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MISSISSIPPI SURPLUS LINES ASSOCIATION

Company Details

Name: MISSISSIPPI SURPLUS LINES ASSOCIATION
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 18 Sep 1997 (28 years ago)
Business ID: 647048
State of Incorporation: MISSISSIPPI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MS SURPLUS LINES ASSN. 401(K) SAFE HARBOR PLAN 2023 640885758 2024-07-18 MISSISSIPPI SURPLUS LINES ASSOCIATION 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 524290
Sponsor’s telephone number 6017131111
Plan sponsor’s address 504 KEYWOOD CIRCLE, SUITE B, FLOWOOD, MS, 39232
MS SURPLUS LINES ASSN. 401(K) SAFE HARBOR PLAN 2022 640885758 2023-07-28 MISSISSIPPI SURPLUS LINES ASSOCIATION 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 524290
Sponsor’s telephone number 6017131111
Plan sponsor’s address 504 KEYWOOD CIRCLE, SUITE B, FLOWOOD, MS, 39232
MS SURPLUS LINES ASSN. 401(K) SAFE HARBOR PLAN 2021 640885758 2022-07-07 MISSISSIPPI SURPLUS LINES ASSOCIATION 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 524290
Sponsor’s telephone number 6017131111
Plan sponsor’s address 504 KEYWOOD CIRCLE, SUITE B, FLOWOOD, MS, 39232
MS SURPLUS LINES ASSN. 401(K) SAFE HARBOR PLAN 2020 640885758 2021-06-25 MISSISSIPPI SURPLUS LINES ASSOCIATION 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 524290
Sponsor’s telephone number 6017131111
Plan sponsor’s address 504 KEYWOOD CIRCLE, SUITE B, FLOWOOD, MS, 39232
MS SURPLUS LINES ASSN. 401(K) SAFE HARBOR PLAN 2019 640885758 2020-06-04 MISSISSIPPI SURPLUS LINES ASSOCIATION 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 524290
Sponsor’s telephone number 6017131111
Plan sponsor’s address 504 KEYWOOD CIRCLE, SUITE B, FLOWOOD, MS, 39232
MS SURPLUS LINES ASSN. 401(K) SAFE HARBOR PLAN 2018 640885758 2019-11-18 MISSISSIPPI SURPLUS LINES ASSOCIATION 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 524290
Sponsor’s telephone number 6017131111
Plan sponsor’s address 504 KEYWOOD CIRCLE, SUITE B, FLOWOOD, MS, 39232
MS SURPLUS LINES ASSN. 401(K) SAFE HARBOR PLAN 2017 640885758 2018-07-20 MISSISSIPPI SURPLUS LINES ASSOCIATION 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 524290
Sponsor’s telephone number 6017131111
Plan sponsor’s address 504 KEYWOOD CIRCLE, SUITE B, FLOWOOD, MS, 39232
MS SURPLUS LINES ASSN. 401(K) SAFE HARBOR PLAN 2016 640885758 2017-07-17 MISSISSIPPI SURPLUS LINES ASSOCIATION 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 524290
Sponsor’s telephone number 6017131111
Plan sponsor’s address 504 KEYWOOD CIRCLE, SUITE B, FLOWOOD, MS, 39232
MS SURPLUS LINES ASSN. 401(K) SAFE HARBOR PLAN 2015 640885758 2016-07-11 MISSISSIPPI SURPLUS LINES ASSOCIATION 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 524290
Sponsor’s telephone number 6017131111
Plan sponsor’s address 504 KEYWOOD CIRCLE, SUITE B, FLOWOOD, MS, 39232

Signature of
Role Plan administrator
Date 2016-07-11
Name of individual signing DONNA W BRUCE
Valid signature Filed with authorized/valid electronic signature
MS SURPLUS LINES ASSN. 401(K) SAFE HARBOR PLAN 2014 640885758 2015-07-17 MISSISSIPPI SURPLUS LINES ASSOCIATION 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 524290
Sponsor’s telephone number 6017131111
Plan sponsor’s address 504 KEYWOOD CIRCLE, SUITE B, FLOWOOD, MS, 39232

