BARBOUR INTERNATIONAL, INC. PROFIT SHARING PLAN AND TRUST
|
2023
|
640835479
|
2024-08-28
|
BARBOUR INTERNATIONAL, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
423400
|
Sponsor’s telephone number |
6015911921
|
Plan sponsor’s
address |
P. O. BOX 1839, 101 CYPRESS WAY, BRANDON, MS, 390431839
|
Signature of
Role |
Plan administrator |
Date |
2024-08-28 |
Name of individual signing |
ERIN BUSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARBOUR INTERNATIONAL INC MEDOVA LIFESTYLE HEALTH PLAN
|
2022
|
640835479
|
2024-07-12
|
BARBOUR INTERNATIONAL INC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-01-01
|
Business code |
423400
|
Sponsor’s telephone number |
6015911350
|
Plan sponsor’s
address |
101 CYPRESS WAY, BRANDON, MS, 390423147
|
Plan administrator’s name and address
Administrator’s EIN |
200200514 |
Plan administrator’s name |
RECEIVERSHIP MANAGEMENT, INC. |
Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
Administrator’s telephone number |
6153700051 |
Signature of
Role |
Plan administrator |
Date |
2024-07-12 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARBOUR INTERNATIONAL, INC. PROFIT SHARING PLAN AND TRUST
|
2022
|
640835479
|
2023-06-27
|
BARBOUR INTERNATIONAL, INC.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
423400
|
Sponsor’s telephone number |
6015911921
|
Plan sponsor’s
address |
P. O. BOX 1839, 101 CYPRESS WAY, BRANDON, MS, 390431839
|
Signature of
Role |
Plan administrator |
Date |
2023-06-27 |
Name of individual signing |
ERIN BUSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARBOUR INTERNATIONAL, INC. PROFIT SHARING PLAN AND TRUST
|
2021
|
640835479
|
2022-06-16
|
BARBOUR INTERNATIONAL, INC.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
423400
|
Sponsor’s telephone number |
6015911921
|
Plan sponsor’s
address |
P. O. BOX 1839, 101 CYPRESS WAY, BRANDON, MS, 390431839
|
Signature of
Role |
Plan administrator |
Date |
2022-06-16 |
Name of individual signing |
ERIN BUSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-16 |
Name of individual signing |
ERIN BUSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARBOUR INTERNATIONAL INC MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
640835479
|
2022-09-30
|
BARBOUR INTERNATIONAL INC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-01-01
|
Business code |
423400
|
Sponsor’s telephone number |
6015911350
|
Plan sponsor’s
address |
101 CYPRESS WAY, BRANDON, MS, 390423147
|
Plan administrator’s name and address
Administrator’s EIN |
200200514 |
Plan administrator’s name |
RECEIVERSHIP MANAGEMENT INC |
Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
Administrator’s telephone number |
6153700051 |
Signature of
Role |
Plan administrator |
Date |
2022-09-29 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARBOUR INTERNATIONAL, INC. PROFIT SHARING PLAN AND TRUST
|
2020
|
640835479
|
2021-06-30
|
BARBOUR INTERNATIONAL, INC.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
423400
|
Sponsor’s telephone number |
6015911921
|
Plan sponsor’s
address |
P. O. BOX 1839, 101 CYPRESS WAY, BRANDON, MS, 390431839
|
Signature of
Role |
Plan administrator |
Date |
2021-06-30 |
Name of individual signing |
ERIN BUSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-30 |
Name of individual signing |
ERIN BUSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARBOUR INTERNATIONAL, INC. PROFIT SHARING PLAN AND TRUST
|
2019
|
640835479
|
2020-10-01
|
BARBOUR INTERNATIONAL, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
423400
|
Sponsor’s telephone number |
6015911921
|
Plan sponsor’s
address |
P. O. BOX 1839, 101 CYPRESS WAY, BRANDON, MS, 390431839
|
Signature of
Role |
Plan administrator |
Date |
2020-10-01 |
Name of individual signing |
ERIN BUSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-01 |
Name of individual signing |
ERIN BUSIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARBOUR INTERNATIONAL, INC. PROFIT SHARING PLAN AND TRUST
|
2018
|
640835479
|
2019-05-23
|
BARBOUR INTERNATIONAL, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
423400
|
Sponsor’s telephone number |
6015911921
|
Plan sponsor’s
address |
P. O. BOX 1839, 101 CYPRESS WAY, BRANDON, MS, 390431839
|
Signature of
Role |
Plan administrator |
Date |
2019-05-23 |
Name of individual signing |
ANDREA KIMBRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-23 |
Name of individual signing |
ANDREA KIMBRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARBOUR INTERNATIONAL, INC. PROFIT SHARING PLAN AND TRUST
|
2017
|
640835479
|
2018-06-18
|
BARBOUR INTERNATIONAL, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
423400
|
Sponsor’s telephone number |
6015911921
|
Plan sponsor’s
address |
P. O. BOX 1839, 101 CYPRESS WAY, BRANDON, MS, 390431839
|
Signature of
Role |
Plan administrator |
Date |
2018-06-18 |
Name of individual signing |
ANDREA KIMBRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-18 |
Name of individual signing |
ANDREA KIMBRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARBOUR INTERNATIONAL, INC. PROFIT SHARING PLAN AND TRUST
|
2016
|
640835479
|
2017-07-07
|
BARBOUR INTERNATIONAL, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
423400
|
Sponsor’s telephone number |
6015911921
|
Plan sponsor’s
address |
P. O. BOX 1839, 101 CYPRESS WAY, BRANDON, MS, 390431839
|
Signature of
Role |
Plan administrator |
Date |
2017-07-07 |
Name of individual signing |
ANDREA KIMBRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-07 |
Name of individual signing |
ANDREA KIMBRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARBOUR INTERNATIONAL, INC. PROFIT SHARING PLAN AND TRUST
|
2015
|
640835479
|
2016-07-27
|
BARBOUR INTERNATIONAL, INC.
