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  5. Van Zyverden, Inc.

Van Zyverden, Inc.

Company Details

Name: Van Zyverden, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 02 Nov 1994 (30 years ago)
Business ID: 612113
ZIP code: 39305
County: Lauderdale
State of Incorporation: DELAWARE
Principal Office Address: 8079 VAN ZYVERDEN RDMERIDIAN, MS 39305
Historical names: VAN ZYVERDEN BROS., INC.

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2023 221603775 2024-07-29 VAN ZYVERDEN, INC. 154
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 155

Signature of
Role Plan administrator
Date 2024-07-29
Name of individual signing ROBERT CARLETON
Valid signature Filed with authorized/valid electronic signature
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2022 221603775 2023-07-27 VAN ZYVERDEN, INC. 166
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 154

Signature of
Role Plan administrator
Date 2023-07-27
Name of individual signing TONY ROBERSON
Valid signature Filed with authorized/valid electronic signature
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2021 221603775 2022-07-12 VAN ZYVERDEN, INC. 186
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 166

Signature of
Role Plan administrator
Date 2022-07-12
Name of individual signing RICKY GRESSETT
Valid signature Filed with authorized/valid electronic signature
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2020 221603775 2021-07-19 VAN ZYVERDEN, INC. 188
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 186

Signature of
Role Plan administrator
Date 2021-07-19
Name of individual signing ALEX DEBARDELEBEN
Valid signature Filed with authorized/valid electronic signature
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2019 221603775 2020-09-23 VAN ZYVERDEN, INC. 258
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 188

Signature of
Role Plan administrator
Date 2020-09-22
Name of individual signing ALEX DEBARDELEBEN
Valid signature Filed with authorized/valid electronic signature
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2018 221603775 2020-08-05 VAN ZYVERDEN, INC. 201
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 258

Signature of
Role Plan administrator
Date 2020-08-05
Name of individual signing ALEX DEBARDELEBEN
Valid signature Filed with authorized/valid electronic signature
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2018 221603775 2020-08-05 VAN ZYVERDEN, INC. 201
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Signature of
Role Plan administrator
Date 2020-08-05
Name of individual signing ALEX DEBARDELEBEN
Valid signature Filed with authorized/valid electronic signature
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2017 221603775 2018-06-08 VAN ZYVERDEN, INC. 200
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 201

Signature of
Role Plan administrator
Date 2018-06-08
Name of individual signing ALEX DEBARDELEBEN
Valid signature Filed with authorized/valid electronic signature
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2016 221603775 2017-07-13 VAN ZYVERDEN, INC. 186
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 200

Signature of
Role Plan administrator
Date 2017-07-13
Name of individual signing ALEX DEBARDELEBEN
Valid signature Filed with authorized/valid electronic signature
VAN ZYVERDEN, INC. HEALTH BENEFIT PLAN 2015 221603775 2016-07-21 VAN ZYVERDEN, INC. 191
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 186

Signature of
Role Plan administrator
Date 2016-07-21
Name of individual signing ALEX DEBARDELEBEN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/08/13/20150813154038P030002538509001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P. O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Number of participants as of the end of the plan year
Active participants 200
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 30
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 140
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 2015-08-13
Name of individual signing PATSY M. IRBY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-13
Name of individual signing MICHAEL KNOST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/17/20150717133730P030118609313001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 191

Signature of
Role Plan administrator
Date 2015-07-17
Name of individual signing PATSY IRBY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/09/20141009072031P030016041725001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P. O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Number of participants as of the end of the plan year
Active participants 242
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 25
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 138
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 2014-10-09
Name of individual signing PATSY M IRBY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/18/20140718130021P030013702271001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 195

Signature of
Role Plan administrator
Date 2014-07-18
Name of individual signing PATSY IRBY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/16/20131216113732P040148176433001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 198

Signature of
Role Plan administrator
Date 2013-12-16
Name of individual signing PATSY IRBY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/16/20131216113547P040148174881001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2007-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 225

