SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN
|
2023
|
061689011
|
2024-08-29
|
SOUTHERN TIRE MART, LLC.
|
6960
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-01-01
|
Business code |
336610
|
Sponsor’s telephone number |
6014243213
|
Plan sponsor’s mailing address |
800 HIGHWAY 98, COLUMBIA, MS, 39429
|
Plan sponsor’s
address |
800 HIGHWAY 98, COLUMBIA, MS, 39429
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-08-29 |
Name of individual signing |
VICTORIA NEWCOMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN
|
2022
|
061689011
|
2023-09-22
|
SOUTHERN TIRE MART, LLC.
|
5863
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-01-01
|
Business code |
336610
|
Sponsor’s telephone number |
6014243213
|
Plan sponsor’s mailing address |
800 HIGHWAY 98, COLUMBIA, MS, 39429
|
Plan sponsor’s
address |
800 HIGHWAY 98, COLUMBIA, MS, 39429
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-09-21 |
Name of individual signing |
VICTORIA NEWCOMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN
|
2021
|
061689011
|
2022-10-17
|
SOUTHERN TIRE MART, LLC.
|
5680
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-01-01
|
Business code |
336610
|
Sponsor’s telephone number |
6014243213
|
Plan sponsor’s mailing address |
800 HIGHWAY 98, COLUMBIA, MS, 39429
|
Plan sponsor’s
address |
800 HIGHWAY 98, COLUMBIA, MS, 39429
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-10-17 |
Name of individual signing |
VICTORIA NEWCOMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN
|
2020
|
061689011
|
2021-11-01
|
SOUTHERN TIRE MART, LLC.
|
5834
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-01-01
|
Business code |
336610
|
Sponsor’s telephone number |
6014243213
|
Plan sponsor’s mailing address |
800 HIGHWAY 98, COLUMBIA, MS, 39429
|
Plan sponsor’s
address |
800 HIGHWAY 98, COLUMBIA, MS, 39429
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-10-29 |
Name of individual signing |
VICTORIA NEWCOMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN TIRE MART, LLC. WELFARE BENEFIT PLAN
|
2019
|
061689011
|
2020-10-14
|
SOUTHERN TIRE MART, LLC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-01-01
|
Business code |
336610
|
Sponsor’s telephone number |
6014243213
|
Plan sponsor’s mailing address |
800 HIGHWAY 98, COLUMBIA, MS, 39429
|
Plan sponsor’s
address |
800 HIGHWAY 98, COLUMBIA, MS, 39429
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-10-12 |
Name of individual signing |
VICTORIA NEWCOMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN TIRE MART, LLC'S INSURANCE PLAN
|
2016
|
061689011
|
2020-10-15
|
SOUTHERN TIRE MART, LLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2016-01-01
|
Business code |
336100
|
Sponsor’s telephone number |
6014243222
|
Plan sponsor’s mailing address |
800 HIGHWAY 98, COLUMBIA, MS, 39429
|
Plan sponsor’s
address |
800 HIGHWAY 98, COLUMBIA, MS, 39429
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
VICTORIA NEWCOMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN TIRE MART, LLC WELFARE BENEFIT PLAN
|
2016
|
061689011
|
2020-10-15
|
SOUTHERN TIRE MART, LLC
|
3862
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-01-01
|
Business code |
336610
|
Sponsor’s telephone number |
6014243213
|
Plan sponsor’s mailing address |
800 HIGHWAY 98, COLUMBIA, MS, 39429
|
Plan sponsor’s
address |
800 HIGHWAY 98, COLUMBIA, MS, 39429
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
VICTORIA NEWCOMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN TIRE MART 401(K) PLAN
|
2012
|
061689011
|
2013-09-25
|
SOUTHERN TIRE MART, LLC
|
1355
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-10-01
|
Business code |
339900
|
Sponsor’s telephone number |
6012648500
|
Plan sponsor’s mailing address |
529 INDUSTRIAL PARK RD, COLUMBIA, MS, 39429
|
Plan sponsor’s
address |
529 INDUSTRIAL PARK RD, COLUMBIA, MS, 39429
|
Plan administrator’s name and address
Administrator’s EIN |
061689011 |
Plan administrator’s name |
SOUTHERN TIRE MART, LLC |
Plan administrator’s
address |
529 INDUSTRIAL PARK RD, COLUMBIA, MS, 39429 |
Administrator’s telephone number |
6012648500 |
Number of participants as of the end of the plan year
Active participants |
1241 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
45 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
433 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
12 |
Signature of
Role |
Plan administrator |
Date |
2013-09-25 |
Name of individual signing |
