BERNARD GREEN INSURANCE INC 401(K) PLAN
|
2018
|
640926086
|
2019-06-24
|
BERNARD GREEN INSURANCE INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6012641628
|
Plan sponsor’s
address |
17 PLAZA DR STE 120, HATTIESBURG, MS, 394021573
|
Signature of
Role |
Plan administrator |
Date |
2019-06-24 |
Name of individual signing |
BERNARD GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERNARD GREEN INSURANCE INC 401(K) PLAN
|
2018
|
640926086
|
2019-08-05
|
BERNARD GREEN INSURANCE INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6012641628
|
Plan sponsor’s
address |
17 PLAZA DR STE 120, HATTIESBURG, MS, 394021573
|
Signature of
Role |
Plan administrator |
Date |
2019-08-05 |
Name of individual signing |
BERNARD GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERNARD GREEN INSURANCE INC 401(K) PLAN
|
2017
|
640926086
|
2018-09-28
|
BERNARD GREEN INSURANCE INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6012641628
|
Plan sponsor’s
address |
17 PLAZA DR STE 120, HATTIESBURG, MS, 394021573
|
Signature of
Role |
Plan administrator |
Date |
2018-09-28 |
Name of individual signing |
BERNARD GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERNARD GREEN INSURANCE INC 401(K) PLAN
|
2016
|
640926086
|
2017-10-10
|
BERNARD GREEN INSURANCE INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6012641628
|
Plan sponsor’s
address |
17 PLAZA DR STE 120, HATTIESBURG, MS, 394021573
|
Signature of
Role |
Plan administrator |
Date |
2017-10-10 |
Name of individual signing |
BERNARD GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERNARD GREEN INSURANCE INC 401(K) PLAN
|
2015
|
640926086
|
2016-09-27
|
BERNARD GREEN INSURANCE INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6012641628
|
Plan sponsor’s
address |
17 PLAZA DR STE 120, HATTIESBURG, MS, 394021573
|
Signature of
Role |
Plan administrator |
Date |
2016-09-27 |
Name of individual signing |
BERNARD GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-27 |
Name of individual signing |
BERNARD GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERNARD GREEN INSURANCE INC 401K PLAN
|
2014
|
640926086
|
2015-09-15
|
BERNARD GREEN INSURANCE INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6012641628
|
Plan sponsor’s
address |
17 PLAZA DR STE 120, HATTIESBURG, MS, 394021573
|
Signature of
Role |
Plan administrator |
Date |
2015-09-15 |
Name of individual signing |
BERNARD GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-15 |
Name of individual signing |
BERNARD GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERNARD GREEN INSURANCE INC 401K PLAN
|
2013
|
640926086
|
2014-07-09
|
BERNARD GREEN INSURANCE INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6012641628
|
Plan sponsor’s
address |
17 PLAZA DR STE 120, HATTIESBURG, MS, 394021573
|
Signature of
Role |
Plan administrator |
Date |
2014-07-09 |
Name of individual signing |
BERNARD GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-09 |
Name of individual signing |
BERNARD GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERNARD GREEN INSURANCE INC 401K PLAN
|
2012
|
640926086
|
2013-05-24
|
BERNARD GREEN INSURANCE INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6012641628
|
Plan sponsor’s
address |
17 PLAZA DR STE 120, HATTIESBURG, MS, 394021573
|
Signature of
Role |
Plan administrator |
Date |
2013-05-24 |
Name of individual signing |
BERNARD GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-24 |
Name of individual signing |
BERNARD GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERNARD GREEN INSURANCE INC 401K PLAN
|
2011
|
640926086
|
2012-06-12
|
BERNARD GREEN INSURANCE INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6012641628
|
Plan sponsor’s
address |
17 PLAZA DR STE 120, HATTIESBURG, MS, 394021573
|
Plan administrator’s name and address
Administrator’s EIN |
640926086 |
Plan administrator’s name |
BERNARD GREEN INSURANCE INC |
Plan administrator’s
address |
17 PLAZA DR STE 120, HATTIESBURG, MS, 394021573 |
Administrator’s telephone number |
6012641628 |
Signature of
Role |
Plan administrator |
Date |
2012-06-12 |
Name of individual signing |
BERNARD GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-12 |
Name of individual signing |
BERNARD GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERNARD GREEN INSURANCE INC 401K PLAN
|
2010
|
640926086
|
2011-06-27
|
BERNARD GREEN INSURANCE INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6012641628
|
Plan sponsor’s
address |
17 PLAZA DR STE 120, HATTIESBURG, MS, 394021573
|
Plan administrator’s name and address
Administrator’s EIN |
640926086 |
Plan administrator’s name |
BERNARD GREEN INSURANCE INC |
Plan administrator’s
address |
17 PLAZA DR STE 120, HATTIESBURG, MS, 394021573 |
Administrator’s telephone number |
6012641628 |
Signature of
Role |
Plan administrator |
Date |
2011-06-27 |
Name of individual signing |
BERNARD GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-27 |
Name of individual signing |
BERNARD GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERNARD GREEN INSURANCE INC 401K PLAN
|
2009
|
640926086
|
2010-07-19
|
BERNARD GREEN INSURANCE INC
|
3
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/19/20100719113302P030086987016001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2006-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
6012641628 |
Plan sponsor’s
address |
17 PLAZA DR STE 120, HATTIESBURG, MS, 394021573 |
Plan administrator’s name and address
Administrator’s EIN |
640926086 |
Plan administrator’s name |
BERNARD GREEN INSURANCE INC |
Plan administrator’s
address |
17 PLAZA DR STE 120, HATTIESBURG, MS, 394021573 |
Administrator’s telephone number |
6012641628 |
Signature of
Role |
Plan administrator |
Date |
2010-07-19 |
Name of individual signing |
BERNARD GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-19 |
Name of individual signing |
BERNARD GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|