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 |
|
|