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  5. Poplarville Insurance, Inc.

Poplarville Insurance, Inc.

Company Details

Name: Poplarville Insurance, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 14 Feb 2006 (19 years ago)
Business ID: 886722
ZIP code: 39401
County: Forrest
State of Incorporation: MISSISSIPPI
Principal Office Address: 902 W Pine StHattiesburg, MS 39401
Fictitious names: Warrior Monk Merch

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
POPLARVILLE INSURANCE INC. 401(K) P/S PLAN 2021 204382167 2022-07-27 POPLARVILLE INSURANCE INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-11-01
Business code 524210
Sponsor’s telephone number 6017952959
Plan sponsor’s address 1403 S MAIN ST STE D, POPLARVILLE, MS, 39470

Plan administrator’s name and address
Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of
Role Plan administrator
Date 2022-07-27
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
POPLARVILLE INSURANCE INC. 401(K) P/S PLAN 2020 204382167 2021-07-29 POPLARVILLE INSURANCE INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-11-01
Business code 524210
Sponsor’s telephone number 6017952959
Plan sponsor’s address 1403 S MAIN ST STE D, POPLARVILLE, MS, 39470

Plan administrator’s name and address
Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
POPLARVILLE INSURANCE INC. 401(K) P/S PLAN 2019 204382167 2020-07-22 POPLARVILLE INSURANCE INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-11-01
Business code 524210
Sponsor’s telephone number 6017952959
Plan sponsor’s address 1403 S MAIN ST STE D, POPLARVILLE, MS, 39470

Plan administrator’s name and address
Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of
Role Plan administrator
Date 2020-07-22
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
POPLARVILLE INSURANCE INC. 401(K) P/S PLAN 2018 204382167 2019-07-30 POPLARVILLE INSURANCE INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-11-01
Business code 524210
Sponsor’s telephone number 6017952959
Plan sponsor’s address 1403 S MAIN ST STE D, POPLARVILLE, MS, 39470

Plan administrator’s name and address
Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of
Role Plan administrator
Date 2019-07-30
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
POPLARVILLE INSURANCE INC. 401(K) P/S PLAN 2017 204382167 2018-07-24 POPLARVILLE INSURANCE INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-11-01
Business code 524210
Sponsor’s telephone number 6017952959
Plan sponsor’s address 1403 S MAIN ST STE D, POPLARVILLE, MS, 39470

Plan administrator’s name and address
Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of
Role Plan administrator
Date 2018-07-24
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
POPLARVILLE INSURANCE INC. 401(K) P/S PLAN 2016 204382167 2017-07-17 POPLARVILLE INSURANCE INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-11-01
Business code 524210
Sponsor’s telephone number 6017952959
Plan sponsor’s address 1403 S MAIN ST STE D, POPLARVILLE, MS, 39470

Plan administrator’s name and address
Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of
Role Plan administrator
Date 2017-07-17
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
POPLARVILLE INSURANCE INC. 401(K) P/S PLAN 2015 204382167 2016-07-25 POPLARVILLE INSURANCE INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-11-01
Business code 524210
Sponsor’s telephone number 6017952959
Plan sponsor’s address 1403 S MAIN ST STE D, POPLARVILLE, MS, 39470

Plan administrator’s name and address
Administrator’s EIN 452557054
Plan administrator’s name RETIREMENT PLAN SERVICES, LLC
Plan administrator’s address 4209 LAKELAND DRIVE, FLOWOOD, MS, 39232
Administrator’s telephone number 6019191023

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing SCOTT HILL
Valid signature Filed with authorized/valid electronic signature
POPLARVILLE INSURANCE INC. 401(K) P/S PLAN 2014 204382167 2015-04-14 POPLARVILLE INSURANCE INC. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-11-01
Business code 524210
Sponsor’s telephone number 6017952959
Plan sponsor’s address 1403 S MAIN ST STE D, POPLARVILLE, MS, 39470

Plan administrator’s name and address
Administrator’s EIN 204382167
Plan administrator’s name POPLARVILLE INSURANCE INC.
Plan administrator’s address 1403 S MAIN ST STE D, POPLARVILLE, MS, 39470
Administrator’s telephone number 6017952959

