BURGER QUEEN OF SOMERSET INC.
|
2023
|
610708078
|
2024-05-28
|
BURGER QUEEN OF SOMERSET INC.
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
722300
|
Sponsor’s telephone number |
6063054252
|
Plan sponsor’s
address |
465 SOUTH HWY. 27, REAR BUILDING, SOMERSET, KY, 42503
|
Signature of
Role |
Plan administrator |
Date |
2024-05-28 |
Name of individual signing |
DANIEL E. CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGER QUEEN OF SOMERSET CBS BENEFIT PLAN
|
2022
|
610708078
|
2023-12-27
|
BURGER QUEEN OF SOMERSET
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-05-01
|
Business code |
722300
|
Sponsor’s telephone number |
6063054252
|
Plan sponsor’s
address |
205 N MAIN ST, SOMERSET, KY, 42501
|
Plan administrator’s name and address
Administrator’s EIN |
846429706 |
Plan administrator’s name |
SHAWNA BURTON |
Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
Administrator’s telephone number |
5026954700 |
Signature of
Role |
Plan administrator |
Date |
2023-12-27 |
Name of individual signing |
SHAWNA BURTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGER QUEEN OF SOMERSET INC.
|
2022
|
610708078
|
2023-06-20
|
BURGER QUEEN OF SOMERSET INC.
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
722300
|
Sponsor’s telephone number |
6063054252
|
Plan sponsor’s
address |
465 SOUTH HWY. 27, REAR BUILDING, SOMERSET, KY, 42503
|
Signature of
Role |
Plan administrator |
Date |
2023-06-20 |
Name of individual signing |
DANIEL E. CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGER QUEEN OF SOMERSET CBS BENEFIT PLAN
|
2021
|
610708078
|
2022-12-29
|
BURGER QUEEN OF SOMERSET
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-05-01
|
Business code |
722300
|
Sponsor’s telephone number |
6063054252
|
Plan sponsor’s
address |
205 N MAIN ST, SOMERSET, KY, 42501
|
Plan administrator’s name and address
Administrator’s EIN |
846429706 |
Plan administrator’s name |
SHAWNA BURTON |
Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
Administrator’s telephone number |
5026954700 |
Signature of
Role |
Plan administrator |
Date |
2022-12-29 |
Name of individual signing |
SHAWNA BURTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGER QUEEN OF SOMERSET INC.
|
2021
|
610708078
|
2022-07-14
|
BURGER QUEEN OF SOMERSET INC.
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
722300
|
Sponsor’s telephone number |
6063054252
|
Plan sponsor’s
address |
PO BOX 401, SOMERSET, KY, 42502
|
Signature of
Role |
Plan administrator |
Date |
2022-07-14 |
Name of individual signing |
DANIEL E. CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGER QUEEN OF SOMERSET INC.
|
2020
|
610708078
|
2021-05-07
|
BURGER QUEEN OF SOMERSET INC.
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
722300
|
Sponsor’s telephone number |
6063054252
|
Plan sponsor’s
address |
PO BOX 401, SOMERSET, KY, 42502
|
Signature of
Role |
Plan administrator |
Date |
2021-05-07 |
Name of individual signing |
DANIEL E. CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGER QUEEN OF SOMERSET CBS BENEFIT PLAN
|
2020
|
610708078
|
2021-12-14
|
BURGER QUEEN OF SOMERSET
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-05-01
|
Business code |
722300
|
Sponsor’s telephone number |
6063054252
|
Plan sponsor’s
address |
205 N MAIN ST, SOMERSET, KY, 42501
|
Plan administrator’s name and address
Administrator’s EIN |
846429706 |
Plan administrator’s name |
SHAWNA BURTON |
Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
Administrator’s telephone number |
5026954700 |
Signature of
Role |
Plan administrator |
Date |
2021-12-14 |
Name of individual signing |
SHAWNA BURTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGER QUEEN OF SOMERSET INC.
|
2019
|
610708078
|
2020-03-20
|
BURGER QUEEN OF SOMERSET INC.
|
75
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
722300
|
Sponsor’s telephone number |
6063054252
|
Plan sponsor’s
address |
PO BOX 401, SOMERSET, KY, 42502
|
Signature of
Role |
Plan administrator |
Date |
2020-03-20 |
Name of individual signing |
DANIEL E. CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGER QUEEN OF SOMERSET CBS BENEFIT PLAN
|
2019
|
610708078
|
2020-12-23
|
BURGER QUEEN OF SOMERSET
|
11
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-05-01
|
Business code |
722300
|
Sponsor’s telephone number |
6063054252
|
Plan sponsor’s
address |
205 N MAIN ST, SOMERSET, KY, 42501
|
Plan administrator’s name and address
Administrator’s EIN |
846429706 |
Plan administrator’s name |
KELLY WOLF |
Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
Administrator’s telephone number |
5026954700 |
Signature of
Role |
Plan administrator |
Date |
2020-12-23 |
Name of individual signing |
KELLY WOLF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGER QUEEN OF SOMERSET INC.
|
2018
|
610708078
|
2019-04-18
|
BURGER QUEEN OF SOMERSET INC.
