PEAK INSURANCE, INC. EMPLOYEES 401(K) PLAN
|
2023
|
630836770
|
2024-07-02
|
PEAK INSURANCE, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3348722303
|
Plan sponsor’s
address |
1003 BROAD ST, SELMA, AL, 367014509
|
Signature of
Role |
Plan administrator |
Date |
2024-07-02 |
Name of individual signing |
JERE D. PEAK |
|
|
PEAK INSURANCE, INC. EMPLOYEES 401(K) PLAN
|
2022
|
630836770
|
2023-06-14
|
PEAK INSURANCE, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3348722303
|
Plan sponsor’s
address |
1003 BROAD ST, SELMA, AL, 367014509
|
Signature of
Role |
Plan administrator |
Date |
2023-06-14 |
Name of individual signing |
JERE D. PEAK |
|
|
PEAK INSURANCE, INC. EMPLOYEES 401(K) PLAN
|
2021
|
630836770
|
2022-07-25
|
PEAK INSURANCE, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3348722303
|
Plan sponsor’s
address |
1003 BROAD ST, SELMA, AL, 367014509
|
Signature of
Role |
Plan administrator |
Date |
2022-07-25 |
Name of individual signing |
JERE D. PEAK |
|
|
PEAK INSURANCE, INC. EMPLOYEES
|
2020
|
630836770
|
2021-07-26
|
PEAK INSURANCE, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3348722303
|
Plan sponsor’s
address |
1003 BROAD ST, SELMA, AL, 367014509
|
Signature of
Role |
Plan administrator |
Date |
2021-07-26 |
Name of individual signing |
JERE D. PEAK |
|
|
PEAK INSURANCE, INC. HEALTH AND WELFARE BENEFIT PLAN
|
2020
|
630836770
|
2021-10-15
|
PEAK INSURANCE, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-07-01
|
Business code |
524140
|
Sponsor’s telephone number |
3348722303
|
Plan sponsor’s
address |
1003 BROAD ST., SELMA, AL, 36701
|
Plan administrator’s name and address
Administrator’s EIN |
834125247 |
Plan administrator’s name |
ARSENAL HEALTH LLC |
Plan administrator’s
address |
5151 HAMPSTEAD HIGH STREET STE 200, MONTGOMERY, AL, 36116 |
Administrator’s telephone number |
3342607774 |
Signature of
Role |
Plan administrator |
Date |
2021-10-15 |
Name of individual signing |
THOMAS BRITT TAYLOR |
|
|
PEAK INSURANCE, INC. EMPLOYEES 401(K) PLAN
|
2019
|
630836770
|
2020-07-29
|
PEAK INSURANCE, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3348722303
|
Plan sponsor’s
address |
1003 BROAD ST, SELMA, AL, 367014509
|
Signature of
Role |
Plan administrator |
Date |
2020-07-29 |
Name of individual signing |
JERE D. PEAK |
|
|
PEAK INSURANCE, INC. HEALTH AND WELFARE BENEFIT
|
2019
|
630836770
|
2020-10-13
|
PEAK INSURANCE, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-07-01
|
Business code |
524140
|
Sponsor’s telephone number |
3348722303
|
Plan sponsor’s
address |
1003 BROAD ST., SELMA, AL, 36701
|
Plan administrator’s name and address
Administrator’s EIN |
834125247 |
Plan administrator’s name |
ARSENAL HEALTH LLC |
Plan administrator’s
address |
5151 HAMPSTEAD HIGH STREET STE 200, MONTGOMERY, AL, 36116 |
Administrator’s telephone number |
3342607774 |
Signature of
Role |
Plan administrator |
Date |
2020-10-13 |
Name of individual signing |
THOMAS BRITT TAYLOR |
|
|
PEAK INSURANCE, INC. EMPLOYEES 401(K) PLAN
|
2018
|
630836770
|
2019-07-15
|
PEAK INSURANCE, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3348722303
|
Plan sponsor’s
address |
1003 BROAD ST, SELMA, AL, 367014509
|
Signature of
Role |
Plan administrator |
Date |
2019-07-15 |
Name of individual signing |
JERE D. PEAK |
|
|
PEAK INSURANCE, INC. EMPLOYEES 401(K) PLAN
|
2017
|
630836770
|
2018-07-06
|
PEAK INSURANCE, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3348722303
|
Plan sponsor’s
address |
1003 BROAD ST, SELMA, AL, 367014509
|
Signature of
Role |
Plan administrator |
Date |
2018-07-06 |
Name of individual signing |
JERE D. PEAK |
|
|
PEAK INSURANCE, INC. EMPLOYEES 401(K) PLAN
|
2016
|
630836770
|
2017-09-06
|
PEAK INSURANCE, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
3348722303
|
Plan sponsor’s
address |
1003 BROAD ST, SELMA, AL, 36701
|
Signature of
Role |
Plan administrator |
Date |
2017-09-06 |
Name of individual signing |
JERE D. PEAK |
|
|