Signature of
Role Plan administrator
Date 2015-07-17
Name of individual signing DONNA W. BRUCE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/16/20140716092502P030016219101001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 524290
Sponsor’s telephone number 6017131111
Plan sponsor’s address 504 KEYWOOD CIRCLE, SUITE B, FLOWOOD, MS, 39232

Signature of
Role Plan administrator
Date 2014-07-16
Name of individual signing DONNA W BRUCE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/30/20130730152506P030047516007001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 524290
Sponsor’s telephone number 6017131111
Plan sponsor’s address 2630 RIDGEWOOD ROAD, SUITE D, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2013-07-30
Name of individual signing DONNA W. BRUCE
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 524290
Sponsor’s telephone number 6017131111
Plan sponsor’s address 2630 RIDGEWOOD ROAD, SUITE D, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 640885758
Plan administrator’s name MISSISSIPPI SURPLUS LINES ASSOCIATION
Plan administrator’s address 2630 RIDGEWOOD ROAD, SUITE D, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2012-07-23
Name of individual signing DONNA W. BRUCE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/24/20120724145504P040033513136001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 524290
Sponsor’s telephone number 6017131111
Plan sponsor’s address 2630 RIDGEWOOD ROAD, SUITE D, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 640885758
Plan administrator’s name MISSISSIPPI SURPLUS LINES ASSOCIATION
Plan administrator’s address 2630 RIDGEWOOD ROAD, SUITE D, JACKSON, MS, 39216

Signature of
Role Plan administrator
Date 2012-07-24
Name of individual signing DONNA W. BRUCE
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 524290
Sponsor’s telephone number 6017131111
Plan sponsor’s address 2630 RIDGEWOOD ROAD, SUITE D, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 640885758
Plan administrator’s name MISSISSIPPI SURPLUS LINES ASSOCIATION
Plan administrator’s address 2630 RIDGEWOOD ROAD, SUITE D, JACKSON, MS, 39216
Administrator’s telephone number 6017131111

Signature of
Role Plan administrator
Date 2011-07-14
Name of individual signing DONNA W. BRUCE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/14/20110714145506P030093563841001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 524290
Sponsor’s telephone number 6017131111
Plan sponsor’s address 2630 RIDGEWOOD ROAD, SUITE D, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 640885758
Plan administrator’s name MISSISSIPPI SURPLUS LINES ASSOCIATION
Plan administrator’s address 2630 RIDGEWOOD ROAD, SUITE D, JACKSON, MS, 39216
Administrator’s telephone number 6017131111

Signature of
Role Plan administrator
Date 2011-07-14
Name of individual signing DONNA W. BRUCE
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 524290
Sponsor’s telephone number 6017131111
Plan sponsor’s address 2630 RIDGEWOOD ROAD, SUITE D, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 640885758
Plan administrator’s name MISSISSIPPI SURPLUS LINES ASSOCIATION
Plan administrator’s address 2630 RIDGEWOOD ROAD, SUITE D, JACKSON, MS, 39216
Administrator’s telephone number 6017131111

Signature of
Role Plan administrator
Date 2011-07-13
Name of individual signing DONNA W. BRUCE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/15/20101015123026P040029268625001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 524290
Sponsor’s telephone number 6017131111
Plan sponsor’s address 2630 RIDGEWOOD ROAD, SUITE D, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 640885758
Plan administrator’s name MISSISSIPPI SURPLUS LINES ASSOCIATION
Plan administrator’s address 2630 RIDGEWOOD ROAD, SUITE D, JACKSON, MS, 39216
Administrator’s telephone number 6017131111

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing DONNA W BRUCE
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2001-07-01
Business code 524290
Sponsor’s telephone number 6017131111
Plan sponsor’s address 2630 RIDGEWOOD ROAD, SUITE D, JACKSON, MS, 39216

Plan administrator’s name and address
Administrator’s EIN 640885758
Plan administrator’s name MISSISSIPPI SURPLUS LINES ASSOCIATION
Plan administrator’s address 2630 RIDGEWOOD ROAD, SUITE D, JACKSON, MS, 39216
Administrator’s telephone number 6017131111

