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  5. MARTHA COKER CONVALESCENT HOME, INC.

MARTHA COKER CONVALESCENT HOME, INC.

Company Details

Name: MARTHA COKER CONVALESCENT HOME, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 01 Mar 1994 (31 years ago)
Business ID: 605106
ZIP code: 39194
County: Yazoo
State of Incorporation: MISSISSIPPI
Principal Office Address: 401 E 9THYAZOO CITY, MS 39194

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARTHA COKER RETIREMENT SAVINGS PLAN 2018 640849674 2019-03-21 MARTHA COKER CONVALESCENT HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-03-01
Business code 623000
Sponsor’s telephone number 6628448977
Plan sponsor’s mailing address P.O. BOX 1567, TUPELO, MS, 38802
Plan sponsor’s address 109 SOUTH BROADWAY, TUPELO, MS, 38804

Number of participants as of the end of the plan year
Active participants 0
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
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2019-03-21
Name of individual signing CHRISTIE VANCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-03-21
Name of individual signing CHRISTIE VANCE
Valid signature Filed with authorized/valid electronic signature
MARTHA COKER RETIREMENT SAVINGS PLAN 2017 640849674 2018-05-31 MARTHA COKER CONVALESCENT HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-03-01
Business code 623000
Sponsor’s telephone number 6628448977
Plan sponsor’s mailing address P.O. BOX 1567, TUPELO, MS, 38802
Plan sponsor’s address 109 SOUTH BROADWAY, TUPELO, MS, 38804

Number of participants as of the end of the plan year
Active participants 2

Signature of
Role Plan administrator
Date 2018-05-31
Name of individual signing CHRISTIE VANCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-31
Name of individual signing CHRISTIE VANCE
Valid signature Filed with authorized/valid electronic signature
MARTHA COKER RETIREMENT SAVINGS PLAN 2017 640849674 2018-05-31 MARTHA COKER CONVALESCENT HOME, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-03-01
Business code 623000
Sponsor’s telephone number 6628448977
Plan sponsor’s mailing address PO BOX 1567, TUPELO, MS, 388021567
Plan sponsor’s address 109 SOUTH BROADWAY, TUPELO, MS, 38804

Number of participants as of the end of the plan year
Active participants 2

Signature of
Role Plan administrator
Date 2018-05-31
Name of individual signing CHRISTIE VANCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-31
Name of individual signing CHRISTIE VANCE
Valid signature Filed with authorized/valid electronic signature
MARTHA COKER RETIREMENT SAVINGS PLAN 2017 640849674 2018-05-31 MARTHA COKER CONVALESCENT HOME INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-03-01
Business code 623000
Sponsor’s telephone number 6628448977
Plan sponsor’s mailing address PO BOX 1567, TUPELO, MS, 388021567
Plan sponsor’s address 109 SOUTH BROADWAY, TUPELO, MS, 38804

Number of participants as of the end of the plan year
Active participants 11

Signature of
Role Plan administrator
Date 2018-05-31
Name of individual signing CHRISTIE VANCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-31
Name of individual signing CHRISTIE VANCE
Valid signature Filed with authorized/valid electronic signature
MARTHA COKER RETIREMENT SAVINGS PLAN 2016 640849674 2018-05-31 MARTHA COKER CONVALESCENT HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-03-01
Business code 623000
Sponsor’s telephone number 6628448977
Plan sponsor’s mailing address P.O. BOX 1567, TUPELO, MS, 38802
Plan sponsor’s address 109 SOUTH BROADWAY, TUPELO, MS, 38804

Number of participants as of the end of the plan year
Active participants 2

Signature of
Role Plan administrator
Date 2018-05-31
Name of individual signing CHRISTIE VANCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-31
Name of individual signing CHRISTIE VANCE
Valid signature Filed with authorized/valid electronic signature
MARTHA COKER RETIREMENT SAVINGS PLAN 2015 640849674 2018-05-31 MARTHA COKER CONVALESCENT HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-03-01
Business code 623000
Sponsor’s telephone number 6628448977
Plan sponsor’s mailing address P.O. BOX 1567, TUPELO, MS, 38802
Plan sponsor’s address 109 SOUTH BROADWAY, TUPELO, MS, 38804

Number of participants as of the end of the plan year
Active participants 2

Signature of
Role Plan administrator
Date 2018-05-31
Name of individual signing CHRISTIE VANCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-31
Name of individual signing CHRISTIE VANCE
Valid signature Filed with authorized/valid electronic signature
MARTHA COKER RETIREMENT SAVINGS PLAN 2014 640849674 2018-05-31 MARTHA COKER CONVALESCENT HOME, INC. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-03-01
Business code 623000
Sponsor’s telephone number 6628448977
Plan sponsor’s mailing address P.O. BOX 1567, TUPELO, MS, 38802
Plan sponsor’s address 109 SOUTH BROADWAY, TUPELO, MS, 38804

Number of participants as of the end of the plan year
Active participants 2

Signature of
Role Plan administrator
Date 2018-05-31
Name of individual signing CHRISTIE VANCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-31
Name of individual signing CHRISTIE VANCE
Valid signature Filed with authorized/valid electronic signature
MARTHA COKER 403B RETIREMENT PLAN 2014 640849674 2018-05-31 MARTHA COKER CONVALESCENT HOME, INC. 0
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1995-03-01
Business code 623000
Sponsor’s telephone number 6628448977
Plan sponsor’s mailing address P.O. BOX 1567, TUPELO, MS, 38802
Plan sponsor’s address 109 SOUTH BROADWAY, TUPELO, MS, 38804

Number of participants as of the end of the plan year
Active participants 0
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
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2018-05-31
Name of individual signing CHRISTIE VANCE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-05-31
Name of individual signing CHRISTIE VANCE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Hoffman, Julie M Agent 401 East 9th Street, Yazoo City, MS 39194

Incorporator

Name Role Address
JEAN BASKIN Incorporator 401 E 9TH, YAZOO CITY, MS 39194

Filings

Type Status Filed Date Description
Amendment Form Filed 2004-11-12 Amendment
Amendment Form Filed 2003-12-12 Amendment
See File Filed 1994-12-09 See File
Name Reservation Form Filed 1994-03-01 Name Reservation

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Mississippi Secretary of State

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