BANKFIRST FINANCIAL SERVICES HEALTH INSURANCE PLAN
|
2019
|
640202970
|
2020-11-05
|
BANKFIRST FINANCIAL SERVICES
|
169
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-01-31
|
Business code |
522110
|
Sponsor’s telephone number |
6627261001
|
Plan sponsor’s mailing address |
P. O . BOX 31, 3159 JEFFERSON ST, MACON, MS, 393412278
|
Plan sponsor’s
address |
P. O . BOX 31, 3159 JEFFERSON ST, MACON, MS, 393412278
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-11-05 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-11-05 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST GROUP TERM LIFE INSURANCE PLAN
|
2019
|
640202970
|
2020-09-22
|
BANKFIRST FINANCIAL SERVICES
|
204
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2014-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6627261001
|
Plan sponsor’s mailing address |
3159 JEFFERSON ST, MACON, MS, 393412278
|
Plan sponsor’s
address |
3159 JEFFERSON ST, MACON, MS, 393412278
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-09-22 |
Name of individual signing |
NANCY G. BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST FINANCIAL SERVICES HEALTH AND WELFARE PLAN
|
2019
|
640202970
|
2020-09-22
|
BANKFIRST FINANCIAL SERVICES
|
186
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2013-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6627261001
|
Plan sponsor’s mailing address |
3159 JEFFERSON ST, MACON, MS, 393412278
|
Plan sponsor’s
address |
3159 JEFFERSON STREET, MACON, MS, 39341
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-09-22 |
Name of individual signing |
NANCY G. BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST FINANCIAL SERVICES HEALTH INSURANCE PLAN
|
2019
|
640202970
|
2020-09-22
|
BANKFIRST FINANCIAL SERVICES
|
169
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-01-31
|
Business code |
522110
|
Sponsor’s telephone number |
6627261001
|
Plan sponsor’s mailing address |
P O BOX 31, 3159 JEFFERSON ST, MACON, MS, 393412278
|
Plan sponsor’s
address |
P O BOX 31, 3159 JEFFERSON ST, MACON, MS, 393412278
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-09-22 |
Name of individual signing |
NANCY G. BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST FINANCIAL SERVICES HEALTH INSURANCE PLAN
|
2018
|
640202970
|
2019-06-19
|
BANKFIRST FINANCIAL SERVICES
|
170
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-01-31
|
Business code |
522110
|
Sponsor’s telephone number |
6627261001
|
Plan sponsor’s mailing address |
P O BOX 31, 3159 JEFFERSON ST, MACON, MS, 393412278
|
Plan sponsor’s
address |
P O BOX 31, 3159 JEFFERSON ST, MACON, MS, 393412278
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-19 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-19 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST FINANCIAL SERVICES HEALTH AND WELFARE PLAN
|
2018
|
640202970
|
2019-06-19
|
BANKFIRST FINANCIAL SERVICES
|
178
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2013-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6627261001
|
Plan sponsor’s mailing address |
3159 JEFFERSON ST, MACON, MS, 393412278
|
Plan sponsor’s
address |
3159 JEFFERSON STREET, MACON, MS, 39341
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-19 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-19 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST GROUP TERM LIFE INSURANCE PLAN
|
2018
|
640202970
|
2019-06-19
|
BANKFIRST FINANCIAL SERVICES
|
194
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2014-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6627261001
|
Plan sponsor’s mailing address |
3159 JEFFERSON ST, MACON, MS, 393412278
|
Plan sponsor’s
address |
3159 JEFFERSON ST, MACON, MS, 393412278
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-19 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-19 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST GROUP TERM LIFE INSURANCE PLAN
|
2017
|
640202970
|
2018-06-27
|
BANKFIRST FINANCIAL SERVICES
|
196
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2014-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6627261001
|
Plan sponsor’s mailing address |
P O BOX 31, 3159 JEFFERSON ST, MACON, MS, 393412278
|
Plan sponsor’s
address |
P O BOX 31, 3159 JEFFERSON ST, MACON, MS, 393412278
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-06-27 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-27 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST FINANCIAL SERVICES HEALTH INSURANCE PLAN
|
2017
|
640202970
|
2018-06-27
|
