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Affordable Employee Benefits, LLC

Company Details

Name: Affordable Employee Benefits, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 19 Jul 2007 (18 years ago)
Business ID: 915979
ZIP code: 38841
County: Pontotoc
State of Incorporation: MISSISSIPPI
Principal Office Address: 382 Main StreetEcru, MS 38841

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AFFORDABLE EMPLOYEE BENEFITS LLC 401(K) PLAN 2023 020811821 2024-07-30 AFFORDABLE EMPLOYEE BENEFITS LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 6624895677
Plan sponsor’s address 382 MAIN STREET, P.O. BOX 96, ECRU, MS, 38841

Signature of

Role Plan administrator
Date 2024-07-30
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
AFFORDABLE EMPLOYEE BENEFITS LLC 401(K) PLAN 2022 020811821 2023-07-27 AFFORDABLE EMPLOYEE BENEFITS LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 6624895677
Plan sponsor’s address 382 MAIN STREET, P.O. BOX 96, ECRU, MS, 38841

Signature of

Role Plan administrator
Date 2023-07-27
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
AFFORDABLE EMPLOYEE BENEFITS LLC MEDOVA LIFESTYLE HEALTH PLAN 2021 020811821 2023-02-15 AFFORDABLE EMPLOYEE BENEFITS LLC 14
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2021-05-01
Business code 525100
Sponsor’s telephone number 6624895677
Plan sponsor’s address PO BOX 96, ECRU, MS, 388410096

Plan administrator’s name and address

Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT INC
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of

Role Plan administrator
Date 2023-02-15
Name of individual signing ROBERT MOORE
Valid signature Filed with authorized/valid electronic signature
AFFORDABLE EMPLOYEE BENEFITS LLC 401(K) PLAN 2021 020811821 2022-10-11 AFFORDABLE EMPLOYEE BENEFITS LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 6624895677
Plan sponsor’s address 382 MAIN STREET, P O BOX 96, ECRU, MS, 38841

Signature of

Role Plan administrator
Date 2022-10-11
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
AFFORDABLE EMPLOYEE BENEFITS LLC 401(K) PLAN 2020 020811821 2021-06-28 AFFORDABLE EMPLOYEE BENEFITS LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 6624895677
Plan sponsor’s address 382 MAIN STREET, P O BOX 96, ECRU, MS, 38841

Signature of

Role Plan administrator
Date 2021-06-28
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
AFFORDABLE EMPLOYEE BENEFITS LLC MEDOVA LIFESTYLE HEALTH PLAN 2020 020811821 2022-02-09 AFFORDABLE EMPLOYEE BENEFITS LLC 14
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-05-01
Business code 525100
Sponsor’s telephone number 6153700051
Plan sponsor’s address PO BOX 96, ECRU, MS, 388410096

Plan administrator’s name and address

Administrator’s EIN 200200514
Plan administrator’s name RECEIVERSHIP MANAGEMENT INC
Plan administrator’s address 510 HOSPITAL DR STE 490, MADISON, TN, 371155049
Administrator’s telephone number 6153700051

Signature of

Role Plan administrator
Date 2022-01-26
Name of individual signing ROBERT MOORE
Valid signature Filed with authorized/valid electronic signature
AFFORDABLE EMPLOYEE BENEFITS LLC 401(K) PLAN 2019 020811821 2020-07-15 AFFORDABLE EMPLOYEE BENEFITS LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 6624895677
Plan sponsor’s address 382 MAIN STREET, P O BOX 96, ECRU, MS, 38841

Signature of

Role Plan administrator
Date 2020-07-15
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
AFFORDABLE EMPLOYEE BENEFITS LLC 401(K) PLAN 2018 020811821 2019-06-13 AFFORDABLE EMPLOYEE BENEFITS LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 6624895677
Plan sponsor’s address 382 MAIN STREET, P O BOX 96, ECRU, MS, 38841

Signature of

Role Plan administrator
Date 2019-06-13
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
AFFORDABLE EMPLOYEE BENEFITS LLC 401(K) PLAN 2017 020811821 2018-07-27 AFFORDABLE EMPLOYEE BENEFITS LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 6624895677
Plan sponsor’s address 382 MAIN STREET, P O BOX 96, ECRU, MS, 38841

Signature of

Role Plan administrator
Date 2018-07-27
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
AFFORDABLE EMPLOYEE BENEFITS LLC 401(K) PLAN 2016 020811821 2017-08-29 AFFORDABLE EMPLOYEE BENEFITS LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 6624895677
Plan sponsor’s address 382 MAIN STREET, P O BOX 96, ECRU, MS, 38841

Signature of

Role Plan administrator
Date 2017-08-29
Name of individual signing ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/08/11/20160811153352P030009987409001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 6624895677
Plan sponsor’s address 382 MAIN STREET, P O BOX 96, ECRU, MS, 38841
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/12/20151012114305P040043648305001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 6624895677
Plan sponsor’s address 382 MAIN STREET, P O BOX 96, ECRU, MS, 38841

Signature of

Role Plan administrator
Date 2015-10-12
Name of individual signing WILLIAM ANDREW NOWLIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/03/08/20140308090412P030282652321001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 6624895677
Plan sponsor’s address 382 MAIN STREET, P O BOX 96, ECRU, MS, 38841
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/10/20130910174503P030494637457001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 6624895677
Plan sponsor’s address 382 MAIN STREET, P O BOX 96, ECRU, MS, 38841

Signature of

Role Plan administrator
Date 2013-09-10
Name of individual signing JOHN NOWLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-10
Name of individual signing JOHN NOWLIN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/16/20120816180119P040031475346001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2011-01-01
Business code 525100
Sponsor’s telephone number 6624895677
Plan sponsor’s address 382 MAIN STREET, P O BOX 96, ECRU, MS, 38841

Plan administrator’s name and address

Administrator’s EIN 020811821
Plan administrator’s name AFFORDABLE EMPLOYEE BENEFITS LLC
Plan administrator’s address 382 MAIN STREET, P O BOX 96, ECRU, MS, 38841
Administrator’s telephone number 6624895677

Signature of

Role Plan administrator
Date 2012-08-16
Name of individual signing JOHN NOWLIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-08-16
Name of individual signing JOHN NOWLIN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Kantack, Keith C. Agent 359 North Broadway Street;PO Box 10, Tupelo, MS 38804

Member

Name Role Address
William Andrew Nowlin Member 382 Main Street, Ecru, MS 38841

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-01-23 Annual Report For Affordable Employee Benefits, LLC
Annual Report LLC Filed 2023-02-08 Annual Report For Affordable Employee Benefits, LLC
Annual Report LLC Filed 2022-02-02 Annual Report For Affordable Employee Benefits, LLC
Annual Report LLC Filed 2021-03-24 Annual Report For Affordable Employee Benefits, LLC
Annual Report LLC Filed 2020-04-13 Annual Report For Affordable Employee Benefits, LLC
Annual Report LLC Filed 2019-04-19 Annual Report For Affordable Employee Benefits, LLC
Annual Report LLC Filed 2018-01-23 Annual Report For Affordable Employee Benefits, LLC
Annual Report LLC Filed 2017-03-27 Annual Report For Affordable Employee Benefits, LLC
Annual Report LLC Filed 2016-04-11 Annual Report For Affordable Employee Benefits, LLC
Annual Report LLC Filed 2016-04-06 Annual Report For Affordable Employee Benefits, LLC

Date of last update: 02 Jan 2025

Sources: Mississippi Secretary of State