RESTATED BLACKMON & BLACKMON PENSION PLAN
|
2023
|
640740661
|
2024-11-22
|
BLACKMON & BLACKMON
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
6018591567
|
Plan sponsor’s
address |
P. O. BOX 105, CANTON, MS, 39046
|
Signature of
Role |
Plan administrator |
Date |
2024-11-22 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RESTATED BLACKMON & BLACKMON PENSION PLAN
|
2022
|
640740661
|
2024-10-15
|
BLACKMON & BLACKMON
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
6018591567
|
Plan sponsor’s
address |
P. O. BOX 105, CANTON, MS, 39046
|
Signature of
Role |
Plan administrator |
Date |
2024-10-15 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RESTATED BLACKMON & BLACKMON PENSION PLAN
|
2022
|
640740661
|
2023-10-16
|
BLACKMON & BLACKMON
|
21
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
6018591567
|
Plan sponsor’s
address |
P. O. BOX 105, CANTON, MS, 39046
|
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RESTATED BLACKMON & BLACKMON PENSION PLAN
|
2021
|
640740661
|
2023-11-27
|
BLACKMON & BLACKMON
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
6018591567
|
Plan sponsor’s
address |
P. O. BOX 105, CANTON, MS, 39046
|
Signature of
Role |
Plan administrator |
Date |
2023-11-27 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RESTATED BLACKMON & BLACKMON PENSION PLAN
|
2021
|
640740661
|
2022-10-17
|
BLACKMON & BLACKMON
|
21
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
6018591567
|
Plan sponsor’s
address |
P. O. BOX 105, CANTON, MS, 39046
|
Signature of
Role |
Plan administrator |
Date |
2022-10-17 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RESTATED BLACKMON & BLACKMON PENSION PLAN
|
2020
|
640740661
|
2021-11-01
|
BLACKMON & BLACKMON
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
6018591567
|
Plan sponsor’s
address |
P. O. BOX 105, CANTON, MS, 39046
|
Signature of
Role |
Plan administrator |
Date |
2021-11-01 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RESTATED BLACKMON & BLACKMON PENSION PLAN
|
2019
|
640740661
|
2021-11-01
|
BLACKMON & BLACKMON
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
6018591567
|
Plan sponsor’s
address |
P. O. BOX 105, CANTON, MS, 39046
|
Signature of
Role |
Plan administrator |
Date |
2021-11-01 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RESTATED BLACKMON & BLACKMON PENSION PLAN
|
2019
|
640740661
|
2020-10-15
|
BLACKMON & BLACKMON
|
23
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
6018591567
|
Plan sponsor’s
address |
P. O. BOX 105, CANTON, MS, 39046
|
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RESTATED BLACKMON & BLACKMON PENSION PLAN
|
2018
|
640740661
|
2019-10-15
|
BLACKMON & BLACKMON
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
6018591567
|
Plan sponsor’s
address |
P. O. BOX 105, CANTON, MS, 39046
|
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RESTATED BLACKMON & BLACKMON PENSION PLAN
|
2017
|
640740661
|
2018-10-29
|
BLACKMON & BLACKMON
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2001-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
6018591567
|
Plan sponsor’s
address |
P. O. BOX 105, CANTON, MS, 39046
|
Signature of
Role |
Plan administrator |
Date |
2018-10-29 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKMON & BLACKMON PENSION PLAN
|
2016
|
640740661
|
2017-10-16
|
BLACKMON & BLACKMON
|
23
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/10/16/20171016165303P030202044791001.pdf |
Three-digit plan number (PN) |
003 |
Effective date of plan |
2001-01-01 |
Business code |
541110 |
Sponsor’s telephone number |
6018591567 |
Plan sponsor’s
address |
P. O. BOX 105, CANTON, MS, 39046 |
