403(B) THRIFT PLAN OF SHELBY EMERGENCY ASSISTANCE
|
2021
|
630816556
|
2022-11-08
|
SHELBY EMERGENCY ASSISTANCE, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-03-01
|
Business code |
624200
|
Sponsor’s telephone number |
2056651942
|
Plan sponsor’s
address |
PO BOX 18, MONTEVALLO, AL, 351150018
|
Signature of
Role |
Plan administrator |
Date |
2022-11-08 |
Name of individual signing |
AMANDA FOWLER |
|
|
403(B) THRIFT PLAN OF SHELBY EMERGENCY ASSISTANCE, INC.
|
2020
|
630816556
|
2021-07-23
|
SHELBY EMERGENCY ASSISTANCE, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-03-01
|
Business code |
624200
|
Sponsor’s telephone number |
2056651942
|
Plan sponsor’s
address |
PO BOX 18, MONTEVALLO, AL, 351150018
|
Signature of
Role |
Plan administrator |
Date |
2021-07-23 |
Name of individual signing |
AMANDA FOWLER |
|
|
TAX DEFERRED ANNUITY PLAN OF SHELBY EMERGENCY ASSISTANCE, INC.
|
2020
|
630816556
|
2021-07-23
|
SHELBY EMERGENCY ASSISTANCE, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-12-01
|
Business code |
624200
|
Sponsor’s telephone number |
2056651942
|
Plan sponsor’s
address |
PO BOX 18, MONTEVALLO, AL, 351150018
|
Signature of
Role |
Plan administrator |
Date |
2021-07-23 |
Name of individual signing |
AMANDA FOWLER |
|
|
TAX DEFERRED ANNUITY PLAN OF SHELBY EMERGENCY ASSISTANCE, INC.
|
2019
|
630816556
|
2020-07-10
|
SHELBY EMERGENCY ASSISTANCE, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-12-01
|
Business code |
624200
|
Sponsor’s telephone number |
2056651942
|
Plan sponsor’s
address |
PO BOX 18, MONTEVALLO, AL, 351150018
|
Signature of
Role |
Plan administrator |
Date |
2020-07-10 |
Name of individual signing |
KAREN PENDLETON |
|
|
403(B) THRIFT PLAN OF SHELBY EMERGENCY ASSISTANCE, INC.
|
2019
|
630816556
|
2020-07-10
|
SHELBY EMERGENCY ASSISTANCE, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-03-01
|
Business code |
624200
|
Sponsor’s telephone number |
2056651942
|
Plan sponsor’s
address |
PO BOX 18, MONTEVALLO, AL, 351150018
|
Signature of
Role |
Plan administrator |
Date |
2020-07-10 |
Name of individual signing |
KAREN PENDLETON |
|
|
403(B) THRIFT PLAN OF SHELBY EMERGENCY ASSISTANCE, INC.
|
2019
|
630816556
|
2020-06-05
|
SHELBY EMERGENCY ASSISTANCE, INC.
|
6
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-03-01
|
Business code |
624200
|
Sponsor’s telephone number |
2056651942
|
Plan sponsor’s
address |
PO BOX 18, MONTEVALLO, AL, 351150018
|
Signature of
Role |
Plan administrator |
Date |
2020-06-05 |
Name of individual signing |
KAREN PENDLETON |
|
|
TAX DEFERRED ANNUITY PLAN OF SHELBY EMERGENCY ASSISTANCE, INC.
|
2018
|
630816556
|
2019-05-23
|
SHELBY EMERGENCY ASSISTANCE, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-12-01
|
Business code |
624200
|
Sponsor’s telephone number |
2056651942
|
Plan sponsor’s
address |
PO BOX 18, MONTEVALLO, AL, 351150018
|
Signature of
Role |
Plan administrator |
Date |
2019-05-23 |
Name of individual signing |
KAREN PENDLETON |
|
|
403(B) THRIFT PLAN OF SHELBY EMERGENCY ASSISTANCE, INC.
|
2018
|
630816556
|
2019-05-23
|
SHELBY EMERGENCY ASSISTANCE, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-03-01
|
Business code |
624200
|
Sponsor’s telephone number |
2056651942
|
Plan sponsor’s
address |
PO BOX 18, MONTEVALLO, AL, 351150018
|
Signature of
Role |
Plan administrator |
Date |
2019-05-23 |
Name of individual signing |
KAREN PENDLETON |
|
|
403 B THRIFT PLAN OF SHELBY EMERGENCY ASSISTANCE INC
|
2017
|
630816556
|
2018-05-03
|
SHELBY EMERGENCY ASSISTANCE INC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-03-01
|
Business code |
624200
|
Sponsor’s telephone number |
2056651942
|
Plan sponsor’s
address |
PO BOX 18, MONTEVALLO, AL, 351150018
|
Signature of
Role |
Plan administrator |
Date |
2018-05-03 |
Name of individual signing |
KAREN PENDLETON |
|
Role |
Employer/plan sponsor |
Date |
2018-05-03 |
Name of individual signing |
KAREN PENDLETON |
|
|
TAX DEFERRED ANNUITY PLAN OF SHELBY EMERGENCY ASSISTANCE INC
|
2017
|
630816556
|
2018-05-03
|
SHELBY EMERGENCY ASSISTANCE INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-12-01
|
Business code |
624200
|
Sponsor’s telephone number |
2056651942
|
Plan sponsor’s
address |
PO BOX 18, MONTEVALLO, AL, 351150018
|
Signature of
Role |
Plan administrator |
Date |
2018-05-03 |
Name of individual signing |
KAREN PENDLETON |
|
Role |
Employer/plan sponsor |
Date |
2018-05-03 |
Name of individual signing |
KAREN PENDLETON |
|
|