BANKFIRST FINANCIAL SERVICES
|
175
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-01-31
|
Business code |
522110
|
Sponsor’s telephone number |
6627261001
|
Plan sponsor’s mailing address |
P.O. BOX 31, 3159 JEFFERSON ST, MACON, MS, 393412278
|
Plan sponsor’s
address |
P.O. BOX 31, 3159 JEFFERSON ST, MACON, MS, 393412278
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-06-27 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-27 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST FINANCIAL SERVICES HEALTH AND WELFARE PLAN
|
2017
|
640202970
|
2018-06-27
|
BANKFIRST FINANCIAL SERVICES
|
178
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2013-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6627261001
|
Plan sponsor’s mailing address |
3159 JEFFERSON ST, MACON, MS, 393412278
|
Plan sponsor’s
address |
3159 JEFFERSON ST, MACON, MS, 393412278
|
Plan administrator’s name and address
Administrator’s EIN |
640202970 |
Plan administrator’s name |
BANKFIRST FINANCIAL SERVICES |
Plan administrator’s
address |
3159 JEFFERSON ST, MACON, MS, 393412278 |
Administrator’s telephone number |
6627261001 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-06-27 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-27 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST FINANCIAL SERVICES HEALTH AND WELFARE PLAN
|
2016
|
640202970
|
2017-05-22
|
BANKFIRST FINANCIAL SERVICES
|
171
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/05/22/20170522114720P040040557185001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
2013-01-01 |
Business code |
522110 |
Sponsor’s telephone number |
6627261001 |
Plan sponsor’s mailing address |
3159 JEFFERSON ST, MACON, MS, 393412278 |
Plan sponsor’s
address |
3159 JEFFERSON ST, MACON, MS, 393412278 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-05-22 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-22 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST FINANCIAL SERVICES HEALTH INSURANCE PLAN
|
2016
|
640202970
|
2017-05-22
|
BANKFIRST FINANCIAL SERVICES
|
175
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/05/22/20170522110021P030025101503001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2013-01-31 |
Business code |
522110 |
Sponsor’s telephone number |
6627261001 |
Plan sponsor’s mailing address |
PO BOX 31, MACON, MS, 393410031 |
Plan sponsor’s
address |
3159 JEFFERSON STREET, MACON, MS, 39341 |
Plan administrator’s name and address
Administrator’s EIN |
640202970 |
Plan administrator’s name |
BANKFIRST FINANCIAL SERVICES |
Plan administrator’s
address |
PO BOX 31, MACON, MS, 393410031 |
Administrator’s telephone number |
6627261001 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-05-22 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-22 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST GROUP TERM LIFE INSURANCE PLAN
|
2016
|
640202970
|
2017-05-22
|
BANKFIRST FINANCIAL SERVICES
|
197
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/05/22/20170522112742P040035563975001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2014-01-01 |
Business code |
522110 |
Sponsor’s telephone number |
6627261001 |
Plan sponsor’s mailing address |
PO BOX 31, MACON, MS, 393410031 |
Plan sponsor’s
address |
3159 JEFFERSON STREET, MACON, MS, 39341 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-05-22 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-22 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST GROUP TERM LIFE INSURANCE PLAN
|
2015
|
640202970
|
2016-07-28
|
BANKFIRST FINANCIAL SERVICES
|
155
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/28/20160728135905P030054041431001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2015-01-01 |
Business code |
522110 |
Sponsor’s telephone number |
6627261001 |
Plan sponsor’s mailing address |
PO BOX 31, MACON, MS, 393410031 |
Plan sponsor’s
address |
3159 JEFFERSON STREET, MACON, MS, 393412278 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-28 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-28 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST FINANCIAL SERVICES HEALTH & WELFARE PLAN
|
2015
|
640202970
|
2016-08-01
|
BANKFIRST FINANCIAL SERVICES
|
131
|
|
Three-digit plan number (PN) |
505 |
Effective date of plan |
2013-01-01 |
Business code |
522110 |
Sponsor’s telephone number |
6627261001 |
Plan sponsor’s mailing address |
3159 JEFFERSON ST, MACON, MS, 393412278 |
Plan sponsor’s
address |
3159 JEFFERSON ST, MACON, MS, 393412278 |
Plan administrator’s name and address