Signature of
Role Plan administrator
Date 2013-12-16
Name of individual signing PATSY IRBY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/16/20131216113408P040148172945001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2007-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 238

Signature of
Role Plan administrator
Date 2013-12-16
Name of individual signing PATSY IRBY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/08/29/20130829160842P040137140469001.pdf
Three-digit plan number (PN) 002
Effective date of plan 1997-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P. O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Number of participants as of the end of the plan year
Active participants 242
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 30
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2
Number of participants with account balances as of the end of the plan year 142
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 2013-08-29
Name of individual signing PATSY IRBY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-08-29
Name of individual signing MICHAEL KNOST
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/16/20131216113709P040148175665001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2007-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 195

Signature of
Role Plan administrator
Date 2013-12-16
Name of individual signing PATSY IRBY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/16/20131216113646P040148175201001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2007-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 192

Signature of
Role Plan administrator
Date 2013-12-16
Name of individual signing PATSY IRBY
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/16/20131216113623P040148175137001.pdf
Three-digit plan number (PN) 501
Effective date of plan 2007-01-01
Business code 424930
Sponsor’s telephone number 6016798274
Plan sponsor’s mailing address P.O. BOX 550, MERIDIAN, MS, 39302
Plan sponsor’s address 8079 VAN ZYVERDEN ROAD, MERIDIAN, MS, 39305

Plan administrator’s name and address
Administrator’s EIN 221603775
Plan administrator’s name VAN ZYVERDEN, INC.
Plan administrator’s address P.O. BOX 550, MERIDIAN, MS, 39302
Administrator’s telephone number 6016798274

Number of participants as of the end of the plan year
Active participants 198

Signature of
Role Plan administrator
Date 2013-12-16
Name of individual signing PATSY IRBY
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Jacqueline VZ Hogan Agent 4410 18th Ave, Meridian, MS 39305

Director

Name Role Address
Jacqueline Van Zyverden Hogan Director PO Box 550, Meridian, MS 39302-0550
Robert Van Zyverden Director PO Box 550, Meridian, MS 39302-0550
Charlotte Fay Adkins Director PO Box 550, Meridian, MS 39302
Dennis van der Linden Director PO Box 550, Meridian, MS 39302-0550
Tony Ray Roberson Director PO Box 550, Meridian, MS 39302
Michael A Lagendyk Director PO Box 550, Meridian, MS 39302

Chief Executive Officer

Name Role Address
Jacqueline Van Zyverden Hogan Chief Executive Officer PO Box 550, Meridian, MS 39302-0550

Vice President

Name Role Address
Robert Van Zyverden Vice President PO Box 550, Meridian, MS 39302-0550

Secretary

Name Role Address
Charlotte Fay Adkins Secretary PO Box 550, Meridian, MS 39302

President

Name Role Address
Jacqueline Van Zyverden Hogan President PO Box 550, Meridian, MS 39302-0550

Filings

Type Status Filed Date Description
Annual Report Filed 2024-03-06 Annual Report For Van Zyverden, Inc.
Annual Report Filed 2023-02-23 Annual Report For Van Zyverden, Inc.
Annual Report Filed 2022-02-28 Annual Report For Van Zyverden, Inc.
Annual Report Filed 2021-04-09 Annual Report For Van Zyverden, Inc.
Annual Report Filed 2020-04-27 Annual Report For Van Zyverden, Inc.
Annual Report Filed 2019-08-15 Annual Report For Van Zyverden, Inc.
Annual Report Filed 2018-10-15 Annual Report For Van Zyverden, Inc.
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Annual Report Filed 2017-02-17 Annual Report For Van Zyverden, Inc.
Amendment Form Filed 2016-02-08 Amendment For Van Zyverden, Inc.

Related by officers

Robert Van Zyverden

Ponta Holdings, LLC

Related by address

No related companies by address

Date of last update: 23 Dec 2024

Sources: Mississippi Secretary of State

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