| Plan Name | SERP OF JAMES RALPH MIMS |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | MIMS INSURANCE AGENCY |
| Employer identification number (EIN): | 630415433 |
| NAIC Classification: | 524210 |
| NAIC Description: | Insurance Agencies and Brokerages |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2019-01-01 | ROBERT HARTIN | 2020-10-29 | ||
| 001 | 2018-01-01 | ROBERT HARTIN | 2019-10-13 | ||
| 001 | 2017-01-01 | ROBERT HARTIN | 2018-10-15 | ||
| 001 | 2016-01-01 | ROBERT HARTIN | 2018-01-16 | ||
| 001 | 2015-01-01 | ROBERT HARTIN | 2016-11-10 | ||
| 001 | 2014-01-01 | ROBERT HARTIN | 2015-10-14 | ||
| 001 | 2012-01-01 | ROBERT HARTIN | |||
| 001 | 2011-01-01 | ROBERT M HARTIN, CPA, CPM, LLC | |||
| 001 | 2010-01-01 | ROBERT M. HARTIN, CPA, CPM, LLC | |||
| 001 | 2009-01-01 | ROBERT HARTIN |
| 2012: SERP OF JAMES RALPH MIMS 2012 form 5500 responses | ||
|---|---|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: SERP OF JAMES RALPH MIMS 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: SERP OF JAMES RALPH MIMS 2010 form 5500 responses | ||
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Submission has been amended | Yes |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: SERP OF JAMES RALPH MIMS 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 ) | |
| Policy contract number | 210166249 |
| Policy instance | 1 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 ) | |
| Policy contract number | 210166676 |
| Policy instance | 2 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 ) | |
| Policy contract number | 210246309 |
| Policy instance | 3 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 ) | |
| Policy contract number | 210246309 |
| Policy instance | 3 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 ) | |
| Policy contract number | 210166249 |
| Policy instance | 2 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 ) | |
| Policy contract number | 210166676 |
| Policy instance | 1 |
| NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION (National Association of Insurance Commissioners NAIC id number: ) | |
| Policy contract number | 57299055 |
| Policy instance | 4 |
| NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION (National Association of Insurance Commissioners NAIC id number: ) | |
| Policy contract number | 57299055 |
| Policy instance | 4 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 ) | |
| Policy contract number | 210166249 |
| Policy instance | 2 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 ) | |
| Policy contract number | 210166676 |
| Policy instance | 1 |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 ) | |
| Policy contract number | 210246309 |
| Policy instance | 3 |