|
TAX DEFERRED ANNUITY PLAN OF CARLOW MANOR, INC. EXEMPT ORGANIZATION UNDER SECTION 403B
|
2010
|
640845844
|
2013-08-21
|
CARLOW MANOR, INC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-08-01
|
| Business code |
531110
|
| Sponsor’s telephone number |
2284351642
|
| Plan
sponsor’s DBA name |
CARLOW MANOR APARTMENTS
|
| Plan sponsor’s
address |
723 HOWARD AVENUE, BILOXI, MS, 39530
|
Plan administrator’s name and address
| Administrator’s EIN |
131614399 |
| Plan administrator’s name |
MUTUAL OF AMERICA |
| Plan administrator’s
address |
320 PARK AVENUE, NEW YORK, NY, 10022 |
| Administrator’s telephone number |
2122241600 |
Signature of
| Role |
Plan administrator |
| Date |
2013-08-21 |
| Name of individual signing |
MELISSA COKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TAX DEFERRED ANNUITY PLAN OF CARLOW MANOR, INC.
|
2010
|
640845844
|
2011-07-29
|
CARLOW MANOR, INC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-08-01
|
| Business code |
531110
|
| Sponsor’s telephone number |
2284351642
|
| Plan
sponsor’s DBA name |
CARLOW MANOR APARTMENTS
|
| Plan sponsor’s
address |
723 HOWARD AVENUE, BILOXI, MS, 39530
|
Plan administrator’s name and address
| Administrator’s EIN |
640845844 |
| Plan administrator’s name |
CARLOW MANOR, INC. |
| Plan administrator’s
address |
723 HOWARD AVENUE, BILOXI, MS, 39530 |
| Administrator’s telephone number |
2284351642 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-29 |
| Name of individual signing |
MELISSA COKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TAX DEFERRED ANNUITY PLAN OF CARLOW MANOR, INC.
|
2009
|
640845844
|
2010-08-03
|
CARLOW MANOR, INC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-08-01
|
| Business code |
531110
|
| Sponsor’s telephone number |
2284351642
|
| Plan sponsor’s
address |
723 HOWARD AVE, BILOXI, MS, 39530
|
Plan administrator’s name and address
| Administrator’s EIN |
640845844 |
| Plan administrator’s name |
CARLOW MANOR, INC. |
| Plan administrator’s
address |
723 HOWARD AVE, BILOXI, MS, 39530 |
| Administrator’s telephone number |
2284351642 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-02 |
| Name of individual signing |
MELISSA COKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-08-02 |
| Name of individual signing |
MELISSA COKER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
