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Community Action Agency of South Alabama

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Entity Number 000-767-653

Register Number000767653

Status Exists

NameCommunity Action Agency of South Alabama

Historical Names Little River Community Action Corporation
Community Action Agency of Baldwin and Escambia Counites
Community Action Agency of Baldwin, Escambia and Clarke Counties

CountyBaldwin

Date of registration 23 Jun 1965 (59 years ago)

Legal typeDomestic Non-Profit Corporation

Registered Office Street Address 26440 POLLARD ROADDAPHNE, AL 36526

Registered Office Street Address ZIP code 36526

Activities WORK WITH THE POOR
PUBLIC
PRIVATE SECTORS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address

LJCFLSSH88E1

2025-03-08

26440 POLLARD RD, DAPHNE, AL, 36526, 4273, USA

P. O. BOX 250, 26440 NORTH POLLARD ROAD, DAPHNE, AL, 36526, 0250, USA

Business Information

Division NameCOMMUNITY ACTION AGENCY OF SOUTH ALABAMA
Congressional District01
State/Country of IncorporationAL, USA
Activation Date2024-03-12
Initial Registration Date2009-03-20
Entity Start Date1965-06-23
Fiscal Year End Close DateSep 30

Service Classifications

NAICS Codes624190
Product and Service CodesG099

Points of Contacts

Electronic Business
TitlePRIMARY POC
NameROSETTA PENDER
RoleCEO
Address26440 NORTH POLLARD ROAD, P. O. BOX 250, DAPHNE, AL, 36526, 0250, USA
Government Business
TitlePRIMARY POC
NameROSETTA PENDER
RoleCEO
Address26440 NORTH POLLARD ROAD, P. O. BOX 250, DAPHNE, AL, 36526, 0250, USA
Past PerformanceInformation not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration

5D6B5

Active

Non-Manufacturer

2009-03-25

2024-03-12

2029-03-12

2025-03-08

Contact Information

POCROSETTA PENDER
Phone+1 251-626-2646
Fax+1 251-626-2630
Address26440 POLLARD RD, DAPHNE, AL, 36526 4273, UNITED STATES

Ownership of Offeror Information

Highest Level OwnerInformation not Available
Immediate Level OwnerInformation not Available
List of Offerors (0)Information not Available

form 5500

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

403(B) THRIFT PLAN OF COMMUNITY ACTION AGENCY OF SOUTH ALABAMA

2021

630510904

2022-10-26

COMMUNITY ACTION AGENCY OF SOUTH ALABAMA

5

View Page

Three-digit plan number (PN)002
Effective date of plan2008-10-01
Business code611000
Sponsor’s telephone number2516262646
Plan sponsor’s address26440 POLLARD RD, DAPHNE, AL, 365264273

Signature of

RolePlan administrator
Date2022-10-26
Name of individual signingROSETTA PENDER

403(B) THRIFT PLAN OF COMMUNITY ACTION AGENCY OF SOUTH ALABAMA

2020

630510904

2021-07-07

COMMUNITY ACTION AGENCY OF SOUTH ALABAMA

6

View Page

Three-digit plan number (PN)002
Effective date of plan2008-10-01
Business code611000
Sponsor’s telephone number2516262646
Plan sponsor’s address26440 POLLARD RD, DAPHNE, AL, 365264273

Signature of

RolePlan administrator
Date2021-07-07
Name of individual signingMONIQUE LOCKE

403(B) THRIFT PLAN OF COMMUNITY ACTION AGENCY OF SOUTH ALABAMA

2019

630510904

2020-06-02

COMMUNITY ACTION AGENCY OF SOUTH ALABAMA

12

View Page

Three-digit plan number (PN)002
Effective date of plan2008-10-01
Business code611000
Sponsor’s telephone number2516262646
Plan sponsor’s address26440 POLLARD RD, DAPHNE, AL, 365264273

Signature of

RolePlan administrator
Date2020-06-02
Name of individual signingMONIQUE LOCKE

403(B) THRIFT PLAN OF COMMUNITY ACTION AGENCY OF SOUTH ALABAMA

2018

630510904

2019-07-31

COMMUNITY ACTION AGENCY OF SOUTH ALABAMA

13

View Page

Three-digit plan number (PN)002
Effective date of plan2008-10-01
Business code611000
Sponsor’s telephone number2516262646
Plan sponsor’s address26440 POLLARD RD, DAPHNE, AL, 365264273

Signature of

RolePlan administrator
Date2019-07-31
Name of individual signingMONIQUE LOCKE

COMMUNITY ACTION AGENCY OF SOUTH ALABAMA DEFINED BENEFIT PENSION PLAN

2017

630510904

2018-10-15

COMMUNITY ACTION AGENCY OF SOUTH ALABAMA

235

View Page

Three-digit plan number (PN)001
Effective date of plan1996-11-01
Business code611000
Sponsor’s telephone number2516262646
Plan sponsor’s mailing addressP. O. BOX 250, DAPHNE, AL, 36526
Plan sponsor’s address26440 POLLARD ROAD, DAPHNE, AL, 36526

