CAFFEY, INC. 401(K) PLAN
|
2022
|
640790690
|
2023-11-27
|
CAFFEY, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
2283927465
|
Plan sponsor’s
address |
3018 BIG RIDGE ROAD, DIBERVILLE, MS, 39540
|
Signature of
Role |
Plan administrator |
Date |
2023-11-27 |
Name of individual signing |
JERRY WAYNE CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-11-27 |
Name of individual signing |
JERRY WAYNE CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFFEY, INC. 401(K) PLAN
|
2021
|
640790690
|
2022-12-14
|
CAFFEY, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
2283927465
|
Plan sponsor’s
address |
3018 BIG RIDGE ROAD, DIBERVILLE, MS, 39540
|
Signature of
Role |
Plan administrator |
Date |
2022-12-14 |
Name of individual signing |
JERRY WAYNE CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-12-14 |
Name of individual signing |
JERRY WAYNE CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFFEY, INC. 401(K) PLAN
|
2020
|
640790690
|
2021-11-15
|
CAFFEY, INC.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
2283927465
|
Plan sponsor’s
address |
3018 BIG RIDGE ROAD, DIBERVILLE, MS, 39540
|
Signature of
Role |
Plan administrator |
Date |
2021-11-09 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-11-09 |
Name of individual signing |
JERRY WAYNE CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFFEY, INC. 401(K) PLAN
|
2019
|
640790690
|
2020-12-28
|
CAFFEY, INC.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
2283927465
|
Plan sponsor’s
address |
3018 BIG RIDGE ROAD, DIBERVILLE, MS, 39540
|
Signature of
Role |
Plan administrator |
Date |
2020-12-28 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-12-28 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFFEY, INC. 401(K) PLAN
|
2018
|
640790690
|
2020-01-27
|
CAFFEY, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
2283927465
|
Plan sponsor’s
address |
3018 BIG RIDGE ROAD, DIBERVILLE, MS, 39540
|
Signature of
Role |
Plan administrator |
Date |
2020-01-27 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-01-27 |
Name of individual signing |
CAFFEY,INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFFEY, INC. 401(K) PLAN
|
2017
|
640790690
|
2018-11-16
|
CAFFEY, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
2283927465
|
Plan sponsor’s
address |
3018 BIG RIDGE ROAD, DIBERVILLE, MS, 39540
|
Signature of
Role |
Plan administrator |
Date |
2018-11-16 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-11-16 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFFEY, INC. 401(K) PLAN
|
2016
|
640790690
|
2017-10-31
|
CAFFEY, INC.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
2283927465
|
Plan sponsor’s
address |
3018 BIG RIDGE ROAD, DIBERVILLE, MS, 39540
|
Signature of
Role |
Plan administrator |
Date |
2017-10-31 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFFEY, INC. 401(K) PLAN
|
2015
|
640790690
|
2016-10-27
|
CAFFEY, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
2283927465
|
Plan sponsor’s
address |
3018 BIG RIDGE ROAD, DIBERVILLE, MS, 39540
|
Signature of
Role |
Plan administrator |
Date |
2016-10-27 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-27 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFFEY, INC. 401(K) PLAN
|
2014
|
640790690
|
2016-03-21
|
CAFFEY, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
2283927465
|
Plan sponsor’s
address |
3018 BIG RIDGE ROAD, DIBERVILLE, MS, 39540
|
Signature of
Role |
Plan administrator |
Date |
2016-03-21 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFFEY, INC. 401(K) PLAN
|
2013
|
640790690
|
2015-04-29
|
CAFFEY, INC.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
236200
|
Sponsor’s telephone number |
2283927465
|
Plan sponsor’s
address |
3018 BIG RIDGE ROAD, DIBERVILLE, MS, 39540
|
Signature of
Role |
Plan administrator |
Date |
2015-04-29 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-29 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFFEY, INC. 401(K) PLAN
|
2012
|
640790690
|
2014-04-23
|
CAFFEY, INC.
|
40
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/04/23/20140423140501P040048735047001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2002-10-01 |
Business code |
236200 |
Sponsor’s telephone number |
2283927465 |
Plan sponsor’s
address |
3018 BIG RIDGE ROAD, D LBERVILLE, MS, 39532 |
Signature of
Role |
Plan administrator |
Date |
2014-04-23 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-23 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFFEY, INC. 401 (K) PLAN
|
2011
|
640790690
|
2013-04-18
|
CAFFEY, INC.
