AMERICAN NATIONAL MOLDING 401(K) PLAN
|
2022
|
202706593
|
2023-10-16
|
AMERICAN NATIONAL MOLDING, LLC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
6019362722
|
Plan sponsor’s
address |
3670 FLOWOOD DR, FLOWOOD, MS, 392328006
|
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
RYAN HAAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-16 |
Name of individual signing |
RYAN HAAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN NATIONAL MOLDING 401(K) PLAN
|
2021
|
202706593
|
2022-09-15
|
AMERICAN NATIONAL MOLDING, LLC
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
6019362722
|
Plan sponsor’s
address |
3670 FLOWOOD DR, FLOWOOD, MS, 392328006
|
Signature of
Role |
Plan administrator |
Date |
2022-09-15 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-15 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN NATIONAL MOLDING 401(K) PLAN
|
2020
|
202706593
|
2021-09-03
|
AMERICAN NATIONAL MOLDING, LLC
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
6019362722
|
Plan sponsor’s
address |
3670 FLOWOOD DR, FLOWOOD, MS, 392328006
|
Signature of
Role |
Plan administrator |
Date |
2021-09-03 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-03 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN NATIONAL MOLDING 401(K) PLAN
|
2019
|
202706593
|
2020-06-24
|
AMERICAN NATIONAL MOLDING, LLC
|
80
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
6019362722
|
Plan sponsor’s
address |
3670 FLOWOOD DR, FLOWOOD, MS, 392328006
|
Signature of
Role |
Plan administrator |
Date |
2020-06-24 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-24 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN NATIONAL MOLDING 401(K) PLAN
|
2018
|
640944923
|
2019-07-19
|
AMERICAN NATIONAL MOLDING, LLC
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
6019362722
|
Plan sponsor’s
address |
3670 FLOWOOD DR, FLOWOOD, MS, 392328006
|
Signature of
Role |
Plan administrator |
Date |
2019-07-19 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-19 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN NATIONAL MOLDING 401(K) PLAN
|
2017
|
640944923
|
2018-07-25
|
AMERICAN NATIONAL MOLDING, LLC
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
6019362722
|
Plan sponsor’s
address |
3670 FLOWOOD DR, FLOWOOD, MS, 392328006
|
Signature of
Role |
Plan administrator |
Date |
2018-07-25 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-25 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN NATIONAL MOLDING 401(K) PLAN
|
2016
|
640944923
|
2017-07-14
|
AMERICAN NATIONAL MOLDING, LLC
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
6019362722
|
Plan sponsor’s
address |
3670 FLOWOOD DR, FLOWOOD, MS, 392328006
|
Signature of
Role |
Plan administrator |
Date |
2017-07-14 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-14 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN NATIONAL MOLDING 401(K) PLAN
|
2015
|
640944923
|
2016-07-15
|
AMERICAN NATIONAL MOLDING, LLC
|
62
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
6019362722
|
Plan sponsor’s
address |
3670 FLOWOOD DR, FLOWOOD, MS, 392328006
|
Signature of
Role |
Plan administrator |
Date |
2016-07-15 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-15 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN NATIONAL MOLDING 401(K) PLAN
|
2014
|
640944923
|
2015-07-14
|
AMERICAN NATIONAL MOLDING, LLC
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
6019362722
|
Plan sponsor’s
address |
3670 FLOWOOD DR, FLOWOOD, MS, 392328006
|
Signature of
Role |
Plan administrator |
Date |
2015-07-14 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-14 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN NATIONAL MOLDING 401(K) PLAN
|
2013
|
640944923
|
2014-07-15
|
AMERICAN NATIONAL MOLDING, LLC
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
326100
|
Sponsor’s telephone number |
6019362722
|
Plan sponsor’s
address |
3670 FLOWOOD DR, FLOWOOD, MS, 392328006
|
Signature of
Role |
Plan administrator |
Date |
2014-07-15 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-15 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN NATIONAL MOLDING 401(K) PLAN
|
2012
|
640944923
|
2013-06-03
|
AMERICAN NATIONAL MOLDING, LLC
|
55
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/03/20130603125254P040311596273001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-01-01 |
Business code |
326100 |
Sponsor’s telephone number |
6019362722 |
Plan sponsor’s
address |
3670 FLOWOOD DR, FLOWOOD, MS, 392328006 |
Signature of
Role |
Plan administrator |
Date |
2013-06-03 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-03 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN NATIONAL MOLDING 401(K) PLAN
|
2010
|
640944923
|
2011-10-11
|
AMERICAN NATIONAL MOLDING, LLC
|
96
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/11/20111011090629P040150089937001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-01-01 |
Business code |
326100 |
Sponsor’s telephone number |
6019362722 |
Plan sponsor’s
address |
3670 FLOWOOD DR, FLOWOOD, MS, 392328006 |
Plan administrator’s name and address
Administrator’s EIN |
640944923 |
Plan administrator’s name |
AMERICAN NATIONAL MOLDING, LLC |
Plan administrator’s
address |
3670 FLOWOOD DR, FLOWOOD, MS, 392328006 |
Administrator’s telephone number |
6019362722 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-11 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERICAN NATIONAL MOLDING 401(K) PLAN
|
2010
|
640944923
|
2011-07-07
|
AMERICAN NATIONAL MOLDING, LLC
|
96
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-01-01 |
Business code |
326100 |
Sponsor’s telephone number |
6019362722 |
Plan sponsor’s
address |
3670 FLOWOOD DR, FLOWOOD, MS, 392328006 |
Plan administrator’s name and address
Administrator’s EIN |
640944923 |
Plan administrator’s name |
AMERICAN NATIONAL MOLDING, LLC |
Plan administrator’s
address |
3670 FLOWOOD DR, FLOWOOD, MS, 392328006 |
Administrator’s telephone number |
6019362722 |
Signature of
Role |
Plan administrator |
Date |
2011-07-07 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-07 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
AMERICAN NATIONAL MOLDING 401(K) PLAN
|
2009
|
640944923
|
2010-07-07
|
AMERICAN NATIONAL MOLDING, LLC
|
91
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/07/20100707083111P070008658072001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-01-01 |
Business code |
326100 |
Sponsor’s telephone number |
6019362722 |
Plan sponsor’s
address |
3670 FLOWOOD DR, FLOWOOD, MS, 392328006 |
Plan administrator’s name and address
Administrator’s EIN |
640944923 |
Plan administrator’s name |
AMERICAN NATIONAL MOLDING, LLC |
Plan administrator’s
address |
3670 FLOWOOD DR, FLOWOOD, MS, 392328006 |
Administrator’s telephone number |
6019362722 |
Signature of
Role |
Plan administrator |
Date |
2010-07-07 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-07 |
Name of individual signing |
DERRICK DABBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|