Number of participants as of the end of the plan year

Active participants82
Retired or separated participants receiving benefits45
Other retired or separated participants entitled to future benefits105
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested14

Signature of

RolePlan administrator
Date2018-10-15
Name of individual signingKRIS ROWE
Valid signatureFiled with authorized/valid electronic signature

403(B) THRIFT PLAN OF COMMUNITY ACTION AGENCY OF SOUTH ALABAMA

2016

630510904

2019-01-30

COMMUNITY ACTION AGENCY OF SOUTH ALABAMA

19

View Page

Three-digit plan number (PN)002
Effective date of plan2008-10-01
Business code611000
Sponsor’s telephone number2516262646
Plan sponsor’s address26440 POLLARD RD, DAPHNE, AL, 36526

Signature of

RolePlan administrator
Date2019-01-30
Name of individual signingAMANDA MAYSON

403(B) THRIFT PLAN OF COMMUNITY ACTION AGENCY OF SOUTH ALABAMA

2015

630510904

2018-10-23

COMMUNITY ACTION AGENCY OF SOUTH ALABAMA

19

View Page

Three-digit plan number (PN)002
Effective date of plan2008-10-01
Business code611000
Sponsor’s telephone number2516262646
Plan sponsor’s address26440 POLLARD RD, DAPHNE, AL, 36526

Signature of

RolePlan administrator
Date2018-10-23
Name of individual signingKRIS ROWE
RoleEmployer/plan sponsor
Date2018-10-23
Name of individual signingKRIS ROWE

COMMUNITY ACTION AGENCY OF SOUTH ALABAMA DEFINED BENEFIT PENSION PLAN

2014

630510904

2015-10-14

COMMUNITY ACTION AGENCY OF SOUTH ALABAMA

218

View Page

Three-digit plan number (PN)001
Effective date of plan1996-11-01
Business code611000
Sponsor’s telephone number2516262646
Plan sponsor’s mailing addressP. O. BOX 250, DAPHNE, AL, 36526
Plan sponsor’s address26440 NORTH POLLARD ROAD, DAPHNE, AL, 36526

Number of participants as of the end of the plan year

Active participants92
Retired or separated participants receiving benefits45
Other retired or separated participants entitled to future benefits78
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested7

Signature of

RolePlan administrator
Date2015-10-14
Name of individual signingMELISSA LANGFORD
Valid signatureFiled with authorized/valid electronic signature
RoleEmployer/plan sponsor
Date2015-10-14
Name of individual signingMELISSA LANGFORD
Valid signatureFiled with authorized/valid electronic signature

403 (B) THRIFT PLAN OF COMMUNITY ACTION AGENCY OF SOUTH ALABAMA

2009

630510904

2012-02-22

COMMUNITY ACTION AGENCY OF SOUTH ALABAMA

23

View Page

Three-digit plan number (PN)002
Effective date of plan2008-10-01
Business code611000
Sponsor’s telephone number2516262646
Plan sponsor’s address26440 POLLARD ROAD, DAPHNE, AL, 36526

Plan administrator’s name and address

Administrator’s EIN630510904
Plan administrator’s nameCOMMUNITY ACTION AGENCY OF SOUTH ALABAMA
Plan administrator’s address26440 POLLARD ROAD, DAPHNE, AL, 36526
Administrator’s telephone number2516262646

Signature of

RolePlan administrator
Date2012-02-22
Name of individual signingMELISSA LANGFORD

Agent

Name Role

RHONE, RHONDEL

Agent

Director

Name Role Address

WILSON, SUE

Director

204 SOUTH COUNTY ROAD 49DOTHAN, AL 36301

BISHOP, JOYCE

Director

BOSCH, CARMEN

Director

YELDING, BAILEY

Director

SERVOS, DEANN

Director

BISHOP, DAVID

Director

2201 BONNIE BLUE RDPRATTVILLE, AL 36067

MONTGOMERY, AMANDA

Director

LEE, RELLIA

Director

MILLENDER, EULA

Director

PERRYMAN, JERRIDINE

Director

Incorporator

Name Role Address

WILKINS, TAYLOR

Incorporator

LAZENBY, HARRY

Incorporator

MARTIN, LAWRENCE

Incorporator

3070 PEEKS HILL RDOHATCHEE, AL

DAVIS, ORIS

Incorporator

THOMPSON, C LENOIR

Incorporator

Events

Event Date Event Type Old Value New Value

1994-04-14

Name Change

Community Action Agency of Baldwin, Escambia and Clarke Counties

Community Action Agency of South Alabama

1987-09-02

Name Change

Community Action Agency of Baldwin and Escambia Counites

Community Action Agency of Baldwin, Escambia and Clarke Counties

1977-08-25

Name Change

Little River Community Action Corporation

Community Action Agency of Baldwin and Escambia Counites

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State