|
40
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/18/20130418110509P040179436419001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2002-10-01 |
Business code |
236200 |
Sponsor’s telephone number |
2283927465 |
Plan sponsor’s
address |
3018 BIG RIDGE ROAD, D LBERVILLE, MS, 39532 |
Plan administrator’s name and address
Administrator’s EIN |
640790690 |
Plan administrator’s name |
CAFFEY, INC. |
Plan administrator’s
address |
3018 BIG RIDGE ROAD, D LBERVILLE, MS, 39532 |
Administrator’s telephone number |
2283927465 |
Signature of
Role |
Plan administrator |
Date |
2013-04-18 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-18 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFFEY, INC. 401 (K) PLAN
|
2010
|
640790690
|
2012-04-27
|
CAFFEY, INC.
|
35
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2002-10-01 |
Business code |
236200 |
Sponsor’s telephone number |
2283927465 |
Plan sponsor’s
address |
3018 BIG RIDGE ROAD, D LBERVILLE, MS, 39532 |
Plan administrator’s name and address
Administrator’s EIN |
640790690 |
Plan administrator’s name |
CAFFEY, INC. |
Plan administrator’s
address |
3018 BIG RIDGE ROAD, D LBERVILLE, MS, 39532 |
Administrator’s telephone number |
2283927465 |
Signature of
Role |
Plan administrator |
Date |
2012-04-27 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-27 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
CAFFEY, INC. 401 (K) PLAN
|
2010
|
640790690
|
2012-04-27
|
CAFFEY, INC.
|
35
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2002-10-01 |
Business code |
236200 |
Sponsor’s telephone number |
2283927465 |
Plan sponsor’s
address |
3018 BIG RIDGE ROAD, D LBERVILLE, MS, 39532 |
Plan administrator’s name and address
Administrator’s EIN |
640790690 |
Plan administrator’s name |
CAFFEY, INC. |
Plan administrator’s
address |
3018 BIG RIDGE ROAD, D LBERVILLE, MS, 39532 |
Administrator’s telephone number |
2283927465 |
Signature of
Role |
Plan administrator |
Date |
2012-04-27 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-27 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
CAFFEY, INC. 401 (K) PLAN
|
2010
|
640790690
|
2012-04-27
|
CAFFEY, INC.
|
35
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/27/20120427130714P040001934898001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2002-10-01 |
Business code |
236200 |
Sponsor’s telephone number |
2283927465 |
Plan sponsor’s
address |
3018 BIG RIDGE ROAD, D LBERVILLE, MS, 39532 |
Plan administrator’s name and address
Administrator’s EIN |
640790690 |
Plan administrator’s name |
CAFFEY, INC. |
Plan administrator’s
address |
3018 BIG RIDGE ROAD, D LBERVILLE, MS, 39532 |
Administrator’s telephone number |
2283927465 |
Signature of
Role |
Plan administrator |
Date |
2012-04-27 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-27 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFFEY, INC. 401(K) PLAN
|
2009
|
640790690
|
2011-07-14
|
CAFFEY, INC.
|
40
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2002-10-01 |
Business code |
236200 |
Sponsor’s telephone number |
2283927465 |
Plan sponsor’s
address |
3018 BIG RIDGE RAOD, D IBERVILLE, MS, 39532 |
Plan administrator’s name and address
Administrator’s EIN |
640790690 |
Plan administrator’s name |
CAFFEY, INC. |
Plan administrator’s
address |
3018 BIG RIDGE RAOD, D IBERVILLE, MS, 39532 |
Administrator’s telephone number |
2283927465 |
|
CAFFEY, INC. 401(K) PLAN
|
2009
|
640790690
|
2011-07-14
|
CAFFEY, INC.
|
40
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/14/20110714142513P030439573456001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2002-10-01 |
Business code |
236200 |
Sponsor’s telephone number |
2283927465 |
Plan sponsor’s
address |
3018 BIG RIDGE RAOD, D IBERVILLE, MS, 39532 |
Plan administrator’s name and address
Administrator’s EIN |
640790690 |
Plan administrator’s name |
CAFFEY, INC. |
Plan administrator’s
address |
3018 BIG RIDGE RAOD, D IBERVILLE, MS, 39532 |
Administrator’s telephone number |
2283927465 |
Signature of
Role |
Plan administrator |
Date |
2011-07-14 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-14 |
Name of individual signing |
JERRY CAFFEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFFEY, INC. 401(K) PLAN
|
2009
|
640790690
|
2011-07-14
|
CAFFEY, INC.
|
40
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2002-10-01 |
Business code |
236200 |
Sponsor’s telephone number |
2283927465 |
Plan sponsor’s
address |
3018 BIG RIDGE RAOD, D IBERVILLE, MS, 39532 |
Plan administrator’s name and address
Administrator’s EIN |
640790690 |
Plan administrator’s name |
CAFFEY, INC. |
Plan administrator’s
address |
3018 BIG RIDGE RAOD, D IBERVILLE, MS, 39532 |
Administrator’s telephone number |
2283927465 |
|