Signature of
Role Plan administrator
Date 2015-04-14
Name of individual signing DANIEL WISE
Valid signature Filed with authorized/valid electronic signature
POPLARVILLE INSURANCE INC. 401(K) P/S PLAN 2013 204382167 2014-09-03 POPLARVILLE INSURANCE INC. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-11-01
Business code 524210
Sponsor’s telephone number 6017952959
Plan sponsor’s address 1403 S MAIN ST STE D, POPLARVILLE, MS, 39470

Plan administrator’s name and address
Administrator’s EIN 204382167
Plan administrator’s name POPLARVILLE INSURANCE INC.
Plan administrator’s address 1403 S MAIN ST STE D, POPLARVILLE, MS, 39470
Administrator’s telephone number 6017952959

Signature of
Role Plan administrator
Date 2014-09-03
Name of individual signing DANIEL WISE
Valid signature Filed with authorized/valid electronic signature
POPLARVILLE INSURANCE INC. 401(K) P/S PLAN 2012 204382167 2013-05-08 POPLARVILLE INSURANCE INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-11-01
Business code 524210
Sponsor’s telephone number 6017952959
Plan sponsor’s address 1403 S. MAIN STREET, SUITE D, POPLARVILLE, MS, 39470

Plan administrator’s name and address
Administrator’s EIN 204382167
Plan administrator’s name POPLARVILLE INSURANCE INC.
Plan administrator’s address 1403 S. MAIN STREET, SUITE D, POPLARVILLE, MS, 39470
Administrator’s telephone number 6017952959

Signature of
Role Plan administrator
Date 2013-05-08
Name of individual signing DANIEL WISE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/18/20120618162810P030003793222001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-11-01
Business code 524210
Sponsor’s telephone number 6017952959
Plan sponsor’s address 1403 S. MAIN STREET, SUITE D, POPLARVILLE, MS, 39470

Plan administrator’s name and address
Administrator’s EIN 204382167
Plan administrator’s name POPLARVILLE INSURANCE INC.
Plan administrator’s address 1403 S. MAIN STREET, SUITE D, POPLARVILLE, MS, 39470
Administrator’s telephone number 6017952959

Signature of
Role Plan administrator
Date 2012-06-18
Name of individual signing DANIEL WISE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/03/02/20110302111258P040087034080001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2010-11-01
Business code 524210
Sponsor’s telephone number 6017952959
Plan sponsor’s address 1403 S. MAIN STREET, SUITE D, POPLARVILLE, MS, 39470

Plan administrator’s name and address
Administrator’s EIN 204382167
Plan administrator’s name POPLARVILLE INSURANCE INC.
Plan administrator’s address 1403 S. MAIN STREET, SUITE D, POPLARVILLE, MS, 39470
Administrator’s telephone number 6017952959

Signature of
Role Plan administrator
Date 2011-03-02
Name of individual signing DANIEL WISE
Valid signature Filed with authorized/valid electronic signature

Incorporator

Name Role Address
Daniel R. Wise Jr Incorporator 121 American Sand & Gravel Rd, Poplarville, MS 39470

President

Name Role Address
Daniel R Wise Jr President PO Box 2103, Hattiesburg, MS 39403

Agent

Name Role Address
Wise, Daniel R, Jr. Agent 121 American Sand & Gravel Rd;PO Box 329, Poplarville, MS 39470-0329

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2024-12-01 Action of Intent to Dissolve: AR: Poplarville Insurance, Inc.
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: AR: Poplarville Insurance, Inc.
Fictitious Name Registration Filed 2023-04-13 Fictitious Name Registration For Poplarville Insurance, Inc.
Annual Report Filed 2023-01-21 Annual Report For Poplarville Insurance, Inc.
Annual Report Filed 2022-01-28 Annual Report For Poplarville Insurance, Inc.
Annual Report Filed 2021-01-27 Annual Report For Poplarville Insurance, Inc.
Annual Report Filed 2020-09-08 Annual Report For Poplarville Insurance, Inc.
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report Filed 2019-09-03 Annual Report For Poplarville Insurance, Inc.
Notice to Dissolve/Revoke Filed 2019-08-22 Notice to Dissolve/Revoke

Related by officers

Daniel R. Wise Jr

Normdan Investments, LLC

Daniel R Wise Jr

Power Yoga & Movement, LLC

Related by address

902 W Pine StHattiesburg, MS 39401

Normdan Investments, LLC

Date of last update: 31 Dec 2024

Sources: Mississippi Secretary of State

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