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Dwayne Blackmon Chevrolet, Inc.

Company Details

Name: Dwayne Blackmon Chevrolet, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 26 Sep 1985 (39 years ago)
Business ID: 525043
ZIP code: 38801
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: 1410 South Gloster StreetTUPELO, MS 38801
Historical names: FRANKIE BLACKMON CHEVROLET, INC.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DWAYNE BLACKMON CHEVROLET, INC. 401(K) PLAN 2023 640716626 2024-10-11 DWAYNE BLACKMON CHEVROLET, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 441110
Sponsor’s telephone number 6628423611
Plan sponsor’s address 1410 S. GLOSTER, TUPELO, MS, 38802

Signature of

Role Plan administrator
Date 2024-10-11
Name of individual signing DWAYNE BLACKMON
Valid signature Filed with authorized/valid electronic signature
DWAYNE BLACKMON CHEVROLET, INC. 401(K) PLAN 2022 640716626 2023-10-10 DWAYNE BLACKMON CHEVROLET, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 441110
Sponsor’s telephone number 6628423611
Plan sponsor’s address 1410 SOUTH GLOSTER STREET, TUPELO, MS, 38801

Signature of

Role Plan administrator
Date 2023-10-10
Name of individual signing DWAYNE BLACKMON
Valid signature Filed with authorized/valid electronic signature
DWAYNE BLACKMON CHEVROLET, INC. 401(K) PLAN 2021 640716626 2022-07-26 DWAYNE BLACKMON CHEVROLET, INC. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 441110
Sponsor’s telephone number 6628423611
Plan sponsor’s address 1410 SOUTH GLOSTER STREET, TUPELO, MS, 38801

Signature of

Role Plan administrator
Date 2022-07-26
Name of individual signing DWAYNE BLACKMON
Valid signature Filed with authorized/valid electronic signature
DWAYNE BLACKMON CHEVROLET, INC. 401(K) PLAN 2020 640716626 2021-07-29 DWAYNE BLACKMON CHEVROLET, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 441110
Sponsor’s telephone number 6628423611
Plan sponsor’s address 1410 SOUTH GLOSTER STREET, TUPELO, MS, 38801

Signature of

Role Plan administrator
Date 2021-07-29
Name of individual signing DWAYNE BLACKMON
Valid signature Filed with authorized/valid electronic signature
DWAYNE BLACKMON CHEVROLET, INC. 401(K) PLAN 2019 640716626 2020-06-16 DWAYNE BLACKMON CHEVROLET, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 441110
Sponsor’s telephone number 6628423611
Plan sponsor’s address 1410 SOUTH GLOSTER STREET, TUPELO, MS, 38801

Signature of

Role Plan administrator
Date 2020-06-16
Name of individual signing DWAYNE BLACKMON
Valid signature Filed with authorized/valid electronic signature
DWAYNE BLACKMON CHEVROLET, INC. 401(K) PLAN 2018 640716626 2019-04-30 DWAYNE BLACKMON CHEVROLET, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 441110
Sponsor’s telephone number 6628423611
Plan sponsor’s address 1410 SOUTH GLOSTER STREET, TUPELO, MS, 38801

Signature of

Role Plan administrator
Date 2019-04-30
Name of individual signing ANN DULANEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-04-30
Name of individual signing DWAYNE BLACKMON
Valid signature Filed with authorized/valid electronic signature
DWAYNE BLACKMON CHEVROLET, INC. 401(K) PLAN 2017 640716626 2018-10-08 DWAYNE BLACKMON CHEVROLET, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 441110
Sponsor’s telephone number 6628423611
Plan sponsor’s address 1410 SOUTH GLOSTER STREET, TUPELO, MS, 38801

Signature of

Role Plan administrator
Date 2018-10-08
Name of individual signing ANN DULANEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-08
Name of individual signing DWAYNE BLACKMON
Valid signature Filed with authorized/valid electronic signature
DWAYNE BLACKMON CHEVROLET, INC. 401(K) PLAN 2016 640716626 2017-09-18 DWAYNE BLACKMON CHEVROLET, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 441110
Sponsor’s telephone number 6628423611
Plan sponsor’s address 1410 SOUTH GLOSTER STREET, TUPELO, MS, 38801

Signature of

Role Plan administrator
Date 2017-09-18
Name of individual signing DWAYNE BLACKMON
Valid signature Filed with authorized/valid electronic signature
DWAYNE BLACKMON CHEVROLET, INC. 401(K) PLAN 2015 640716626 2016-10-14 DWAYNE BLACKMON CHEVROLET, INC. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 441110
Sponsor’s telephone number 6628423611
Plan sponsor’s address 1410 SOUTH GLOSTER STREET, TUPELO, MS, 38801