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
722300
|
Sponsor’s telephone number |
6063054252
|
Plan sponsor’s
address |
PO BOX 401, SOMERSET, KY, 42502
|
Signature of
Role |
Plan administrator |
Date |
2019-04-18 |
Name of individual signing |
DANIEL E. CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGER QUEEN OF SOMERSET INC.
|
2017
|
610708078
|
2018-05-30
|
BURGER QUEEN OF SOMERSET INC.
|
59
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2018/05/30/20180530161242P030102126151001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
722300 |
Sponsor’s telephone number |
6065616209 |
Plan sponsor’s
address |
PO BOX 401, SOMERSET, KY, 42502 |
Signature of
Role |
Plan administrator |
Date |
2018-05-30 |
Name of individual signing |
DANIEL E. CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGER QUEEN OF SOMERSET INC.
|
2016
|
610708078
|
2017-09-25
|
BURGER QUEEN OF SOMERSET INC.
|
49
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/09/25/20170925133124P030171899793001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
722300 |
Sponsor’s telephone number |
6065616209 |
Plan sponsor’s
address |
PO BOX 401, SOMERSET, KY, 42502 |
Signature of
Role |
Plan administrator |
Date |
2017-09-25 |
Name of individual signing |
DANIEL E. CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGER QUEEN OF SOMERSET INC.
|
2015
|
610708078
|
2016-07-28
|
BURGER QUEEN OF SOMERSET INC.
|
42
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/28/20160728154301P040054754545001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
722300 |
Sponsor’s telephone number |
6065616209 |
Plan sponsor’s
address |
PO BOX 401, SOMERSET, KY, 42502 |
|
BURGER QUEEN OF SOMERSET INC.
|
2014
|
610708078
|
2015-06-26
|
BURGER QUEEN OF SOMERSET INC.
|
47
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/26/20150626075313P040062115799001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
722210 |
Sponsor’s telephone number |
6065616209 |
Plan sponsor’s
address |
PO BOX 401, SOMERSET, KY, 42502 |
Signature of
Role |
Plan administrator |
Date |
2015-06-26 |
Name of individual signing |
DANIEL E. CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGER QUEEN OF SOMERSET INC.
|
2013
|
610708078
|
2014-07-28
|
BURGER QUEEN OF SOMERSET INC.
|
33
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/28/20140728144827P030019639391001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
722210 |
Sponsor’s telephone number |
6065616209 |
Plan sponsor’s
address |
PO BOX 401, SOMERSET, KY, 42502 |
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
FRANK HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGER QUEEN OF SOMERSET INC.
|
2013
|
610708078
|
2014-07-02
|
BURGER QUEEN OF SOMERSET INC.
|
33
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
722210 |
Sponsor’s telephone number |
6065616209 |
Plan sponsor’s
address |
PO BOX 401, SOMERSET, KY, 42502 |
Signature of
Role |
Plan administrator |
Date |
2014-07-02 |
Name of individual signing |
VINCENT E. CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGER QUEEN OF SOMERSET INC.
|
2012
|
610708078
|
2013-03-18
|
BURGER QUEEN OF SOMERSET INC.
|
33
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/03/18/20130318074251P040174096481001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
722210 |
Sponsor’s telephone number |
6065616209 |
Plan sponsor’s
address |
PO BOX 401, SOMERSET, KY, 42502 |
Signature of
Role |
Plan administrator |
Date |
2013-03-18 |
Name of individual signing |
VINCENT E. CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGER QUEEN OF SOMERSET INC.
|
2011
|
610708078
|
2012-07-24
|
BURGER QUEEN OF SOMERSET INC.
|
33
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/24/20120724080406P030000974372001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
722210 |
Sponsor’s telephone number |
6065616209 |
Plan sponsor’s
address |
PO BOX 401, SOMERSET, KY, 42502 |
Plan administrator’s name and address
Administrator’s EIN |
610708078 |
Plan administrator’s name |
BURGER QUEEN OF SOMERSET INC. |
Plan administrator’s
address |
PO BOX 401, SOMERSET, KY, 42502 |
Administrator’s telephone number |
6065616209 |
Signature of
Role |
Plan administrator |
Date |
2012-07-24 |
Name of individual signing |
VINCENT E. CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGER QUEEN OF SOMERSET INC.
|
2011
|
610708078
|
2012-07-19
|
BURGER QUEEN OF SOMERSET INC.
