BRANDENBURG TELEPHONE COMPANY HEALTH INSURANCE
|
2022
|
610452936
|
2024-03-23
|
BRANDENBURG TELEPHONE COMPANY
|
108
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2001-09-01
|
Business code |
517000
|
Sponsor’s telephone number |
2704222121
|
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-03-22 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY LIFE AND AD&D INSURANCE PLAN
|
2022
|
610452936
|
2024-03-23
|
BRANDENBURG TELEPHONE COMPANY
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2003-06-01
|
Business code |
517000
|
Sponsor’s telephone number |
2704222121
|
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-03-22 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY SHORT TERM DISABILITY INSURANCE
|
2022
|
610452936
|
2024-03-23
|
BRANDENBURG TELEPHONE COMPANY
|
103
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2001-07-01
|
Business code |
517000
|
Sponsor’s telephone number |
2704222121
|
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-03-22 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY LIFE AND AD&D INSURANCE PLAN
|
2021
|
610452936
|
2023-03-31
|
BRANDENBURG TELEPHONE COMPANY
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2003-06-01
|
Business code |
517000
|
Sponsor’s telephone number |
2704222121
|
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-03-28 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY SHORT TERM DISABILITY INSURANCE
|
2021
|
610452936
|
2023-03-31
|
BRANDENBURG TELEPHONE COMPANY
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2001-07-01
|
Business code |
517000
|
Sponsor’s telephone number |
2704222121
|
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-03-28 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY HEALTH INSURANCE PLAN
|
2021
|
610452936
|
2023-03-31
|
BRANDENBURG TELEPHONE COMPANY
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2001-09-01
|
Business code |
517000
|
Sponsor’s telephone number |
2704222121
|
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-03-28 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY HEALTH INSURANCE PLAN
|
2020
|
610452936
|
2022-03-14
|
BRANDENBURG TELEPHONE COMPANY
|
118
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2001-09-01
|
Business code |
517000
|
Sponsor’s telephone number |
2704222121
|
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-03-04 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY SHORT-TERM DISABILITY INSURANCE
|
2020
|
610452936
|
2022-03-14
|
BRANDENBURG TELEPHONE COMPANY
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2001-07-01
|
Business code |
517000
|
Sponsor’s telephone number |
2704222121
|
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-03-04 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY LIFE AND AD&D INSURANCE PLAN
|
2020
|
610452936
|
2022-03-14
|
BRANDENBURG TELEPHONE COMPANY
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2003-06-01
|
Business code |
517000
|
Sponsor’s telephone number |
2704222121
|
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-03-04 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY HEALTH INSURANCE PLAN
|
2019
|
610452936
|
2021-03-23
|
BRANDENBURG TELEPHONE COMPANY
|
323
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2001-09-01
|
Business code |
517000
|
Sponsor’s telephone number |
2704222121
|
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-03-17 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY SHORT-TERM DISABILITY INSURANCE
|
2019
|
610452936
|
2021-03-23
|
BRANDENBURG TELEPHONE COMPANY
|
113
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2021/03/23/20210323090132NAL0006596049001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2001-07-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-03-17 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY LIFE AND AD&D INSURANCE PLAN
|
2019
|
610452936
|
2021-03-23
|
BRANDENBURG TELEPHONE COMPANY
|
117
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2021/03/23/20210323085924NAL0006595249001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2003-06-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-03-17 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY SHORT-TERM DISABILITY INSURANCE
|
2018
|
610452936
|
2020-03-30
|
BRANDENBURG TELEPHONE COMPANY
|
107
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2020/03/30/20200330151052NAL0006055104001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2001-07-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-03-30 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRADENBURG TELEPHONE COMPANY LIFE AND AD&D INSURANCE PLAN
|
2018
|
610452936
|
2020-03-30
|
BRANDENBURG TELEPHONE COMPANY
|
111
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2020/03/30/20200330151004NAL0004449041001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2003-06-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-03-30 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY HEALTH INSURANCE PLAN
|
2018
|
610452936
|
2020-03-30
|
BRANDENBURG TELEPHONE COMPANY
|
312
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2020/03/30/20200330150905NAL0004169217001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2001-09-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-03-30 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY LIFE AND AD&D INSURANCE PLAN
|
2017
|
610452936
|
2019-01-14
|
BRANDENBURG TELEPHONE COMPANY
|
110
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/01/14/20190114102234P040153499767001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2003-06-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-01-14 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY SHORT-TERM DISABILITY INSURANCE
|
2017
|
610452936
|
2019-01-14
|
BRANDENBURG TELEPHONE COMPANY
|
106
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/01/14/20190114102147P030164713751001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2001-07-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-01-14 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY HEALTH INSURANCE PLAN
|
2017
|
610452936
