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  5. PROVINE HELICOPTER SERVICE, INC.

PROVINE HELICOPTER SERVICE, INC.

Company Details

Name: PROVINE HELICOPTER SERVICE, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 14 Jan 1986 (39 years ago)
Business ID: 527045
ZIP code: 38930
County: Leflore
State of Incorporation: MISSISSIPPI
Principal Office Address: 308 Airport Road, 308 Airport RoadGreenwood, MS 38930

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PROVINE HELICOPTER SERVICE 401(K) PLAN 2023 640742920 2024-02-05 PROVINE HELICOPTER SERVICE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 115310
Sponsor’s telephone number 6624539406
Plan sponsor’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702

Signature of
Role Plan administrator
Date 2024-02-05
Name of individual signing SCOTTIE PEEPLES
Valid signature Filed with authorized/valid electronic signature
PROVINE HELICOPTER SERVICE 401(K) PLAN 2022 640742920 2023-03-23 PROVINE HELICOPTER SERVICE, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 115310
Sponsor’s telephone number 6624539406
Plan sponsor’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702

Signature of
Role Plan administrator
Date 2023-03-23
Name of individual signing SCOTTIE PEEPLES
Valid signature Filed with authorized/valid electronic signature
PROVINE HELICOPTER SERVICE 401(K) PLAN 2021 640742920 2022-04-14 PROVINE HELICOPTER SERVICE, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 115310
Sponsor’s telephone number 6624539406
Plan sponsor’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702

Signature of
Role Plan administrator
Date 2022-04-14
Name of individual signing SCOTTIE PEEPLES
Valid signature Filed with authorized/valid electronic signature
PROVINE HELICOPTER SERVICE 401(K) PLAN 2020 640742920 2021-06-03 PROVINE HELICOPTER SERVICE, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 115310
Sponsor’s telephone number 6624539406
Plan sponsor’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702

Signature of
Role Plan administrator
Date 2021-06-03
Name of individual signing SCOTTIE PEEPLES
Valid signature Filed with authorized/valid electronic signature
PROVINE HELICOPTER SERVICE 401(401K) PLAN 2019 640742920 2021-03-12 PROVINE HELICOPTER SERVICE, INC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 115310
Plan sponsor’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702

Signature of
Role Plan administrator
Date 2021-03-12
Name of individual signing SCOTTIE PEEPLES
Valid signature Filed with authorized/valid electronic signature
PROVINE HELICOPTER SERVICE 401(K) PLAN 2019 640742920 2022-03-18 PROVINE HELICOPTER SERVICE, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 115310
Sponsor’s telephone number 6624539406
Plan sponsor’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702

Signature of
Role Plan administrator
Date 2022-03-18
Name of individual signing SCOTTIE PEEPLES
Valid signature Filed with authorized/valid electronic signature
PROVINE HELICOPTER SERVICE 401(K) PLAN 2019 640742920 2021-01-28 PROVINE HELICOPTER SERVICE, INC. 21
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 115310
Sponsor’s telephone number 6624539406
Plan sponsor’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702

Signature of
Role Plan administrator
Date 2021-01-28
Name of individual signing SCOTTIE PEEPLES
Valid signature Filed with authorized/valid electronic signature
PROVINE HELICOPTER SERVICE 401(K) PLAN 2018 640742920 2019-09-25 PROVINE HELICOPTER SERVICE, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 115310
Sponsor’s telephone number 6624539406
Plan sponsor’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702

Signature of
Role Plan administrator
Date 2019-09-25
Name of individual signing SCOTTIE PEEPLES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-25
Name of individual signing SCOTTIE PEEPLES
Valid signature Filed with authorized/valid electronic signature
PROVINE HELICOPTER SERVICE 401(K) PLAN 2017 640742920 2018-05-16 PROVINE HELICOPTER SERVICE, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 115310
Sponsor’s telephone number 6624539406
Plan sponsor’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702

Signature of
Role Plan administrator
Date 2018-05-16
Name of individual signing SCOTTIE PEEPLES
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-16
Name of individual signing SCOTTIE PEEPLES
Valid signature Filed with authorized/valid electronic signature
PROVINE HELICOPTER SERVICE 401(K) PLAN 2016 640742920 2017-05-25 PROVINE HELICOPTER SERVICE, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 115310
Sponsor’s telephone number 6624539406
Plan sponsor’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702

