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PURVIS GRANGE FOUNDATION, INC.

Company Details

Name: PURVIS GRANGE FOUNDATION, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 08 Feb 2002 (23 years ago)
Business ID: 712777
State of Incorporation: DELAWARE
Principal Office Address: 101 N JAY STREETMIDDLEBURG, VA 20117

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2018 311809142 2019-05-22 PURVIS GRANGE FOUNDATION, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 115310
Sponsor’s telephone number 6012794415
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Signature of
Role Plan administrator
Date 2019-05-22
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2017 311809142 2018-10-10 PURVIS GRANGE FOUNDATION, INC. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 115310
Sponsor’s telephone number 6012794415
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2016 311809142 2018-10-31 PURVIS GRANGE FOUNDATION, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 115310
Sponsor’s telephone number 6012794415
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Signature of
Role Plan administrator
Date 2018-10-31
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-31
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2016 311809142 2017-10-05 PURVIS GRANGE FOUNDATION, INC. 22
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 115310
Sponsor’s telephone number 6012794415
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Signature of
Role Plan administrator
Date 2017-10-05
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2015 311809142 2016-05-25 PURVIS GRANGE FOUNDATION, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 6012794415
Plan sponsor’s DBA name TARA WILDLIFE
Plan sponsor’s mailing address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Number of participants as of the end of the plan year
Active participants 14
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 17
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2016-05-24
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2014 311809142 2015-04-20 PURVIS GRANGE FOUNDATION, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 6012794415
Plan sponsor’s DBA name TARA WILDLIFE
Plan sponsor’s mailing address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Number of participants as of the end of the plan year
Active participants 12
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 1
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 15
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2015-04-20
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2013 311809142 2014-05-06 PURVIS GRANGE FOUNDATION, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 6012794415
Plan sponsor’s DBA name TARA WILDLIFE
Plan sponsor’s mailing address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Number of participants as of the end of the plan year
Active participants 13
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2014-05-05
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2012 311809142 2013-04-08 PURVIS GRANGE FOUNDATION, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 6012794415
Plan sponsor’s DBA name TARA WILDLIFE
Plan sponsor’s mailing address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Number of participants as of the end of the plan year
Active participants 17
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 17
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of
Role Plan administrator
Date 2013-04-08
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2011 311809142 2012-10-11 PURVIS GRANGE FOUNDATION, INC. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 6012794415
Plan sponsor’s DBA name TARA WILDLIFE
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Plan administrator’s name and address
Administrator’s EIN 311809142
Plan administrator’s name PURVIS GRANGE FOUNDATION, INC.
Plan administrator’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183
Administrator’s telephone number 6012794415

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
PURVIS GRANGE FOUNDATION, INC. 403(B) PLAN 2010 311809142 2011-10-17 PURVIS GRANGE FOUNDATION, INC. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 6012794415
Plan sponsor’s DBA name TARA WILDLIFE
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Plan administrator’s name and address
Administrator’s EIN 311809142
Plan administrator’s name PURVIS GRANGE FOUNDATION, INC.
Plan administrator’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183
Administrator’s telephone number 6012794415

Signature of
Role Plan administrator
Date 2011-10-17
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/23/20100723132459P070062384273001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 713900
Sponsor’s telephone number 6012794415
Plan sponsor’s DBA name TARA WILDLIFE
Plan sponsor’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183

Plan administrator’s name and address
Administrator’s EIN 311809142
Plan administrator’s name PURVIS GRANGE FOUNDATION, INC.
Plan administrator’s address 6791 EAGLE LAKE SHORE ROAD, VICKSBURG, MS, 39183
Administrator’s telephone number 6012794415

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing PATRICK SELLA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GILBERT ROSE Agent 6791 EAGLE LAKE SHORE RD, VICKSBURG, MS 39180

Director

Name Role Address
JOHN T GORDON Director 101 N JAY STREET, MIDDLEBURG, VA 20117
GILBERT ROSE Director 6791 EAGLE LAKE SHORES RD, VICKSBURG, MS 39180
MAGALEN O BRYANT Director 101 N JAY STREET, MIDDLEBURG, VA 20117

Secretary

Name Role Address
JOHN T GORDON Secretary 101 N JAY STREET, MIDDLEBURG, VA 20117

Treasurer

Name Role Address
JOHN T GORDON Treasurer 101 N JAY STREET, MIDDLEBURG, VA 20117

President

Name Role Address
MAGALEN O BRYANT President 101 N JAY STREET, MIDDLEBURG, VA 20117

Filings

Type Status Filed Date Description
Name Reservation Form Filed 2002-02-08 Name Reservation

Related by officers

GILBERT ROSE

TARA WILDLIFE MANAGEMENT AND SERVICES, INC. TARA WILDLIFE, INC.

JOHN T GORDON

LOCHNAU MADISON DEVELOPMENT, INC.

MAGALEN O BRYANT

TARA WILDLIFE MANAGEMENT AND SERVICES, INC. PURVIS GRANGE CORPORATION

Related by address

No related companies by address

Date of last update: 28 Dec 2024

Sources: Mississippi Secretary of State

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