MID SOUTH REHAB SERVICES EMPLOYEE BENEFITS PLAN
|
2020
|
810588728
|
2021-07-16
|
SA HOLDING COMPANY, INC.
|
245
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
6016056777
|
Plan
sponsor’s DBA name |
MID SOUTH REHAB
|
Plan sponsor’s mailing address |
711 AVIGNON DRIVE, RIDGELAND, MS, 39157
|
Plan sponsor’s
address |
711 AVIGNON DRIVE, RIDGELAND, MS, 39157
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-16 |
Name of individual signing |
STEVEN COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID SOUTH REHAB SERVICES EMPLOYEE BENEFITS PLAN
|
2019
|
810588728
|
2020-07-22
|
SA HOLDING COMPANY, INC.
|
273
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-12-01
|
Business code |
621340
|
Sponsor’s telephone number |
6016056777
|
Plan
sponsor’s DBA name |
MID SOUTH REHAB
|
Plan sponsor’s mailing address |
711 AVIGNON DRIVE, RIDGELAND, MS, 39157
|
Plan sponsor’s
address |
711 AVIGNON DRIVE, RIDGELAND, MS, 39157
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-14 |
Name of individual signing |
STEVEN COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID SOUTH REHAB SERVICES EMPLOYEE BENEFITS PLAN
|
2018
|
810588728
|
2020-06-24
|
SA HOLDING COMPANY, INC.
|
253
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-12-01
|
Business code |
621340
|
Sponsor’s telephone number |
6016056777
|
Plan
sponsor’s DBA name |
MID SOUTH REHAB
|
Plan sponsor’s mailing address |
711 AVIGNON DRIVE, RIDGELAND, MS, 39157
|
Plan sponsor’s
address |
711 AVIGNON DRIVE, RIDGELAND, MS, 39157
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-06-24 |
Name of individual signing |
STEVEN COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-24 |
Name of individual signing |
STEVEN COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID SOUTH REHAB SERVICES EMPLOYEE BENEFITS PLAN
|
2017
|
810588728
|
2019-06-13
|
SA HOLDING COMPANY, INC.
|
219
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-12-01
|
Business code |
621340
|
Sponsor’s telephone number |
6016056777
|
Plan
sponsor’s DBA name |
MID SOUTH REHAB
|
Plan sponsor’s mailing address |
711 AVIGNON DRIVE, RIDGELAND, MS, 39157
|
Plan sponsor’s
address |
711 AVIGNON DRIVE, RIDGELAND, MS, 39157
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-13 |
Name of individual signing |
STEVEN COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID SOUTH REHAB SERVICES EMPLOYEE BENEFITS PLAN
|
2016
|
810588728
|
2018-06-28
|
SA HOLDING COMPANY, INC.
|
145
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-12-01
|
Business code |
621340
|
Sponsor’s telephone number |
6016056777
|
Plan
sponsor’s DBA name |
MID SOUTH REHAB
|
Plan sponsor’s mailing address |
711 AVIGNON DRIVE, RIDGELAND, MS, 39157
|
Plan sponsor’s
address |
711 AVIGNON DRIVE, RIDGELAND, MS, 39157
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-06-28 |
Name of individual signing |
WALTER ROGERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MID SOUTH REHAB SERVICES EMPLOYEE BENEFITS PLAN
|
2015
|
810588728
|
2017-06-22
|
SA HOLDING COMPANY, INC.
|
129
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-12-01
|
Business code |
621340
|
Sponsor’s telephone number |
6016056777
|
Plan
sponsor’s DBA name |
MID SOUTH REHAB
|
Plan sponsor’s mailing address |
711 AVIGNON DRIVE, RIDGELAND, MS, 39157
|
Plan sponsor’s
address |
711 AVIGNON DRIVE, RIDGELAND, MS, 39157
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-06-22 |
Name of individual signing |
TAMARA BAILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SA HOLDING COMPANY, INC. 401(K) PLAN
|
2012
|
810588728
|
2013-10-11
|
SA HOLDING COMPANY, INC.