Signature of
Role Plan administrator
Date 2010-10-14
Name of individual signing DONNA W BRUCE
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role Address
JAMES D HOLLAND Incorporator 13073 PLANK RD, PO BOX 1163 JACKSON MS, BAKER, LA 70714

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 645 LAKELAND EAST DRIVE STE 101, FLOWOOD, MS 39232

Filings

Type Status Filed Date Description
Amendment Form Filed 2025-01-23 Amendment For MISSISSIPPI SURPLUS LINES ASSOCIATION
Amendment Form Filed 2009-07-20 Amendment
Amendment Form Filed 1999-01-29 Amendment
Amendment Form Filed 1998-03-13 Amendment
Name Reservation Form Filed 1997-09-18 Name Reservation

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
64-0885758 Corporation Unconditional Exemption 504 KEYWOOD CIRCLE, FLOWOOD, MS, 39232-3000 1998-04
In Care of Name % PEGGY DRONET
Group Exemption Number 0000
Subsection Board of Trade, Business League, Chamber of Commerce, Real Estate Board
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Educational Organization, Local Association of Employees, Horticultural Organization, Business League, Voluntary Employees' Beneficiary Association (Govt. Emps.), Mutual Ditch or Irrigation Co., Cemetery Company, Other Mutual Corp. or Assoc.
Deductibility Contributions are not deductible.
Foundation All organizations except 501(c)(3)
Tax Period 2023-12
Asset 10,000,000 to 49,999,999
Income 1,000,000 to 4,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 12842612
Income Amount 4937547
Form 990 Revenue Amount 2783567
National Taxonomy of Exempt Entities -
Sort Name -

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name MISSISSIPPI SURPLUS LINES ASSOCIATION
EIN 64-0885758
Tax Period 202212
Filing Type E
Return Type 990O
File View File
Organization Name MISSISSIPPI SURPLUS LINES ASSOCIATION
EIN 64-0885758
Tax Period 202112
Filing Type E
Return Type 990O
File View File
Organization Name MISSISSIPPI SURPLUS LINES ASSOCIATION
EIN 64-0885758
Tax Period 202012
Filing Type E
Return Type 990O
File View File
Organization Name MISSISSIPPI SURPLUS LINES ASSOCIATION
EIN 64-0885758
Tax Period 201912
Filing Type E
Return Type 990O
File View File
Organization Name MISSISSIPPI SURPLUS LINES ASSOCIATION
EIN 64-0885758
Tax Period 201812
Filing Type E
Return Type 990O
File View File
Organization Name MISSISSIPPI SURPLUS LINES ASSOCIATION
EIN 64-0885758
Tax Period 201712
Filing Type E
Return Type 990O
File View File
Organization Name MISSISSIPPI SURPLUS LINES ASSOCIATION
EIN 64-0885758
Tax Period 201612
Filing Type E
Return Type 990O
File View File

Related by officers

JAMES D HOLLAND

HAWORTH HOME HEALTH OF VICKSBURG, INC. PARADISE RESTAURANTS, INC. ODYSSEY DEVELOPMENT, INCORPORATED PERMA-BRICK, INC. GLASS SLIPPER, LTD. LAKELAND SERVICES INCORPORATED WHITEHOLLAND ESTATES, L.L.C. NORTH PARK TRACTOR & EQUIPMENT, INC. DODSON GENERAL AGENCY OF MISSISSIPPI, INC. THE RUG PLACE, INC.

C T CORPORATION SYSTEM

SEABROOK, INC. SEABOARD INTERNATIONAL LUMBER & PLYWOOD, INC. SEACOAST PRODUCTS, INC. SEABROOK WALLCOVERINGS, INC. SEARLE MEDICAL PRODUCTS USA INC. SEARS, ROEBUCK AND CO. SEAWARD CONSTRUCTION COMPANY, INC. SEBRITE AGENCY, INC. SEBRITE GENERAL AGENCY, INCORPORATED SECURITIES INVESTMENT COMPANY OF ST. LOUIS

Related by address

No related companies by address

Date of last update: 17 Mar 2025

Sources: Mississippi Secretary of State

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