Signature of
Role Plan administrator
Date 2017-05-25
Name of individual signing BEVERLY LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-05-25
Name of individual signing BEVERLY LEE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/05/12/20160512151300P040067945047001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 115310
Sponsor’s telephone number 6624539406
Plan sponsor’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702

Signature of
Role Plan administrator
Date 2016-05-12
Name of individual signing BEVERLY LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-05-12
Name of individual signing BEVERLY LEE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/08/06/20150806143136P040160667681001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 115310
Sponsor’s telephone number 6624539406
Plan sponsor’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702

Signature of
Role Plan administrator
Date 2015-08-06
Name of individual signing BEVERLY LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-06
Name of individual signing BEVERLY LEE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/03/19/20140319103326P040261745347001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 115310
Sponsor’s telephone number 6624539406
Plan sponsor’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702

Signature of
Role Plan administrator
Date 2014-03-19
Name of individual signing BEVERLY LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-19
Name of individual signing BEVERLY LEE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/16/20130516143203P030213885859001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 115310
Sponsor’s telephone number 6624539406
Plan sponsor’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702

Signature of
Role Plan administrator
Date 2013-05-16
Name of individual signing BEVERLY LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-16
Name of individual signing BEVERLY LEE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/13/20120713150703P030001176705001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 115310
Sponsor’s telephone number 6624539406
Plan sponsor’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702

Plan administrator’s name and address
Administrator’s EIN 640742920
Plan administrator’s name PROVINE HELICOPTER SERVICE, INC.
Plan administrator’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702
Administrator’s telephone number 6624539406

Signature of
Role Plan administrator
Date 2012-07-13
Name of individual signing BEVERLY LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-13
Name of individual signing BEVERLY LEE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/03/02/20110302103731P040006023447001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 115310
Sponsor’s telephone number 6624539406
Plan sponsor’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702

Plan administrator’s name and address
Administrator’s EIN 640742920
Plan administrator’s name PROVINE HELICOPTER SERVICE, INC.
Plan administrator’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702
Administrator’s telephone number 6624539406

Signature of
Role Plan administrator
Date 2011-03-02
Name of individual signing BEVERLY LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-03-02
Name of individual signing BEVERLY LEE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/04/23/20100423141204P030216080353001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 115310
Sponsor’s telephone number 6624539406
Plan sponsor’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702

Plan administrator’s name and address
Administrator’s EIN 640742920
Plan administrator’s name PROVINE HELICOPTER SERVICE, INC.
Plan administrator’s address 308 AIRPORT RD, GREENWOOD, MS, 389307702
Administrator’s telephone number 6624539406

Signature of
Role Plan administrator
Date 2010-04-23
Name of individual signing BEVERLY LEE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-04-23
Name of individual signing BEVERLY LEE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
McCool, Michael Agent 308 Airport Road, Greenwood, MS 38930

Director

Name Role Address
Michael McCool Director 308 Airport Road, Greenwood, MS 38930

President

Name Role Address
Michael McCool President 308 Airport Road, Greenwood, MS 38930

Filings

Type Status Filed Date Description
Annual Report Filed 2024-09-18 Annual Report For PROVINE HELICOPTER SERVICE, INC.
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: AR: PROVINE HELICOPTER SERVICE, INC.
Annual Report Filed 2023-06-23 Annual Report For PROVINE HELICOPTER SERVICE, INC.
Annual Report Filed 2022-04-01 Annual Report For PROVINE HELICOPTER SERVICE, INC.
Annual Report Filed 2021-04-29 Annual Report For PROVINE HELICOPTER SERVICE, INC.
Annual Report Filed 2020-06-24 Annual Report For PROVINE HELICOPTER SERVICE, INC.
Annual Report Filed 2020-05-14 Annual Report For PROVINE HELICOPTER SERVICE, INC.
Annual Report Filed 2019-04-04 Annual Report For PROVINE HELICOPTER SERVICE, INC.
Annual Report Filed 2018-01-25 Annual Report For PROVINE HELICOPTER SERVICE, INC.
Annual Report Filed 2017-01-25 Annual Report For PROVINE HELICOPTER SERVICE, INC.

Related by officers

Michael McCool

PROVINE AERO EQUIPMENT, LLC PROVINE PROPERTIES, LLC RotorWing Aviation Services, LLC

Related by address

No related companies by address

Date of last update: 20 Dec 2024

Sources: Mississippi Secretary of State

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