|
275
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
6016056777
|
Plan sponsor’s mailing address |
711 AVIGNON DRIVE, RIDGELAND, MS, 39157
|
Plan sponsor’s
address |
711 AVIGNON DRIVE, RIDGELAND, MS, 39157
|
Plan administrator’s name and address
Administrator’s EIN |
810588728 |
Plan administrator’s name |
SA HOLDING COMPANY, INC. |
Plan administrator’s
address |
711 AVIGNON DRIVE, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6016056777 |
Number of participants as of the end of the plan year
Active participants |
358 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
32 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
80 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2013-10-11 |
Name of individual signing |
DEVID GRAHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-11 |
Name of individual signing |
DEVID GRAHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SA HOLDING COMPANY, INC. 401(K) PLAN
|
2011
|
810588728
|
2012-10-15
|
SA HOLDING COMPANY, INC.
|
212
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
6016056777
|
Plan sponsor’s mailing address |
711 AVIGNON DRIVE, RIDGELAND, MS, 39157
|
Plan sponsor’s
address |
711 AVIGNON DRIVE, RIDGELAND, MS, 39157
|
Plan administrator’s name and address
Administrator’s EIN |
810588728 |
Plan administrator’s name |
SA HOLDING COMPANY, INC. |
Plan administrator’s
address |
711 AVIGNON DRIVE, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6016056777 |
Number of participants as of the end of the plan year
Active participants |
244 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
30 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
77 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
5 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
DEVID GRAHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SA HOLDING COMPANY, INC. 401(K) PLAN
|
2010
|
810588728
|
2011-10-13
|
SA HOLDING COMPANY, INC.
|
159
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
6016056777
|
Plan sponsor’s mailing address |
711 AVIGNON DR., RIDGELAND, MS, 39157
|
Plan sponsor’s
address |
711 AVIGNON DR., RIDGELAND, MS, 39157
|
Plan administrator’s name and address
Administrator’s EIN |
810588728 |
Plan administrator’s name |
SA HOLDING COMPANY, INC. |
Plan administrator’s
address |
711 AVIGNON DR., RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6016056777 |
Number of participants as of the end of the plan year
Active participants |
175 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
26 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
74 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
STEVEN COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SA HOLDING COMPANY, INC. 401(K) PLAN
|
2010
|
810588728
|
2011-10-13
|
SA HOLDING COMPANY, INC.
|
159
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
6016056777
|
Plan sponsor’s mailing address |
711 AVIGNON DR., RIDGELAND, MS, 39157
|
Plan sponsor’s
address |
711 AVIGNON DR., RIDGELAND, MS, 39157
|
Plan administrator’s name and address
Administrator’s EIN |
810588728 |
Plan administrator’s name |
SA HOLDING COMPANY, INC. |
Plan administrator’s
address |
711 AVIGNON DR., RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6016056777 |
Number of participants as of the end of the plan year
Active participants |
175 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
26 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
74 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-10-12 |
Name of individual signing |
STEVEN COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SA HOLDING COMPANY, INC. 401(K) PLAN
|
2009
|
810588728
|
2010-08-12
|
SA HOLDING COMPANY, INC.
|
231
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/12/20100812142410P030023458502001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1998-01-01 |
Business code |
621340 |
Sponsor’s telephone number |
6016056777 |
Plan sponsor’s mailing address |
711 AVIGNON DR., RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
711 AVIGNON DR., RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
810588728 |
Plan administrator’s name |
SA HOLDING COMPANY, INC. |
Plan administrator’s
address |
711 AVIGNON DR., RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6016056777 |
Number of participants as of the end of the plan year
Active participants |
138 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
21 |
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 |
69 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
Role |
Plan administrator |
Date |
2010-08-12 |
Name of individual signing |
STEVEN COLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|