|
33
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
722210 |
Sponsor’s telephone number |
6065616209 |
Plan sponsor’s
address |
PO BOX 401, SOMERSET, KY, 42502 |
Plan administrator’s name and address
Administrator’s EIN |
610708078 |
Plan administrator’s name |
BURGER QUEEN OF SOMERSET INC. |
Plan administrator’s
address |
PO BOX 401, SOMERSET, KY, 42502 |
Administrator’s telephone number |
6065616209 |
Signature of
Role |
Plan administrator |
Date |
2012-07-19 |
Name of individual signing |
VINCENT E. CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGER QUEEN OF SOMERSET INC.
|
2010
|
610708078
|
2011-07-14
|
BURGER QUEEN OF SOMERSET INC.
|
35
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/14/20110714080917P040434623792001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
722210 |
Sponsor’s telephone number |
6065616209 |
Plan sponsor’s
address |
PO BOX 401, SOMERSET, KY, 42502 |
Plan administrator’s name and address
Administrator’s EIN |
610708078 |
Plan administrator’s name |
BURGER QUEEN OF SOMERSET INC. |
Plan administrator’s
address |
PO BOX 401, SOMERSET, KY, 42502 |
Administrator’s telephone number |
6065616209 |
Signature of
Role |
Plan administrator |
Date |
2011-07-14 |
Name of individual signing |
FRANK HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGER QUEEN OF SOMERSET INC.
|
2010
|
610708078
|
2011-07-13
|
BURGER QUEEN OF SOMERSET INC.
|
35
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
722210 |
Sponsor’s telephone number |
6065616209 |
Plan sponsor’s
address |
PO BOX 401, SOMERSET, KY, 42502 |
Plan administrator’s name and address
Administrator’s EIN |
610708078 |
Plan administrator’s name |
BURGER QUEEN OF SOMERSET INC. |
Plan administrator’s
address |
PO BOX 401, SOMERSET, KY, 42502 |
Administrator’s telephone number |
6065616209 |
Signature of
Role |
Plan administrator |
Date |
2011-06-06 |
Name of individual signing |
VINCENT E CHESHIRE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-06 |
Name of individual signing |
MAQSOOD MALIK |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BURGER QUEEN OF SOMERSET INC.
|
2010
|
610708078
|
2011-07-01
|
BURGER QUEEN OF SOMERSET INC.
|
35
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
722210 |
Sponsor’s telephone number |
6065616209 |
Plan sponsor’s
address |
PO BOX 401, SOMERSET, KY, 42502 |
Plan administrator’s name and address
Administrator’s EIN |
610708078 |
Plan administrator’s name |
BURGER QUEEN OF SOMERSET INC. |
Plan administrator’s
address |
PO BOX 401, SOMERSET, KY, 42502 |
Administrator’s telephone number |
6065616209 |
Signature of
Role |
Plan administrator |
Date |
2011-06-06 |
Name of individual signing |
VINCENT E CHESHIRE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-06 |
Name of individual signing |
MAQSOOD MALIK |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BURGER QUEEN OF SOMERSET INC.
|
2010
|
610708078
|
2011-06-06
|
BURGER QUEEN OF SOMERSET INC.
|
35
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
722210 |
Sponsor’s telephone number |
6065616209 |
Plan sponsor’s
address |
PO BOX 401, SOMERSET, KY, 42502 |
Plan administrator’s name and address
Administrator’s EIN |
610708078 |
Plan administrator’s name |
BURGER QUEEN OF SOMERSET INC. |
Plan administrator’s
address |
PO BOX 401, SOMERSET, KY, 42502 |
Administrator’s telephone number |
6065616209 |
Signature of
Role |
Plan administrator |
Date |
2011-06-06 |
Name of individual signing |
VINCENT E CHESHIRE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-06 |
Name of individual signing |
MAQSOOD MALIK |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BURGER QUEEN OF SOMERSET INC 401K PLAN
|
2009
|
610708078
|
2010-07-13
|
BURGER QUEEN OF SOMERSET INC
|
39
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/13/20100713120842P030371457153001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
722210 |
Sponsor’s telephone number |
6065616209 |
Plan sponsor’s
address |
PO BOX 401, SOMERSET, KY, 425020401 |
Plan administrator’s name and address
Administrator’s EIN |
610708078 |
Plan administrator’s name |
BURGER QUEEN OF SOMERSET INC |
Plan administrator’s
address |
PO BOX 401, SOMERSET, KY, 425020401 |
Administrator’s telephone number |
6065616209 |
Signature of
Role |
Plan administrator |
Date |
2010-07-13 |
Name of individual signing |
VINCENT E CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-13 |
Name of individual signing |
VINCENT E CHESHIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|