JACKSON'S DISCOUNT PHARMACY 401(K) PLAN
|
2023
|
640888346
|
2024-06-22
|
JACKSON'S DISCOUNT PHARMACY
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-17
|
Business code |
446110
|
Sponsor’s telephone number |
2288328000
|
Plan sponsor’s
address |
11340 THREE RIVERS RD STE A, GULFPORT, MS, 395033650
|
Signature of
Role |
Plan administrator |
Date |
2024-06-22 |
Name of individual signing |
LINDA JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-06-22 |
Name of individual signing |
LINDA JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON'S DISCOUNT PHARMACY 401(K) PLAN
|
2022
|
640888346
|
2023-07-29
|
JACKSON'S DISCOUNT PHARMACY
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-17
|
Business code |
446110
|
Sponsor’s telephone number |
2288328000
|
Plan sponsor’s
address |
11340 THREE RIVERS RD STE A, GULFPORT, MS, 39503
|
Signature of
Role |
Plan administrator |
Date |
2023-07-29 |
Name of individual signing |
LINDA JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON'S DISCOUNT PHARMACY 401(K) PLAN
|
2021
|
640888346
|
2022-07-26
|
JACKSON'S DISCOUNT PHARMACY
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-17
|
Business code |
446110
|
Sponsor’s telephone number |
2288328000
|
Plan sponsor’s
address |
11340 THREE RIVERS RD STE A, GULFPORT, MS, 39503
|
Signature of
Role |
Plan administrator |
Date |
2022-07-26 |
Name of individual signing |
LINDA JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON'S DISCOUNT PHARMACY 401(K) PLAN
|
2020
|
640888346
|
2021-07-19
|
JACKSON'S DISCOUNT PHARMACY
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-17
|
Business code |
446110
|
Sponsor’s telephone number |
2288328000
|
Plan sponsor’s
address |
11340 THREE RIVERS RD STE A, GULFPORT, MS, 39503
|
Signature of
Role |
Plan administrator |
Date |
2021-07-19 |
Name of individual signing |
LINDA JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON'S DISCOUNT PHARMACY 401(K) PLAN
|
2019
|
640888346
|
2020-06-28
|
JACKSON'S DISCOUNT PHARMACY
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-17
|
Business code |
446110
|
Sponsor’s telephone number |
2288328000
|
Plan sponsor’s
address |
11340 THREE RIVERS RD STE A, GULFPORT, MS, 39503
|
Signature of
Role |
Plan administrator |
Date |
2020-06-28 |
Name of individual signing |
LINDA JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON'S DISCOUNT PHARMACY 401(K) PLAN
|
2018
|
640888346
|
2019-07-08
|
JACKSON'S DISCOUNT PHARMACY
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-17
|
Business code |
446110
|
Sponsor’s telephone number |
2288328000
|
Plan sponsor’s
address |
11340 THREE RIVERS RD STE A, GULFPORT, MS, 39503
|
Signature of
Role |
Plan administrator |
Date |
2019-07-08 |
Name of individual signing |
LINDA JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON'S DISCOUNT PHARMACY 401(K) PLAN
|
2017
|
640888346
|
2018-07-21
|
JACKSON'S DISCOUNT PHARMACY
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-17
|
Business code |
446110
|
Sponsor’s telephone number |
2288328000
|
Plan sponsor’s
address |
11340 THREE RIVERS RD STE A, GULFPORT, MS, 39503
|
Signature of
Role |
Plan administrator |
Date |
2018-07-21 |
Name of individual signing |
LINDA JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON'S DISCOUNT PHARMACY 401(K) PLAN
|
2016
|
640888346
|
2017-07-16
|
JACKSON'S DISCOUNT PHARMACY
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-17
|
Business code |
446110
|
Sponsor’s telephone number |
2288328000
|
Plan sponsor’s
address |
11340 THREE RIVERS RD STE A, GULFPORT, MS, 39503
|
Signature of
Role |
Plan administrator |
Date |
2017-07-16 |
Name of individual signing |
LINDA JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON'S DISCOUNT PHARMACY 401(K) PLAN
|
2015
|
640888346
|
2016-06-01
|
JACKSON'S DISCOUNT PHARMACY
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-17
|
Business code |
446110
|
Sponsor’s telephone number |
2288328000
|
Plan sponsor’s
address |
11340 THREE RIVERS RD STE A, GULFPORT, MS, 39503
|
|
JACKSON'S DISCOUNT PHARMACY 401(K) PLAN
|
2013
|
640888346
|
2014-07-03
|
JACKSON'S DISCOUNT PHARMACY
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-09-17
|
Business code |
812990
|
Sponsor’s telephone number |
2288328000
|
Plan sponsor’s
address |
11340 THREE RIVERS RD STE A, GULFPORT, MS, 39503
|
Signature of
Role |
Plan administrator |
Date |
2014-07-03 |
Name of individual signing |
GARY JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-03 |
Name of individual signing |
LINDA JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON'S DISCOUNT PHARMACY 401(K) PLAN
|
2012
|
640888346
|
2013-07-01
|
JACKSON'S DISCOUNT PHARMACY
|
8
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/01/20130701100616P040283172803001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2003-09-17 |
Business code |
812990 |
Sponsor’s telephone number |
2288328000 |
Plan sponsor’s
address |
11340 THREE RIVERS RD STE A, GULFPORT, MS, 39503 |
Signature of
Role |
Plan administrator |
Date |
2013-07-01 |
Name of individual signing |
GARY JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-01 |
Name of individual signing |
LINDA JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON'S DISCOUNT PHARMACY 401(K) PLAN
|
2011
|
640888346
|
2012-06-08
|
JACKSON'S DISCOUNT PHARMACY
|
8
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/08/20120608101410P040100219136001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2003-09-17 |
Business code |
812990 |
Sponsor’s telephone number |
2288328000 |
Plan sponsor’s
address |
11340 THREE RIVERS RD STE A, GULFPORT, MS, 39503 |
Plan administrator’s name and address
Administrator’s EIN |
640888346 |
Plan administrator’s name |
JACKSON'S DISCOUNT PHARMACY |
Plan administrator’s
address |
11340 THREE RIVERS RD STE A, GULFPORT, MS, 39503 |
Administrator’s telephone number |
2288328000 |
Signature of
Role |
Plan administrator |
Date |
2012-06-08 |
Name of individual signing |
GARY JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-08 |
Name of individual signing |
LINDA JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON'S DISCOUNT PHARMACY 401(K) PLAN
|
2010
|
640888346
|
2011-07-12
|
JACKSON'S DISCOUNT PHARMACY
|
7
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/12/20110712122047P030092194881001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2003-09-17 |
Business code |
812990 |
Sponsor’s telephone number |
2288328000 |
Plan sponsor’s
address |
11340 THREE RIVERS RD STE A, GULFPORT, MS, 39503 |
Plan administrator’s name and address
Administrator’s EIN |
640888346 |
Plan administrator’s name |
JACKSON'S DISCOUNT PHARMACY |
Plan administrator’s
address |
11340 THREE RIVERS RD STE A, GULFPORT, MS, 39503 |
Administrator’s telephone number |
2288328000 |
Signature of
Role |
Plan administrator |
Date |
2011-07-12 |
Name of individual signing |
GARY JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-12 |
Name of individual signing |
LINDA JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|