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKMON & BLACKMON PENSION PLAN
|
2015
|
640740661
|
2016-10-17
|
BLACKMON & BLACKMON
|
24
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/17/20161017171024P030032200071001.pdf |
Three-digit plan number (PN) |
003 |
Effective date of plan |
2001-01-01 |
Business code |
541110 |
Sponsor’s telephone number |
6018591567 |
Plan sponsor’s
address |
P. O. BOX 105, CANTON, MS, 39046 |
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKMON & BLACKMON PENSION PLAN
|
2014
|
640740661
|
2015-10-15
|
BLACKMON & BLACKMON
|
24
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/15/20151015125723P030047334007001.pdf |
Three-digit plan number (PN) |
003 |
Effective date of plan |
2001-01-01 |
Business code |
541110 |
Sponsor’s telephone number |
6018591567 |
Plan sponsor’s
address |
P.O. BOX 105, CANTON, MS, 390460105 |
|
BLACKMON & BLACKMON PENSION PLAN
|
2013
|
640740661
|
2014-10-15
|
BLACKMON & BLACKMON
|
24
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/15/20141015091937P040020141903001.pdf |
Three-digit plan number (PN) |
003 |
Effective date of plan |
2001-01-01 |
Business code |
541110 |
Sponsor’s telephone number |
6018591567 |
Plan sponsor’s
address |
P.O. BOX 105, CANTON, MS, 390460105 |
|
BLACKMON & BLACKMON PENSION PLAN
|
2012
|
640740661
|
2015-12-24
|
BLACKMON & BLACKMON
|
24
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/12/24/20151224164053P030102570797001.pdf |
Three-digit plan number (PN) |
003 |
Effective date of plan |
2001-01-01 |
Business code |
541110 |
Sponsor’s telephone number |
6018591567 |
Plan sponsor’s
address |
P.O. BOX 105, CANTON, MS, 390460105 |
Signature of
Role |
Plan administrator |
Date |
2015-12-24 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-12-24 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKMON & BLACKMON PENSION PLAN
|
2012
|
640740661
|
2013-10-11
|
BLACKMON & BLACKMON
|
24
|
|
Three-digit plan number (PN) |
003 |
Effective date of plan |
2001-01-01 |
Business code |
541110 |
Sponsor’s telephone number |
6018591567 |
Plan sponsor’s
address |
P.O. BOX 105, CANTON, MS, 390460105 |
Signature of
Role |
Plan administrator |
Date |
2013-10-11 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-11 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKMON & BLACKMON PENSION PLAN
|
2011
|
640740661
|
2012-09-27
|
BLACKMON & BLACKMON
|
24
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/09/27/20120927090258P040002819398001.pdf |
Three-digit plan number (PN) |
003 |
Effective date of plan |
2001-01-01 |
Business code |
541110 |
Sponsor’s telephone number |
6018591567 |
Plan sponsor’s
address |
P.O. BOX 105, CANTON, MS, 390460105 |
Plan administrator’s name and address
Administrator’s EIN |
640740661 |
Plan administrator’s name |
BLACKMON & BLACKMON |
Plan administrator’s
address |
P.O. BOX 105, CANTON, MS, 390460105 |
Administrator’s telephone number |
6018591567 |
Signature of
Role |
Plan administrator |
Date |
2012-09-27 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-27 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKMON & BLACKMON 401(K) PLAN
|
2010
|
640740661
|
2011-10-21
|
BLACKMON & BLACKMON PLLC
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/21/20111021153639P030713243072002.pdf |
Three-digit plan number (PN) |
004 |
Effective date of plan |
2002-01-01 |
Business code |
541110 |
Sponsor’s telephone number |
6018591567 |
Plan sponsor’s mailing address |
P. O. BOX 105, CANTON, MS, 39046 |
Plan sponsor’s
address |
P. O. BOX 105, CANTON, MS, 39046 |
Plan administrator’s name and address
Administrator’s EIN |
640740661 |
Plan administrator’s name |
BLACKMON & BLACKMON PLLC |
Plan administrator’s
