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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 (27 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

Agent

Name Role Address
C TED SANDERSON JR Agent 1076 Highland Colony Parkway, Suite 100;P O Box 6020 (39158), Ridgeland, MS 39157

Incorporator

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

Filings

Type Status Filed Date Description
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

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C TED SANDERSON JR

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JAMES D HOLLAND

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Related by address

No related companies by address

Date of last update: 24 Dec 2024

Sources: Mississippi Secretary of State

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