BANK INDEPENDENT HEALTH-DENTAL
|
2023
|
630260951
|
2024-07-15
|
BANK INDEPENDENT
|
566
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2023-04-01
|
Business code |
522110
|
Sponsor’s telephone number |
2563865000
|
Plan sponsor’s mailing address |
PO BOX 5000, SHEFFIELD, AL, 356600137
|
Plan sponsor’s
address |
426 VETERANS DRIVE, FLORENCE, AL, 35630
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-15 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-15 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANK INDEPENDENT EAP
|
2023
|
630260951
|
2024-07-15
|
BANK INDEPENDENT
|
633
|
|
File |
View Page
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
2023-04-01
|
Business code |
522110
|
Sponsor’s telephone number |
2563865000
|
Plan sponsor’s mailing address |
PO BOX 5000, SHEFFIELD, AL, 356600137
|
Plan sponsor’s
address |
426 VETERANS DRIVE, FLORENCE, AL, 35630
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-15 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-15 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANK INDEPENDENT VISION
|
2022
|
630260951
|
2024-07-15
|
BANK INDEPENDENT
|
393
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2022-10-01
|
Business code |
522110
|
Sponsor’s telephone number |
2563865000
|
Plan sponsor’s mailing address |
PO BOX 5000, SHEFFIELD, AL, 356600137
|
Plan sponsor’s
address |
426 VETERANS DRIVE, FLORENCE, AL, 35630
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-15 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-15 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANK INDEPENDENT LIFE/ADD
|
2022
|
630260951
|
2024-07-15
|
BANK INDEPENDENT
|
529
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2022-10-01
|
Business code |
522110
|
Sponsor’s telephone number |
2563865000
|
Plan sponsor’s mailing address |
PO BOX 5000, SHEFFIELD, AL, 356600137
|
Plan sponsor’s
address |
426 VETERANS DRIVE, FLORENCE, AL, 35630
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-15 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-15 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANK INDEPENDENT LTD
|
2022
|
630260951
|
2024-07-15
|
BANK INDEPENDENT
|
529
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2022-10-01
|
Business code |
522110
|
Sponsor’s telephone number |
2563865000
|
Plan sponsor’s mailing address |
PO BOX 5000, SHEFFIELD, AL, 356600137
|
Plan sponsor’s
address |
426 VETERANS DRIVE, FLORENCE, AL, 35630
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-15 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-15 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANK INDEPENDENT AFLAC
|
2022
|
630260951
|
2024-07-15
|
BANK INDEPENDENT
|
222
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2022-10-01
|
Business code |
522110
|
Sponsor’s telephone number |
2563865000
|
Plan sponsor’s mailing address |
PO BOX 5000, SHEFFIELD, AL, 356600137
|
Plan sponsor’s
address |
426 VETERANS DRIVE, FLORENCE, AL, 35630
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-15 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-15 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANK INDEPENDENT 5STAR
|
2022
|
630260951
|
2024-07-15
|
BANK INDEPENDENT
|
113
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2022-10-01
|
Business code |
522110
|
Sponsor’s telephone number |
2563865000
|
Plan sponsor’s mailing address |
PO BOX 5000, SHEFFIELD, AL, 356600137
|
Plan sponsor’s
address |
426 VETERANS DRIVE, FLORENCE, AL, 35630
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-15 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-15 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANK INDEPENDENT HEALTH-DENTAL
|
2022
|
630260951
|
2023-07-13
|
BANK INDEPENDENT
|
538
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2022-04-01
|
Business code |
522110
|
Sponsor’s telephone number |
2563865000
|
Plan sponsor’s mailing address |
PO BOX 5000, SHEFFIELD, AL, 356600137
|
Plan sponsor’s
address |
426 VETERANS DRIVE, FLORENCE, AL, 35630
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-13 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-13 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANK INDEPENDENT EAP
|
2022
|
630260951
|
2023-07-13
|
BANK INDEPENDENT
|
588
|
|
File |
View Page
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
2022-04-01
|
Business code |
522110
|
Sponsor’s telephone number |
2563865000
|
Plan sponsor’s mailing address |
PO BOX 5000, SHEFFIELD, AL, 356600137
|
Plan sponsor’s
address |
426 VETERANS DRIVE, FLORENCE, AL, 35630
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-13 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-13 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BANK INDEPENDENT LIFE/ADD
|
2021
|
630260951
|
2024-07-15
|
BANK INDEPENDENT
|
508
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2021-10-01
|
Business code |
522110
|
Sponsor’s telephone number |
2563865000
|
Plan sponsor’s mailing address |
PO BOX 5000, SHEFFIELD, AL, 356600137
|
Plan sponsor’s
address |
426 VETERANS DRIVE, FLORENCE, AL, 35630
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-15 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-15 |
Name of individual signing |
JUSTIN LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|