address |
P. O. BOX 105, CANTON, MS, 39046 |
Administrator’s telephone number |
6018591567 |
Number of participants as of the end of the plan year
Active participants |
6 |
Other
retired or separated participants entitled to future benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKMON & BLACKMON 401(K) PLAN
|
2010
|
640740661
|
2011-10-17
|
BLACKMON & BLACKMON PLLC
|
6
|
|
Three-digit plan number (PN) |
004 |
Effective date of plan |
2002-01-01 |
Business code |
541110 |
Sponsor’s telephone number |
6018591567 |
Plan sponsor’s mailing address |
P. O. BOX 105, CANTON, MS, 39046 |
Plan sponsor’s
address |
P. O. BOX 105, CANTON, MS, 39046 |
Plan administrator’s name and address
Administrator’s EIN |
640740661 |
Plan administrator’s name |
BLACKMON & BLACKMON PLLC |
Plan administrator’s
address |
P. O. BOX 105, CANTON, MS, 39046 |
Administrator’s telephone number |
6018591567 |
Number of participants as of the end of the plan year
Active participants |
6 |
Other
retired or separated participants entitled to future benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BLACKMON & BLACKMON 401K PLAN
|
2009
|
640740661
|
2010-10-20
|
BLACKMON & BLACKMON PLLC
|
6
|
|
Three-digit plan number (PN) |
004 |
Effective date of plan |
2002-01-01 |
Business code |
541110 |
Sponsor’s telephone number |
6018591567 |
Plan sponsor’s mailing address |
P. O. BOX 105, CANTON, MS, 39046 |
Plan sponsor’s
address |
P. O. BOX 105, CANTON, MS, 39046 |
Plan administrator’s name and address
Administrator’s EIN |
640740661 |
Plan administrator’s name |
BLACKMON & BLACKMON PLLC |
Plan administrator’s
address |
P. O. BOX 105, CANTON, MS, 39046 |
Administrator’s telephone number |
6018591567 |
Number of participants as of the end of the plan year
Active participants |
6 |
Other
retired or separated participants entitled to future benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BLACKMON & BLACKMON 401K PLAN
|
2009
|
640740661
|
2010-10-20
|
BLACKMON & BLACKMON PLLC
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/20/20101020144126P070037681841004.pdf |
Three-digit plan number (PN) |
004 |
Effective date of plan |
2002-01-01 |
Business code |
541110 |
Sponsor’s telephone number |
6018591567 |
Plan sponsor’s mailing address |
P. O. BOX 105, CANTON, MS, 39046 |
Plan sponsor’s
address |
P. O. BOX 105, CANTON, MS, 39046 |
Plan administrator’s name and address
Administrator’s EIN |
640740661 |
Plan administrator’s name |
BLACKMON & BLACKMON PLLC |
Plan administrator’s
address |
P. O. BOX 105, CANTON, MS, 39046 |
Administrator’s telephone number |
6018591567 |
Number of participants as of the end of the plan year
Active participants |
6 |
Other
retired or separated participants entitled to future benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKMON & BLACKMON 401K PLAN
|
2009
|
640740661
|
2010-10-15
|
BLACKMON & BLACKMON PLLC
|
6
|
|
Three-digit plan number (PN) |
004 |
Effective date of plan |
2002-01-01 |
Business code |
541110 |
Sponsor’s telephone number |
6018591567 |
Plan sponsor’s mailing address |
P. O. BOX 105, CANTON, MS, 39046 |
Plan sponsor’s
address |
P. O. BOX 105, CANTON, MS, 39046 |
Plan administrator’s name and address
Administrator’s EIN |
640740661 |
Plan administrator’s name |
BLACKMON & BLACKMON PLLC |
Plan administrator’s
address |
P. O. BOX 105, CANTON, MS, 39046 |
Administrator’s telephone number |
6018591567 |
Number of participants as of the end of the plan year
Active participants |
6 |
Other
retired or separated participants entitled to future benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
BARBARA BLACKMON |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|