Administrator’s EIN |
640202970 |
Plan administrator’s name |
BANKFIRST FINANCIAL SERVICES |
Plan administrator’s
address |
3159 JEFFERSON ST, MACON, MS, 393412278 |
Administrator’s telephone number |
6627261001 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-08-01 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-01 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST FINANCIAL SERVICES HEALTH & WELFARE PLAN
|
2015
|
640202970
|
2016-08-09
|
BANKFIRST FINANCIAL SERVICES
|
131
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/08/09/20160809113550P030006377335001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
2013-01-01 |
Business code |
522110 |
Sponsor’s telephone number |
6627261001 |
Plan sponsor’s mailing address |
3159 JEFFERSON ST, MACON, MS, 393412278 |
Plan sponsor’s
address |
3159 JEFFERSON ST, MACON, MS, 393412278 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-08-09 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-09 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST FINANCIAL SERVICES HEALTH INSURANCE PLAN
|
2015
|
640202970
|
2016-09-15
|
BANKFIRST FINANCIAL SERVICES
|
140
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/09/15/20160915114833P040022435181001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2013-01-31 |
Business code |
522110 |
Sponsor’s telephone number |
6627261001 |
Plan sponsor’s mailing address |
PO BOX 31, MACON, MS, 393410031 |
Plan sponsor’s
address |
3159 JEFFERSON STREET, MACON, MS, 39341 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-09-15 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-15 |
Name of individual signing |
NANCY BRYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST FINANCIAL SERVICES HEALTH INSURANCE PLAN
|
2014
|
640202970
|
2015-07-27
|
BANKFIRST FINANCIAL SERVICES
|
131
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/27/20150727144936P030138360097001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2013-01-31 |
Business code |
522110 |
Sponsor’s telephone number |
6627261001 |
Plan sponsor’s mailing address |
P O BOX 31, MACON, MS, 39341 |
Plan sponsor’s
address |
3159 JEFFERSON ST, MACON, MS, 39341 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-27 |
Name of individual signing |
MARY ANN GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-27 |
Name of individual signing |
MARY ANN GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST GROUP TERM LIFE INSURANCE PLAN
|
2014
|
640202970
|
2015-07-27
|
BANKFIRST FINANCIAL SERVICES
|
152
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/27/20150727151325P030138430577001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2014-01-01 |
Business code |
522110 |
Sponsor’s telephone number |
6627261001 |
Plan sponsor’s mailing address |
P O BOX 31, MACON, MS, 39341 |
Plan sponsor’s
address |
3159 JEFFERSON ST, MACON, MS, 39341 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-27 |
Name of individual signing |
MARY ANN GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-27 |
Name of individual signing |
MARY ANN GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST GROUP TERM LIFE INSURANCE PLAN
|
2013
|
640202970
|
2014-07-30
|
BANKFIRST FINANCIAL SERVICES
|
153
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/30/20140730120822P030021033871001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2013-01-01 |
Business code |
522110 |
Sponsor’s telephone number |
6627261002 |
Plan sponsor’s mailing address |
PO BOX 31, 3159 JEFFERSON ST, MACON, MS, 39341 |
Plan sponsor’s
address |
PO BOX 31, 3159 JEFFERSON ST, MACON, MS, 39341 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
MARY ANN GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-30 |
Name of individual signing |
MARY ANN GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANKFIRST FINANCIAL SERVICES HEALTH INSURANCE PLAN
|
2013
|
640202970
|
2014-07-30
|
BANKFIRST FINANCIAL SERVICES
|
129
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/30/20140730120308P030021026959001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2013-01-31 |
Business code |
522110 |
Sponsor’s telephone number |
6627261002 |
Plan sponsor’s mailing address |
PO BOX 31, MACON, MS, 39341 |
Plan sponsor’s
address |
3159 JEFFERSON STREET, MACON, MS, 39341 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
MARY ANN GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-30 |
Name of individual signing |
MARY ANN GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|