SOUTHERN HENS EMPLOYEE WELFARE PLAN
|
2012
|
640778821
|
2013-08-09
|
SOUTHERN HENS, INC.
|
816
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-02-01
|
Business code |
311610
|
Sponsor’s telephone number |
6015822262
|
Plan sponsor’s mailing address |
P O BOX 8000, MOSELLE, MS, 39459
|
Plan sponsor’s
address |
329 MOSELLE SEMINARY ROAD, MOSELLE, MS, 39459
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-08-09 |
Name of individual signing |
EVELYN MOSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-09 |
Name of individual signing |
EVELYN MOSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN HENS HEALTH/LIFE PLAN
|
2010
|
640778821
|
2011-08-01
|
SOUTHERN HENS, INC.
|
787
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-02-01
|
Business code |
311610
|
Sponsor’s telephone number |
6015822262
|
Plan sponsor’s mailing address |
P O BOX 8000, MOSELLE, MS, 39459
|
Plan sponsor’s
address |
329 MOSELLE SEMINARY ROAD, MOSELLE, MS, 39459
|
Plan administrator’s name and address
Administrator’s EIN |
640778821 |
Plan administrator’s name |
SOUTHERN HENS, INC. |
Plan administrator’s
address |
P O BOX 8000, MOSELLE, MS, 39459 |
Administrator’s telephone number |
6015822262 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-08-01 |
Name of individual signing |
EVELYN MOSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN HENS HEALTH/LIFE PLAN
|
2010
|
640778821
|
2011-07-29
|
SOUTHERN HENS, INC.
|
787
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-02-01
|
Business code |
311610
|
Sponsor’s telephone number |
6015822262
|
Plan sponsor’s mailing address |
P O BOX 8000, MOSELLE, MS, 39459
|
Plan sponsor’s
address |
329 MOSELLE SEMINARY ROAD, MOSELLE, MS, 39459
|
Plan administrator’s name and address
Administrator’s EIN |
640778821 |
Plan administrator’s name |
SOUTHERN HENS, INC. |
Plan administrator’s
address |
P O BOX 8000, MOSELLE, MS, 39459 |
Administrator’s telephone number |
6015822262 |
Number of participants as of the end of the plan year
Signature of
Role |
Employer/plan sponsor |
Date |
2011-07-29 |
Name of individual signing |
EVELYN MOSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN HENS HEALTH/LIFE PLAN
|
2009
|
640778821
|
2010-07-27
|
SOUTHERN HENS INC
|
787
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-02-01
|
Business code |
311610
|
Sponsor’s telephone number |
6015822262
|
Plan sponsor’s mailing address |
P O BOX 8000, MOSELLE, MS, 39459
|
Plan sponsor’s
address |
329 MOSELLE SEMINARY ROAD, MOSELLE, MS, 39459
|
Plan administrator’s name and address
Administrator’s EIN |
640778821 |
Plan administrator’s name |
SOUTHERN HENS INC |
Plan administrator’s
address |
P O BOX 8000, MOSELLE, MS, 39459 |
Administrator’s telephone number |
6015822262 |
Number of participants as of the end of the plan year
Active participants |
787 |
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 |
2010-07-27 |
Name of individual signing |
EVELYN MOSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN HENS HEALTH/LIFE PLAN
|
2009
|
640778821
|
2010-07-09
|
SOUTHERN HENS INC
|
787
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-02-01
|
Business code |
311610
|
Sponsor’s telephone number |
6015822262
|
Plan sponsor’s mailing address |
P O BOX 8000, MOSELLE, MS, 39459
|
Plan sponsor’s
address |
329 MOSELLE SEMINARY ROAD, MOSELLE, MS, 39459
|
Plan administrator’s name and address
Administrator’s EIN |
640778821 |
Plan administrator’s name |
SOUTHERN HENS INC |
Plan administrator’s
address |
P O BOX 8000, MOSELLE, MS, 39459 |
Administrator’s telephone number |
6015822262 |
Number of participants as of the end of the plan year
Active participants |
787 |
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 |
Employer/plan sponsor |
Date |
2010-07-09 |
Name of individual signing |
EVELYN MOSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|