Signature of

Role Plan administrator
Date 2011-11-08
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/02/20110802113035P040488127440001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1964-02-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1235
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 104
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2011-08-02
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-08-02
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/26/20110726135906P040103713025001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1982-02-02
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1811
Retired or separated participants receiving benefits 50
Other retired or separated participants entitled to future benefits 249
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 15
Number of participants with account balances as of the end of the plan year 1741
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 2011-07-26
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-26
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 002
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Signature of

Role Plan administrator
Date 2011-07-29
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-29
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 505
Effective date of plan 1989-04-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 478
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Employer/plan sponsor
Date 2011-07-12
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/12/20110712135557P030433639616001.pdf
Three-digit plan number (PN) 505
Effective date of plan 1989-04-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 478
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2011-07-12
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/02/27/20120227142044P030043401425001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1987-08-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1403
Retired or separated participants receiving benefits 10
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2012-02-27
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 503
Effective date of plan 1987-08-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1403
Retired or separated participants receiving benefits 10
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2011-02-24
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 503
Effective date of plan 1987-08-01
Business code 524290
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Number of participants as of the end of the plan year

Active participants 1403
Retired or separated participants receiving benefits 10
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Employer/plan sponsor
Date 2011-02-24
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/01/26/20110126135209P030020581425001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1977-07-01
Business code 524150
Sponsor’s telephone number 6019577777
Plan sponsor’s mailing address P, O. BOX 1800, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E. COUNTY LINE RD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name LAURA WATKINS
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019577777

Number of participants as of the end of the plan year

Active participants 1445
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 240
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Plan administrator
Date 2011-01-26
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 502
Effective date of plan 1977-07-01
Business code 524150
Sponsor’s telephone number 6019577777
Plan sponsor’s mailing address P, O. BOX 1800, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E. COUNTY LINE RD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name LAURA WATKINS
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019577777

Number of participants as of the end of the plan year

Active participants 1445
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 240
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Employer/plan sponsor
Date 2011-01-26
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 502
Effective date of plan 1977-07-01
Business code 524150
Sponsor’s telephone number 6019577777
Plan sponsor’s mailing address P, O. BOX 1800, RIDGELAND, MS, 39158
Plan sponsor’s address 1800 E. COUNTY LINE RD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name LAURA WATKINS
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019577777

Number of participants as of the end of the plan year

Active participants 1445
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 240
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of

Role Employer/plan sponsor
Date 2011-01-25
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/30/20100730150716P040408708033001.pdf
Three-digit plan number (PN) 002
Sponsor’s telephone number 6019574495
Plan sponsor’s mailing address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Plan sponsor’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157

Plan administrator’s name and address

Administrator’s EIN 640288243
Plan administrator’s name SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Plan administrator’s address 1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157
Administrator’s telephone number 6019574495

Signature of

Role Employer/plan sponsor
Date 2010-07-30
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature
Role DFE
Date 2010-07-30
Name of individual signing LAURA WATKINS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Johnny V. Sargent Jr Agent Southern Farm Bureau Casualty Insurance Company;1800 East County Line Rd, Ridgeland, MS 39157

Filings

Type Status Filed Date Description
Amendment Form Filed 2023-12-08 Amendment For SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Amendment Form Filed 2016-04-19 Amendment
Amendment Form Filed 2015-02-03 Amendment For SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
Amendment Form Filed 2009-12-15 Amendment
Amendment Form Filed 1999-05-19 Amendment
See File Filed 1995-05-02 See File
See File Filed 1992-12-17 See File
See File Filed 1992-04-30 See File
See File Filed 1992-02-20 See File
See File Filed 1984-11-14 See File

Date of last update: 14 Dec 2024

Sources: Mississippi Secretary of State