|
31
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/27/20160727085938P030056655121001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1993-10-01 |
Business code |
423400 |
Sponsor’s telephone number |
6015911921 |
Plan sponsor’s
address |
P. O. BOX 1839, 101 CYPRESS WAY, BRANDON, MS, 390431839 |
Signature of
Role |
Plan administrator |
Date |
2016-07-27 |
Name of individual signing |
DONNA BARBOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-27 |
Name of individual signing |
DONNA BARBOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARBOUR INTERNATIONAL, INC. PROFIT SHARING PLAN AND TRUST
|
2014
|
640835479
|
2015-07-20
|
BARBOUR INTERNATIONAL, INC.
|
28
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/20/20150720124214P040101555015001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1993-10-01 |
Business code |
423400 |
Sponsor’s telephone number |
6015911921 |
Plan sponsor’s
address |
P. O. BOX 1839, 101 CYPRESS WAY, BRANDON, MS, 390431839 |
Signature of
Role |
Plan administrator |
Date |
2015-07-20 |
Name of individual signing |
ANDREA KIMBRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-20 |
Name of individual signing |
ANDREA KIMBRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARBOUR INTERNATIONAL, INC. PROFIT SHARING PLAN AND TRUST
|
2013
|
640835479
|
2014-07-09
|
BARBOUR INTERNATIONAL, INC.
|
28
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/09/20140709080459P040012624493001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1993-10-01 |
Business code |
423910 |
Sponsor’s telephone number |
6015911350 |
Plan sponsor’s
address |
P. O. BOX 1839, 101 CYPRESS WAY, BRANDON, MS, 390431839 |
Signature of
Role |
Plan administrator |
Date |
2014-07-09 |
Name of individual signing |
DONNA BARBOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-09 |
Name of individual signing |
DONNA BARBOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARBOUR INTERNATIONAL, INC. PROFIT SHARING PLAN AND TRUST
|
2012
|
640835479
|
2013-05-20
|
BARBOUR INTERNATIONAL, INC.
|
27
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/20/20130520205947P030219843411001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1993-10-01 |
Business code |
423910 |
Sponsor’s telephone number |
6015911350 |
Plan sponsor’s
address |
P. O. BOX 1839, 101 CYPRESS WAY, BRANDON, MS, 390431839 |
Signature of
Role |
Plan administrator |
Date |
2013-05-20 |
Name of individual signing |
DONNA BARBOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-20 |
Name of individual signing |
DONNA BARBOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARBOUR INTERNATIONAL, INC. PROFIT SHARING PLAN AND TRUST
|
2011
|
640835479
|
2012-03-30
|
BARBOUR INTERNATIONAL, INC.
|
26
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/03/30/20120330100603P030018782743001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1993-10-01 |
Business code |
423990 |
Sponsor’s telephone number |
6015911350 |
Plan sponsor’s
address |
P. O. BOX 1839, 101 CYPRESS WAY, BRANDON, MS, 390431839 |
Plan administrator’s name and address
Administrator’s EIN |
640835479 |
Plan administrator’s name |
BARBOUR INTERNATIONAL, INC. |
Plan administrator’s
address |
P. O. BOX 1839, 101 CYPRESS WAY, BRANDON, MS, 390431839 |
Administrator’s telephone number |
6015911350 |
Signature of
Role |
Plan administrator |
Date |
2012-03-30 |
Name of individual signing |
DONNA BARBOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-03-30 |
Name of individual signing |
DONNA BARBOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARBOUR INTERNATIONAL, INC. PROFIT SHARING PLAN AND TRUST
|
2010
|
640835479
|
2011-03-03
|
BARBOUR INTERNATIONAL, INC.
|
25
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/03/03/20110303094014P030019130161001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1993-10-01 |
Business code |
423990 |
Sponsor’s telephone number |
6015911350 |
Plan sponsor’s
address |
P. O. BOX 1839, 101 CYPRESS WAY, BRANDON, MS, 390431839 |
Plan administrator’s name and address
Administrator’s EIN |
640835479 |
Plan administrator’s name |
BARBOUR INTERNATIONAL, INC. |
Plan administrator’s
address |
P. O. BOX 1839, 101 CYPRESS WAY, BRANDON, MS, 390431839 |
Administrator’s telephone number |
6015911350 |
Signature of
Role |
Plan administrator |
Date |
2011-03-03 |
Name of individual signing |
DONNA BARBOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-03 |
Name of individual signing |
DONNA BARBOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARBOUR INTERNATIONAL, INC. PROFIT SHARING PLAN AND TRUST
|
2009
|
640835479
|
2010-07-21
|
BARBOUR INTERNATIONAL, INC.
|
26
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/21/20100721100112P030021078148001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1993-10-01 |
Business code |
423990 |
Sponsor’s telephone number |
6015911350 |
Plan sponsor’s
address |
P. O. BOX 1839, 101 CYPRESS WAY, BRANDON, MS, 390431839 |
Plan administrator’s name and address
Administrator’s EIN |
640835479 |
Plan administrator’s name |
BARBOUR INTERNATIONAL, INC. |
Plan administrator’s
address |
P. O. BOX 1839, 101 CYPRESS WAY, BRANDON, MS, 390431839 |
Administrator’s telephone number |
6015911350 |
Signature of
Role |
Plan administrator |
Date |
2010-07-21 |
Name of individual signing |
DONNA BARBOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-21 |
Name of individual signing |
DONNA BARBOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|