|
2019-01-14
|
BRANDENBURG TELEPHONE COMPANY
|
301
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/01/14/20190114102044P030163855473001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2001-09-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-01-14 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY SHORT-TERM DISABILITY INSURANCE
|
2016
|
610452936
|
2018-05-08
|
BRANDENBURG TELEPHONE COMPANY
|
96
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2018/05/08/20180508081340P030054430449001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2001-07-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-04-20 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY LIFE AND AD&D INSURANCE PLAN
|
2016
|
610452936
|
2018-03-30
|
BRANDENBURG TELEPHONE COMPANY
|
100
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2018/03/30/20180330130748P040027481633001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2003-06-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-03-29 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY HEALTH INSURANCE PLAN
|
2016
|
610452936
|
2018-03-27
|
BRANDENBURG TELEPHONE COMPANY
|
281
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2018/03/27/20180327130236P040020583217001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2001-09-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-03-27 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY HEALTH INSURANCE PLAN
|
2015
|
610452936
|
2017-03-07
|
BRANDENBURG TELEPHONE COMPANY
|
312
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/03/07/20170307093819P030040413735001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2001-09-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-03-07 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY LIFE AND AD&D INSURANCE PLAN
|
2015
|
610452936
|
2017-03-07
|
BRANDENBURG TELEPHONE COMPANY
|
114
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/03/07/20170307093138P040045465863001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2003-06-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-03-07 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY SHORT-TERM DISABILITY INSURANCE
|
2015
|
610452936
|
2017-03-07
|
BRANDENBURG TELEPHONE COMPANY
|
108
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/03/07/20170307092331P030047247761001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2001-07-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Plan sponsor’s
address |
200 TELCO DR, BRANDENBURG, KY, 401081411 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-03-07 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY HEALTH INSURANCE PLAN
|
2014
|
610452936
|
2016-03-31
|
BRANDENBURG TELEPHONE COMPANY
|
318
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/03/31/20160331123822P040019794349001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2001-09-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-03-29 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY LIFE AND AD&D INSURANCE PLAN
|
2014
|
610452936
|
2016-03-31
|
BRANDENBURG TELEPHONE COMPANY
|
114
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/03/31/20160331123223P030023644273001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2003-06-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-03-29 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY SHORT-TERM DISABILITY INSURANCE
|
2014
|
610452936
|
2016-03-31
|
BRANDENBURG TELEPHONE COMPANY
|
110
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/03/31/20160331123108P040019787213001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2001-07-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-03-29 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY HEALTH INSURANCE PLAN
|
2013
|
610452936
|
2015-06-15
|
BRANDENBURG TELEPHONE COMPANY
|
303
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/15/20150615140129P030047084711001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2001-09-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-06-15 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY LIFE AND AD&D INSURANCE PLAN
|
2013
|
610452936
|
2015-06-15
|
BRANDENBURG TELEPHONE COMPANY
|
123
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/15/20150615140324P040045118999001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2003-06-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-06-15 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY SHORT-TERM DISABILITY INSURANCE
|
2013
|
610452936
|
2015-06-15
|
BRANDENBURG TELEPHONE COMPANY
|
123
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/15/20150615140233P030055283953001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2001-07-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-06-15 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY HEALTH INSURANCE PLAN
|
2012
|
610452936
|
2014-01-09
|
BRANDENBURG TELEPHONE COMPANY
|
294
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/01/09/20140109115649P040057450517001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2001-09-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-01-08 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY SHORT-TERM DISABILITY INSURANCE
|
2012
|
610452936
|
2014-01-09
|
BRANDENBURG TELEPHONE COMPANY
|
118
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/01/09/20140109115539P030162038995001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2001-07-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-01-08 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY HEALTH INSURANCE PLAN
|
2011
|
610452936
|
2013-01-17
|
BRANDENBURG TELEPHONE COMPANY
|
303
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/01/17/20130117105550P040054193043001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2001-09-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan administrator’s name and address
Administrator’s EIN |
610452936 |
Plan administrator’s name |
BRANDENBURG TELEPHONE COMPANY |
Plan administrator’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Administrator’s telephone number |
