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South Central Community Action Agency, Inc.

Company Details

Name: South Central Community Action Agency, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 24 Jan 2001 (24 years ago)
Business ID: 697118
State of Incorporation: MISSISSIPPI
Historical names: SIMPSON COUNTY COMMUNITY ACTION AGENCY

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EMPLOYEE BENEFIT PLAN OF SOUTH CENTRAL COMMUNITY ACTION AGENCY, INC. 2021 311751892 2022-07-27 SOUTH CENTRAL COMMUNITY ACTION AGENCY, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 624200
Sponsor’s telephone number 7692358224
Plan sponsor’s address PO BOX 6590, JACKSON, MS, 392826590

Signature of

Role Plan administrator
Date 2022-07-27
Name of individual signing KIM BEAVER
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SOUTH CENTRAL COMMUNITY ACTION AGENCY, INC. 2020 311751892 2021-10-13 SOUTH CENTRAL COMMUNITY ACTION AGENCY 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 624200
Sponsor’s telephone number 7692358224
Plan sponsor’s address PO BOX 6590, JACKSON, MS, 392826590

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing HATTIE ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing HATTIE ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SOUTH CENTRAL COMMUNITY ACTION AGENCY, INC. 2019 311751892 2020-07-15 SOUTH CENTRAL COMMUNITY ACTION AGENCY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 624200
Sponsor’s telephone number 7692358224
Plan sponsor’s address PO BOX 6590, JACKSON, MS, 392826590

Signature of

Role Plan administrator
Date 2020-07-15
Name of individual signing HATTIE ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SOUTH CENTRAL COMMUNITY ACTION AGENCY, INC. 2018 311751892 2019-07-29 SOUTH CENTRAL COMMUNITY ACTION AGENCY, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 813000
Sponsor’s telephone number 7692358224
Plan sponsor’s address PO BOX 6590, JACKSON, MS, 392826590

Signature of

Role Plan administrator
Date 2019-07-29
Name of individual signing HATTIE ARMSTRONG
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SOUTH CENTRAL COMMUNITY ACTION AGENCY, INC. 2014 311751892 2015-08-24 SOUTH CENTRAL COMMUNITY ACTION AGENCY, INC. 17
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 813000
Sponsor’s telephone number 6018475552
Plan sponsor’s address 110 FOURTH STREET, D LO, MS, 39062

Signature of

Role Plan administrator
Date 2015-08-24
Name of individual signing SHELETTA BUCKLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-08-24
Name of individual signing SHELETTA BUCKLEY
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SOUTH CENTRAL COMMUNITY ACTION AGENCY, INC. 2014 311751892 2016-06-20 SOUTH CENTRAL COMMUNITY ACTION AGENCY, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 813000
Sponsor’s telephone number 6018475552
Plan sponsor’s address 110 FOURTH STREET, D LO, MS, 39062

Signature of

Role Plan administrator
Date 2016-06-20
Name of individual signing SHELETTA BUCKLEY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-06-20
Name of individual signing SHELETTA BUCKLEY
Valid signature Filed with authorized/valid electronic signature
401K 2010 2010 311751892 2011-07-26 SOUTH CENTRAL COMMUNITY ACTION AGENCY 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 813000
Sponsor’s telephone number 6018475552
Plan sponsor’s DBA name SAME
Plan sponsor’s address 110 FOURTH STREET, DLO, MS, 39062

Plan administrator’s name and address

Administrator’s EIN 311751892
Plan administrator’s name SOUTH CENTRAL COMMUNITY ACTION AGENCY
Plan administrator’s address 110 FOURTH STREET, DLO, MS, 39062
Administrator’s telephone number 6018475552

Signature of

Role Plan administrator
Date 2011-07-26
Name of individual signing JESSE GRIFFIN
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SOUTH CENTRAL COMMUNITY ACTION AGENCY 2009 311751892 2010-10-14 SOUTH CENTRAL COMMUNITY ACTION AGENCY 5
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 813000
Sponsor’s telephone number 6018475552
Plan sponsor’s address 110 FOURTH STREET, P. O. BOX 129, DLO, MS, 39062

Plan administrator’s name and address

Administrator’s EIN 311751892
Plan administrator’s name SOUTH CENTRAL COMMUNITY ACTION AGENCY
Plan administrator’s address 110 FOURTH STREET, P. O. BOX 129, DLO, MS, 39062
Administrator’s telephone number 6018475552

Signature of

Role Employer/plan sponsor
Date 2010-10-14
Name of individual signing JESSE GRIFFIN
Valid signature Filed with authorized/valid electronic signature
EMPLOYEE BENEFIT PLAN OF SOUTH CENTRAL COMMUNITY ACTION AGENCY 2009 311751892 2010-10-14 SOUTH CENTRAL COMMUNITY ACTION AGENCY 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2008-03-01
Business code 813000
Sponsor’s telephone number 6018475552
Plan sponsor’s address 110 FOURTH STREET, P. O. BOX 129, DLO, MS, 39062

Plan administrator’s name and address

Administrator’s EIN 311751892
Plan administrator’s name SOUTH CENTRAL COMMUNITY ACTION AGENCY
Plan administrator’s address 110 FOURTH STREET, P. O. BOX 129, DLO, MS, 39062
Administrator’s telephone number 6018475552

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing JESSE GRIFFIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Sheletta Buckley Agent 3891 I 55 South Frontage Road, Jackson, MS 39212

Incorporator

Name Role Address
TIMOTHY KEYS Incorporator PO BOX 368, MENDENHALL, MS 39114

Filings

Type Status Filed Date Description
Amendment Form Filed 2020-08-05 Amendment For South Central Community Action Agency, Inc.
Agent Resignation Filed 2020-08-03 Agent Resignation For Edwards, Calvin
Amendment Form Filed 2016-03-11 Amendment For South Central Community Action Agency, Inc.
Amendment Form Filed 2009-02-12 Amendment
Amendment Form Filed 2007-02-05 Amendment
Amendment Form Filed 2005-07-27 Amendment
Name Reservation Form Filed 2001-01-24 Name Reservation

Date of last update: 27 Dec 2024

Sources: Mississippi Secretary of State