THOMAS DUFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-25 |
Name of individual signing |
THOMAS DUFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN TIRE MART 401(K) PLAN
|
2011
|
061689011
|
2012-10-05
|
SOUTHERN TIRE MART, LLC
|
1165
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-10-01
|
Business code |
339900
|
Sponsor’s telephone number |
6012648500
|
Plan sponsor’s mailing address |
529 INDUSTRIAL PARK RD, COLUMBIA, MS, 39429
|
Plan sponsor’s
address |
529 INDUSTRIAL PARK RD, COLUMBIA, MS, 39429
|
Plan administrator’s name and address
Administrator’s EIN |
061689011 |
Plan administrator’s name |
SOUTHERN TIRE MART, LLC |
Plan administrator’s
address |
529 INDUSTRIAL PARK RD, COLUMBIA, MS, 39429 |
Administrator’s telephone number |
6012648500 |
Number of participants as of the end of the plan year
Active participants |
1306 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
48 |
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 |
406 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
17 |
Signature of
Role |
Plan administrator |
Date |
2012-10-05 |
Name of individual signing |
THOMAS DUFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN TIRE MART 401(K) PLAN
|
2010
|
061689011
|
2011-09-30
|
SOUTHERN TIRE MART, LLC
|
1106
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-10-01
|
Business code |
339900
|
Sponsor’s telephone number |
6012648500
|
Plan sponsor’s mailing address |
529 INDUSTRIAL PARK ROAD, COLUMBIA, MS, 39429
|
Plan sponsor’s
address |
529 INDUSTRIAL PARK ROAD, COLUMBIA, MS, 39429
|
Plan administrator’s name and address
Administrator’s EIN |
061689011 |
Plan administrator’s name |
SOUTHERN TIRE MART, LLC |
Plan administrator’s
address |
529 INDUSTRIAL PARK ROAD, COLUMBIA, MS, 39429 |
Administrator’s telephone number |
6012648500 |
Number of participants as of the end of the plan year
Active participants |
1111 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
52 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
368 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
27 |
Signature of
Role |
Plan administrator |
Date |
2011-09-30 |
Name of individual signing |
THOMAS DUFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN TIRE MART 401(K) PLAN
|
2009
|
061689011
|
2010-10-08
|
SOUTHERN TIRE MART, LLC
|
1147
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/08/20101008112651P030015112513001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2003-10-01 |
Business code |
339900 |
Sponsor’s telephone number |
6012648500 |
Plan sponsor’s mailing address |
529 INDUSTRIAL PARK RD, COLUMBIA, MS, 39429 |
Plan sponsor’s
address |
529 INDUSTRIAL PARK RD, COLUMBIA, MS, 39429 |
Plan administrator’s name and address
Administrator’s EIN |
061689011 |
Plan administrator’s name |
SOUTHERN TIRE MART, LLC |
Plan administrator’s
address |
529 INDUSTRIAL PARK RD, COLUMBIA, MS, 39429 |
Administrator’s telephone number |
6012648500 |
Number of participants as of the end of the plan year
Active participants |
1065 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
40 |
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 |
336 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
20 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
THOMAS DUFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN TIRE MART 401(K) PLAN
|
2009
|
061689011
|
2010-08-19
|
SOUTHERN TIRE MART, LLC
|
878
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/19/20100819133720P070021101777001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2003-10-01 |
Business code |
339900 |
Sponsor’s telephone number |
6012648500 |
Plan sponsor’s mailing address |
529 INDUSTRIAL PARK ROAD, COLUMBIA, MS, 39429 |
Plan sponsor’s
address |
529 INDUSTRIAL PARK ROAD, COLUMBIA, MS, 39429 |
Plan administrator’s name and address
Administrator’s EIN |
061689011 |
Plan administrator’s name |
SOUTHERN TIRE MART, LLC |
Plan administrator’s
address |
529 INDUSTRIAL PARK ROAD, COLUMBIA, MS, 39429 |
Administrator’s telephone number |
6012648500 |
Number of participants as of the end of the plan year
Active participants |
1117 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
29 |
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 |
303 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
18 |
Signature of
Role |
Plan administrator |
Date |
2010-08-19 |
Name of individual signing |
THOMAS DUFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|