Signature of

Role Plan administrator
Date 2016-10-14
Name of individual signing DWAYNE BLACKMON
Valid signature Filed with authorized/valid electronic signature
DWAYNE BLACKMON CHEVROLET, INC. 401(K) PLAN 2014 640716626 2015-06-26 DWAYNE BLACKMON CHEVROLET, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 441110
Sponsor’s telephone number 6628423611
Plan sponsor’s address 1410 SOUTH GLOSTER STREET, TUPELO, MS, 38801

Plan administrator’s name and address

Administrator’s EIN 311255362
Plan administrator’s name NADA RETIREMENT ADMINISTRATORS INC. DBA NADART
Plan administrator’s address 8400 WESTPARK DRIVE, MCLEAN, VA, 22102
Administrator’s telephone number 8004623278

Signature of

Role Plan administrator
Date 2015-06-26
Name of individual signing ALAN B SVEDLOW
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/11/20140711104942P030033880775001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 441110
Sponsor’s telephone number 6628423611
Plan sponsor’s address 1410 SOUTH GLOSTER STREET, TUPELO, MS, 38801

Plan administrator’s name and address

Administrator’s EIN 311255362
Plan administrator’s name NADA RETIREMENT ADMINISTRATORS INC. DBA NADART
Plan administrator’s address 8400 WESTPARK DRIVE, MCLEAN, VA, 22102
Administrator’s telephone number 8004623278

Signature of

Role Plan administrator
Date 2014-07-11
Name of individual signing ALAN B SVEDLOW
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/26/20130726110744P040322394659001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 441110
Sponsor’s telephone number 6628423611
Plan sponsor’s address PO BOX 25, TUPELO, MS, 38802

Plan administrator’s name and address

Administrator’s EIN 311255362
Plan administrator’s name NADA RETIREMENT ADMINISTRATORS INC. DBA NADART
Plan administrator’s address 8400 WESTPARK DRIVE, MCLEAN, VA, 22102
Administrator’s telephone number 8004623278

Signature of

Role Plan administrator
Date 2013-07-26
Name of individual signing ALAN B SVEDLOW
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/27/20120727185013P030001449188001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-10-01
Business code 441110
Sponsor’s telephone number 6628423611
Plan sponsor’s address 1410 SOUTH GLOSTER STREET, TUPELO, MS, 38801

Plan administrator’s name and address

Administrator’s EIN 311255362
Plan administrator’s name NADA RETIREMENT ADMINISTRATORS INC. DBA NADART
Plan administrator’s address 8400 WESTPARK DRIVE, P.O. BOX 9200, MCLEAN, VA, 22102
Administrator’s telephone number 8004623278

Signature of

Role Plan administrator
Date 2012-07-27
Name of individual signing ALAN B. SVEDLOW
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ALBERT G. DELGADILLO Agent 105 SOUTH FRONT STREET, PO BOX 7120, TUPELO, MS 38801-7120

Director

Name Role Address
Dwayne Blackmon Director PO Box 25, Tupelo, MS 38802
Amy Blackmon Director PO Box 25, Tupelo, MS 38802

President

Name Role Address
Dwayne Blackmon President PO Box 25, Tupelo, MS 38802

Treasurer

Name Role Address
Dwayne Blackmon Treasurer PO Box 25, Tupelo, MS 38802

Secretary

Name Role Address
Amy Blackmon Secretary PO Box 25, Tupelo, MS 38802

Vice President

Name Role Address
Amy Blackmon Vice President PO Box 25, Tupelo, MS 38802

Filings

Type Status Filed Date Description
Annual Report Filed 2024-04-08 Annual Report For Dwayne Blackmon Chevrolet, Inc.
Annual Report Filed 2023-03-17 Annual Report For Dwayne Blackmon Chevrolet, Inc.
Annual Report Filed 2022-03-29 Annual Report For Dwayne Blackmon Chevrolet, Inc.
Annual Report Filed 2021-03-24 Annual Report For Dwayne Blackmon Chevrolet, Inc.
Annual Report Filed 2020-03-31 Annual Report For Dwayne Blackmon Chevrolet, Inc.
Annual Report Filed 2019-03-15 Annual Report For Dwayne Blackmon Chevrolet, Inc.
Annual Report Filed 2018-03-21 Annual Report For Dwayne Blackmon Chevrolet, Inc.
Annual Report Filed 2017-03-27 Annual Report For Dwayne Blackmon Chevrolet, Inc.
Annual Report Filed 2016-03-16 Annual Report For Dwayne Blackmon Chevrolet, Inc.
Annual Report Filed 2015-03-12 Annual Report For Dwayne Blackmon Chevrolet, Inc.

Date of last update: 20 Dec 2024

Sources: Mississippi Secretary of State