2704222121 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-01-15 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY SHORT-TERM DISABILITY INSURANCE
|
2011
|
610452936
|
2013-01-17
|
BRANDENBURG TELEPHONE COMPANY
|
123
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/01/17/20130117122449P030071277329001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2001-07-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan administrator’s name and address
Administrator’s EIN |
610452936 |
Plan administrator’s name |
BRANDENBURG TELEPHONE COMPANY |
Plan administrator’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Administrator’s telephone number |
2704222121 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-01-15 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY LIFE AND AD&D INSURANCE PLAN
|
2011
|
610452936
|
2013-01-17
|
BRANDENBURG TELEPHONE COMPANY
|
123
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/01/17/20130117122155P030071272945001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2003-06-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan administrator’s name and address
Administrator’s EIN |
610452936 |
Plan administrator’s name |
BRANDENBURG TELEPHONE COMPANY |
Plan administrator’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Administrator’s telephone number |
2704222121 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-01-15 |
Name of individual signing |
ALLISON WILLOUGHBY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY HEALTH INSURANCE PLAN
|
2010
|
610452936
|
2012-01-12
|
BRANDENBURG TELEPHONE COMPANY
|
325
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/01/12/20120112135410P040002341042001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2001-09-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan administrator’s name and address
Administrator’s EIN |
610452936 |
Plan administrator’s name |
BRANDENBURG TELEPHONE COMPANY |
Plan administrator’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Administrator’s telephone number |
2704222121 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-01-12 |
Name of individual signing |
JOE TOBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY SHORT-TERM DISABILITY INSURANCE
|
2010
|
610452936
|
2012-01-12
|
BRANDENBURG TELEPHONE COMPANY
|
123
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/01/12/20120112135242P040005058439001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2001-07-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan administrator’s name and address
Administrator’s EIN |
610452936 |
Plan administrator’s name |
BRANDENBURG TELEPHONE COMPANY |
Plan administrator’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Administrator’s telephone number |
2704222121 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-01-12 |
Name of individual signing |
JOE TOBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY LIFE AND AD&D INSURANCE PLAN
|
2010
|
610452936
|
2012-01-12
|
BRANDENBURG TELEPHONE COMPANY
|
123
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/01/12/20120112134910P040005057735001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2003-06-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan administrator’s name and address
Administrator’s EIN |
610452936 |
Plan administrator’s name |
BRANDENBURG TELEPHONE COMPANY |
Plan administrator’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Administrator’s telephone number |
2704222121 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-01-12 |
Name of individual signing |
JOE TOBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY HEALTH INSURANCE PLAN
|
2009
|
610452936
|
2011-02-04
|
BRANDENBURG TELEPHONE COMPANY
|
321
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/02/04/20110204092506P030001389271001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2001-09-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan administrator’s name and address
Administrator’s EIN |
610452936 |
Plan administrator’s name |
BRANDENBURG TELEPHONE COMPANY |
Plan administrator’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Administrator’s telephone number |
2704222121 |
Number of participants as of the end of the plan year
Signature of
Role |
Employer/plan sponsor |
Date |
2011-01-26 |
Name of individual signing |
JOE TOBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY SHORT-TERM DISABILITY INSURANCE
|
2009
|
610452936
|
2011-02-04
|
BRANDENBURG TELEPHONE COMPANY
|
123
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/02/04/20110204092832P030021350032001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2001-07-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan administrator’s name and address
Administrator’s EIN |
610452936 |
Plan administrator’s name |
BRANDENBURG TELEPHONE COMPANY |
Plan administrator’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Administrator’s telephone number |
2704222121 |
Number of participants as of the end of the plan year
Signature of
Role |
Employer/plan sponsor |
Date |
2011-01-26 |
Name of individual signing |
JOE TOBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANDENBURG TELEPHONE COMPANY LIFE AND AD&D INSURANCE PLAN
|
2009
|
610452936
|
2011-02-04
|
BRANDENBURG TELEPHONE COMPANY
|
123
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/02/04/20110204092948P030000123043001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2003-06-01 |
Business code |
517000 |
Sponsor’s telephone number |
2704222121 |
Plan sponsor’s mailing address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan sponsor’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Plan administrator’s name and address
Administrator’s EIN |
610452936 |
Plan administrator’s name |
BRANDENBURG TELEPHONE COMPANY |
Plan administrator’s
address |
200 TELCO DRIVE, BRANDENBURG, KY, 40108 |
Administrator’s telephone number |
2704222121 |
Number of participants as of the end of the plan year
Signature of
Role |
Employer/plan sponsor |
Date |
2011-01-26 |
Name of individual signing |
JOE TOBIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|