COUNTRY FORD, INC.
|
2023
|
640696101
|
2024-02-29
|
COUNTRY FORD, INC
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
9015816903
|
Plan sponsor’s
address |
PO BOX 1485, SOUTHAVEN, MS, 386710026
|
Signature of
Role |
Plan administrator |
Date |
2024-02-29 |
Name of individual signing |
GLENN MITCHELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-02-29 |
Name of individual signing |
GLENN MITCHELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY FORD, INC.
|
2021
|
640696101
|
2022-01-12
|
COUNTRY FORD, INC.
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
8007712168
|
Plan sponsor’s mailing address |
PO BOX 304, SOUTHAVEN, MS, 38671
|
Plan sponsor’s
address |
95 GOODMAN RD. EAST, SOUTHAVEN, MS, 38671
|
Number of participants as of the end of the plan year
Active participants |
53 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
13 |
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 |
2022-01-12 |
Name of individual signing |
GLENN MITCHELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY FORD, INC.
|
2019
|
640696101
|
2022-01-12
|
COUNTRY FORD, INC.
|
54
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
8007712168
|
Plan sponsor’s mailing address |
PO BOX 304, SOUTHAVEN, MS, 38671
|
Plan sponsor’s
address |
95 GOODMAN RD. EAST, SOUTHAVEN, MS, 38671
|
Number of participants as of the end of the plan year
Active participants |
0 |
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 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-01-12 |
Name of individual signing |
GLENN MITCHELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY FORD, INC.
|
2017
|
640696101
|
2018-06-08
|
COUNTRY FORD, INC.
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
8007712168
|
Plan sponsor’s mailing address |
PO BOX 304, SOUTHAVEN, MS, 38671
|
Plan sponsor’s
address |
95 GOODMAN RD. EAST, SOUTHAVEN, MS, 38671
|
Number of participants as of the end of the plan year
Active participants |
54 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
14 |
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 |
2018-06-08 |
Name of individual signing |
TIFFANY NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY FORD, INC.
|
2016
|
640696101
|
2017-06-27
|
COUNTRY FORD, INC.
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
8007712168
|
Plan sponsor’s mailing address |
PO BOX 304, SOUTHAVEN, MS, 38671
|
Plan sponsor’s
address |
95 GOODMAN RD. EAST, SOUTHAVEN, MS, 38671
|
Number of participants as of the end of the plan year
Active participants |
56 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
14 |
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 |
2017-06-27 |
Name of individual signing |
TIFFANY NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY FORD, INC.
|
2015
|
640696101
|
2016-06-30
|
COUNTRY FORD, INC.
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
8007712168
|
Plan sponsor’s mailing address |
PO BOX 304, SOUTHAVEN, MS, 38671
|
Plan sponsor’s
address |
95 GOODMAN RD. EAST, SOUTHAVEN, MS, 38671
|
Number of participants as of the end of the plan year
Active participants |
53 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
14 |
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 |
2016-06-30 |
Name of individual signing |
TIFFANY NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY FORD, INC.
|
2014
|
640696101
|
2015-06-24
|
COUNTRY FORD, INC.
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
8007712168
|
Plan sponsor’s mailing address |
PO BOX 304, SOUTHAVEN, MS, 38671
|
Plan sponsor’s
address |
95 GOODMAN RD. EAST, SOUTHAVEN, MS, 38671
|
Number of participants as of the end of the plan year
Active participants |
56 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
13 |
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 |
2015-06-24 |
Name of individual signing |
TIFFANY NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY FORD, INC.
|
2013
|
640696101
|
2014-06-25
|
COUNTRY FORD, INC.
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
8007712168
|
Plan sponsor’s mailing address |
PO BOX 304, SOUTHAVEN, MS, 38671
|
Plan sponsor’s
address |
95 GOODMAN RD. EAST, SOUTHAVEN, MS, 38671
|
Number of participants as of the end of the plan year
Active participants |
51 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
14 |
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 |
2014-06-25 |
Name of individual signing |
TIFFANY NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY FORD, INC.
|
2012
|
640696101
|
2013-06-26
|
COUNTRY FORD, INC.
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
8007712168
|
Plan sponsor’s mailing address |
PO BOX 304, SOUTHAVEN, MS, 38671
|
Plan sponsor’s
address |
95 GOODMAN RD. EAST, SOUTHAVEN, MS, 38671
|
Plan administrator’s name and address
Administrator’s EIN |
640696101 |
Plan administrator’s name |
COUNTRY FORD, INC. |
Plan administrator’s
address |
PO BOX 304, SOUTHAVEN, MS, 38671 |
Administrator’s telephone number |
8007712168 |
Number of participants as of the end of the plan year
Active participants |
52 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
13 |
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 |
2013-06-26 |
Name of individual signing |
TIFFANY NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-26 |
Name of individual signing |
TIFFANY NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY FORD, INC.
|
2011
|
640696101
|
2012-06-13
|
COUNTRY FORD, INC.
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
8007712168
|
Plan sponsor’s mailing address |
PO BOX 304, SOUTHAVEN, MS, 38671
|
Plan sponsor’s
address |
95 GOODMAN RD. EAST, SOUTHAVEN, MS, 38671
|
Plan administrator’s name and address
Administrator’s EIN |
640696101 |
Plan administrator’s name |
COUNTRY FORD, INC. |
Plan administrator’s
address |
PO BOX 304, SOUTHAVEN, MS, 38671 |
Administrator’s telephone number |
8007712168 |
Number of participants as of the end of the plan year
Active participants |
51 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
16 |
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 |
2012-06-13 |
Name of individual signing |
TIFFANY NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY FORD, INC.
|
2010
|
640696101
|
2011-05-10
|
COUNTRY FORD, INC.
|
55
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/10/20110510114127P040263359184001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1998-05-01 |
Business code |
441110 |
Sponsor’s telephone number |
8007712168 |
Plan sponsor’s mailing address |
PO BOX 304, SOUTHAVEN, MS, 38671 |
Plan sponsor’s
address |
95 GOODMAN RD. EAST, SOUTHAVEN, MS, 38671 |
Plan administrator’s name and address
Administrator’s EIN |
640696101 |
Plan administrator’s name |
COUNTRY FORD, INC. |
Plan administrator’s
address |
PO BOX 304, SOUTHAVEN, MS, 38671 |
Administrator’s telephone number |
8007712168 |
Number of participants as of the end of the plan year
Active participants |
47 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
15 |
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 |
2011-05-10 |
Name of individual signing |
TIFFANY NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY FORD, INC.
|
2009
|
640696101
|
2010-06-18
|
COUNTRY FORD, INC.
|
55
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/18/20100618161951P040079045672001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1998-05-01 |
Business code |
441110 |
Sponsor’s telephone number |
8007712168 |
Plan sponsor’s mailing address |
PO BOX 304, SOUTHAVEN, MS, 38671 |
Plan sponsor’s
address |
95 GOODMAN RD. EAST, SOUTHAVEN, MS, 38671 |
Plan administrator’s name and address
Administrator’s EIN |
640696101 |
Plan administrator’s name |
COUNTRY FORD, INC. |
Plan administrator’s
address |
PO BOX 304, SOUTHAVEN, MS, 38671 |
Administrator’s telephone number |
8007712168 |
Number of participants as of the end of the plan year
Active participants |
52 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
17 |
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 |
2010-06-18 |
Name of individual signing |
TIFFANY NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|