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 |
|
|
AFFORDABLE EMPLOYEE BENEFITS LLC 401(K) PLAN
|
2015
|
020811821
|
2016-08-11
|
AFFORDABLE EMPLOYEE BENEFITS LLC
|
10
|
|
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 |
|
AFFORDABLE EMPLOYEE BENEFITS LLC 401(K) PLAN
|
2014
|
020811821
|
2015-10-12
|
AFFORDABLE EMPLOYEE BENEFITS LLC
|
8
|
|
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 |
|
|
AFFORDABLE EMPLOYEE BENEFITS LLC 401(K) PLAN
|
2013
|
020811821
|
2014-03-08
|
AFFORDABLE EMPLOYEE BENEFITS LLC
|
8
|
|
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 |
|
AFFORDABLE EMPLOYEE BENEFITS LLC 401(K) PLAN
|
2012
|
020811821
|
2013-09-10
|
AFFORDABLE EMPLOYEE BENEFITS LLC
|
8
|
|
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 |
|
|
AFFORDABLE EMPLOYEE BENEFITS LLC 401(K) PLAN
|
2011
|
020811821
|
2012-08-16
|
AFFORDABLE EMPLOYEE BENEFITS LLC
|
0
|
|
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 |
|
|