THE LIFE DEPARTMENT, INC. 401(K) RETIREMENT PLAN
|
2014
|
640843757
|
2015-10-07
|
THE LIFE DEPARTMENT, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6017090400
|
Plan sponsor’s
address |
P.O. BOX 3264, RIDGELAND, MS, 391583264
|
Signature of
Role |
Plan administrator |
Date |
2015-10-07 |
Name of individual signing |
THERON PACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-07 |
Name of individual signing |
THERON PACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE LIFE DEPARTMENT, INC. 401(K) RETIREMENT PLAN
|
2014
|
640843757
|
2015-10-30
|
THE LIFE DEPARTMENT, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6017090400
|
Plan sponsor’s
address |
405 LEGACY PARK, RIDGELAND, MS, 39157
|
Signature of
Role |
Plan administrator |
Date |
2015-10-30 |
Name of individual signing |
THERON PACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-30 |
Name of individual signing |
THERON PACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE LIFE DEPARTMENT, INC. 401(K) RETIREMENT PLAN
|
2013
|
640843757
|
2014-10-14
|
THE LIFE DEPARTMENT, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6017090400
|
Plan sponsor’s
address |
P.O. BOX 3264, RIDGELAND, MS, 391583264
|
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
T. MARK PACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-14 |
Name of individual signing |
T. MARK PACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE LIFE DEPARTMENT, INC. 401(K) RETIREMENT PLAN
|
2012
|
640843757
|
2013-05-10
|
THE LIFE DEPARTMENT, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6013628464
|
Plan sponsor’s
address |
4915 I-55 NORTH, SUITE 201 B, JACKSON, MS, 39206
|
Signature of
Role |
Plan administrator |
Date |
2013-05-10 |
Name of individual signing |
DEBORA BLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-10 |
Name of individual signing |
DEBORA BLAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE LIFE DEPARTMENT, INC. 401(K) RETIREMENT PLAN
|
2011
|
640843757
|
2012-06-20
|
THE LIFE DEPARTMENT, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6013628464
|
Plan sponsor’s
address |
4915 I-55 NORTH, SUITE 201 B, JACKSON, MS, 39206
|
Plan administrator’s name and address
Administrator’s EIN |
640843757 |
Plan administrator’s name |
THE LIFE DEPARTMENT, INC. |
Plan administrator’s
address |
4915 I-55 NORTH, SUITE 201 B, JACKSON, MS, 39206 |
Administrator’s telephone number |
6013628464 |
Signature of
Role |
Plan administrator |
Date |
2012-06-20 |
Name of individual signing |
THERON PACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-20 |
Name of individual signing |
THERON PACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE LIFE DEPARTMENT, INC. 401(K) RETIREMENT PLAN
|
2010
|
640843757
|
2011-07-07
|
THE LIFE DEPARTMENT, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6013628464
|
Plan sponsor’s
address |
4915 I-55 NORTH, SUITE 201B, JACKSON, MS, 39206
|
Plan administrator’s name and address
Administrator’s EIN |
640843757 |
Plan administrator’s name |
THE LIFE DEPARTMENT, INC. |
Plan administrator’s
address |
4915 I-55 NORTH, SUITE 201B, JACKSON, MS, 39206 |
Administrator’s telephone number |
6013628464 |
Signature of
Role |
Plan administrator |
Date |
2011-07-07 |
Name of individual signing |
THERON PACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-07 |
Name of individual signing |
THERON PACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE LIFE DEPARTMENT, INC. 401(K) RETIREMENT PLAN
|
2009
|
640843757
|
2010-10-06
|
THE LIFE DEPARTMENT, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6013628464
|
Plan sponsor’s
address |
4915 I-55 NORTH, SUITE 201-B, JACKSON, MS, 39206
|
Plan administrator’s name and address
Administrator’s EIN |
640843757 |
Plan administrator’s name |
THE LIFE DEPARTMENT, INC. |
Plan administrator’s
address |
4915 I-55 NORTH, SUITE 201-B, JACKSON, MS, 39206 |
Administrator’s telephone number |
6013628464 |
Signature of
Role |
Plan administrator |
Date |
2010-10-06 |
Name of individual signing |
MARK PACE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|