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National Security Insurance Company

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Entity Number 000-013-509

Register Number000013509

Status Exists

NameNational Security Insurance Company

CountyCoffee

Date of registration 05 Feb 1947 (78 years ago)

Legal typeDomestic Corporation

Registered Office Street Address 661 EAST DAVIS STREETELBA, AL 36323

Registered Office Street Address ZIP code 36323

Authorized Capital $20,000,000

Paid Share Capital $25,000

Activities INSURANCE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants File

NATIONAL SECURITY RETIREMENT SAVINGS PLAN

2023

630268140

2024-08-20

NATIONAL SECURITY INSURANCE COMPANY

99

View Page

Three-digit plan number (PN)001
Effective date of plan1988-07-01
Business code524140
Sponsor’s telephone number3348979131
Plan sponsor’s address661 EAST DAVIS ST, ELBA, AL, 36323

Signature of

RolePlan administrator
Date2024-08-20
Name of individual signingKELLY H JACKSON

NATIONAL SECURITY RETIREMENT SAVINGS PLAN

2022

630268140

2023-09-05

NATIONAL SECURITY INSURANCE COMPANY

95

View Page

Three-digit plan number (PN)001
Effective date of plan1988-07-01
Business code524140
Sponsor’s telephone number3348972273
Plan sponsor’s address661 EAST DAVIS ST, ELBA, AL, 36323

Signature of

RolePlan administrator
Date2023-09-05
Name of individual signingKELLY H JACKSON

NATIONAL SECURITY RETIREMENT SAVINGS PLAN

2021

630268140

2022-09-07

NATIONAL SECURITY INSURANCE COMPANY

98

View Page

Three-digit plan number (PN)001
Effective date of plan1988-07-01
Business code524140
Sponsor’s telephone number3348972273
Plan sponsor’s address661 EAST DAVIS ST, ELBA, AL, 36323

Signature of

RolePlan administrator
Date2022-09-07
Name of individual signingPLAN SPONSOR

NATIONAL SECURITY RETIREMENT SAVINGS PLAN

2020

630268140

2021-07-30

NATIONAL SECURITY INSURANCE COMPANY

101

View Page

Three-digit plan number (PN)001
Effective date of plan1988-07-01
Business code524140
Sponsor’s telephone number3348972273
Plan sponsor’s address661 EAST DAVIS ST, ELBA, AL, 36323

Signature of

RolePlan administrator
Date2021-07-30
Name of individual signingPLAN SPONSOR

NATIONAL SECURITY RETIREMENT SAVINGS PLAN

2019

630268140

2020-10-13

NATIONAL SECURITY INSURANCE COMPANY

101

View Page

Three-digit plan number (PN)001
Effective date of plan1988-07-01
Business code524140
Sponsor’s telephone number3348972273
Plan sponsor’s address661 EAST DAVIS ST, ELBA, AL, 36323

Signature of

RolePlan administrator
Date2020-10-13
Name of individual signingPLAN SPONSOR

NATIONAL SECURITY RETIREMENT SAVINGS PLAN

2018

630268140

2019-09-18

NATIONAL SECURITY INSURANCE COMPANY

102

View Page

Three-digit plan number (PN)001
Effective date of plan1988-07-01
Business code524140
Sponsor’s telephone number3348972273
Plan sponsor’s address661 EAST DAVIS ST, ELBA, AL, 36323

Signature of

RolePlan administrator
Date2019-09-18
Name of individual signingPLAN SPONSOR

NATIONAL SECURITY RETIREMENT SAVINGS PLAN

2017

630268140

2018-08-02

NATIONAL SECURITY INSURANCE COMPANY

104

View Page

Three-digit plan number (PN)001
Effective date of plan1988-07-01
Business code524140
Sponsor’s telephone number3348972273
Plan sponsor’s address661 EAST DAVIS ST, ELBA, AL, 36323

Signature of

RolePlan administrator
Date2018-08-02
Name of individual signingPLAN SPONSOR

NATIONAL SECURITY RETIREMENT SAVINGS PLAN

2016

630268140

2017-07-18

NATIONAL SECURITY INSURANCE COMPANY

101

View Page

Three-digit plan number (PN)001
Effective date of plan1988-07-01
Business code524140
Sponsor’s telephone number3348972273
Plan sponsor’s address661 EAST DAVIS ST, ELBA, AL, 36323

Signature of

RolePlan administrator
Date2017-07-18
Name of individual signingPLAN SPONSOR

NATIONAL SECURITY RETIREMENT SAVINGS PLAN

2015

630268140

2016-06-23

NATIONAL SECURITY INSURANCE COMPANY

99

View Page

Three-digit plan number (PN)001
Effective date of plan1988-07-01
Business code524140
Sponsor’s telephone number3348972273
Plan sponsor’s address661 EAST DAVIS ST, ELBA, AL, 36323

Signature of

RolePlan administrator
Date2016-06-23
Name of individual signingPLAN SPONSOR

Agent

Name Role

DOUG MARTIN

Agent

Incorporator

Name Role Address

ENGLISH, D M

Incorporator

COHEN, DAVID

Incorporator

701 RUSSET LAKE CIRCLEHOOVER, AL 35244-5537

BRUNSON, MABEL

Incorporator

ENGLISH, W L

Incorporator

SAXON, GEORGE

Incorporator

BRUNSON, W L

Incorporator

Events

Event Date Event Type Old Value New Value

1988-05-26

Capital Change

$2,000,000 Authorized $25,000 Paid In

$20,000,000 Authorized $25,000 Paid In

1979-04-23

Capital Change

$1,200,000 Authorized $25,000 Paid In

$2,000,000 Authorized $25,000 Paid In

1961-03-13

Capital Change

$1,000,000 Authorized $25,000 Paid In

$1,200,000 Authorized $25,000 Paid In

1961-03-13

Name Merged

Mercantile Life Insurance Company

1959-12-30

Name Merged

Alabama Life and Casualty Insurance Company

1959-12-30

Capital Change

$500,000 Authorized $25,000 Paid In

$1,000,000 Authorized $25,000 Paid In

1955-06-16

Capital Change

$200,000 Authorized $25,000 Paid In

$500,000 Authorized $25,000 Paid In

1955-01-24

Capital Change

$100,000 Authorized $25,000 Paid In

$200,000 Authorized $25,000 Paid In

1950-09-27

Capital Change

$25,000 Authorized $25,000 Paid In

$100,000 Authorized $25,000 Paid In

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State