CHRISTIAN APPALACHIAN PROJECT, INC. FLEXIBLE BENEFIT PLAN
|
2019
|
610661137
|
2020-07-09
|
CHRISTIAN APPALACHIAN PROJECT
|
138
|
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1989-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
6067899791
|
Plan sponsor’s mailing address |
485 PONDEROSA DR, PAINTSVILLE, KY, 412408558
|
Plan sponsor’s
address |
485 PONDEROSA DR, PAINTSVILLE, KY, 412408558
|
Number of participants as of the end of the plan year
Active participants |
145 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-09 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT
|
2019
|
610661137
|
2020-07-09
|
CHRISTIAN APPALACHIAN PROJECT
|
144
|
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1993-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
6067899791
|
Plan sponsor’s mailing address |
485 PONDEROSA DR, PAINTSVILLE, KY, 412408558
|
Plan sponsor’s
address |
485 PONDEROSA DR, PAINTSVILLE, KY, 412408558
|
Number of participants as of the end of the plan year
Active participants |
145 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-09 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-09 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE INSURANCE FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT
|
2019
|
610661137
|
2020-07-09
|
CHRISTIAN APPALACHIAN PROJECT
|
144
|
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1999-06-15
|
Business code |
813000
|
Sponsor’s telephone number |
6067899791
|
Plan sponsor’s mailing address |
485 PONDEROSA DR, PAINTSVILLE, KY, 412408558
|
Plan sponsor’s
address |
485 PONDEROSA DR, PAINTSVILLE, KY, 412408558
|
Number of participants as of the end of the plan year
Active participants |
145 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-09 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LONG TERM DISABILITY INS. FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT, INC.
|
2018
|
610661137
|
2019-07-29
|
CHRISTIAN APPALACHIAN PROJECT, INC.
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1993-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
6067899791
|
Plan sponsor’s mailing address |
PO BOX 1768, PAINTSVILLE, KY, 412405768
|
Plan sponsor’s
address |
485 PONDEROSA DRIVE, PAINTSVILLE, KY, 41240
|
Number of participants as of the end of the plan year
Active participants |
143 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-25 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-25 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE INS. FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT, INC.
|
2018
|
610661137
|
2019-07-29
|
CHRISTIAN APPALACHIAN PROJECT, INC.
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1999-06-15
|
Business code |
813000
|
Sponsor’s telephone number |
6067899791
|
Plan sponsor’s mailing address |
PO BOX 1768, PAINTSVILLE, KY, 412405768
|
Plan sponsor’s
address |
485 PONDEROSA DRIVE, PAINTSVILLE, KY, 41240
|
Number of participants as of the end of the plan year
Active participants |
143 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-25 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHRISTIAN APPALACHIAN PROJECT, INC. FLEXIBLE BENEFIT PLAN
|
2018
|
610661137
|
2019-07-29
|
CHRISTIAN APPALACHIAN PROJECT, INC.
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1989-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
6067899791
|
Plan sponsor’s mailing address |
PO BOX 1768, PAINTSVILLE, KY, 412405768
|
Plan sponsor’s
address |
485 PONDEROSA DRIVE, PAINTSVILLE, KY, 41240
|
Number of participants as of the end of the plan year
Active participants |
143 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-25 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LONG TERM DISABILITY INS. FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT, INC.
|
2017
|
610661137
|
2018-07-26
|
CHRISTIAN APPALACHIAN PROJECT, INC.
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1993-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
6067899791
|
Plan sponsor’s mailing address |
PO BOX 1768, PAINTSVILLE, KY, 412405768
|
Plan sponsor’s
address |
485 PONDEROSA DRIVE, PAINTSVILLE, KY, 41240
|
Number of participants as of the end of the plan year
Active participants |
135 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-07-26 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE INS. FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT, INC.
|
2017
|
610661137
|
2018-07-26
|
CHRISTIAN APPALACHIAN PROJECT, INC.
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1999-06-15
|
Business code |
813000
|
Sponsor’s telephone number |
6067899791
|
Plan sponsor’s mailing address |
PO BOX 1768, PAINTSVILLE, KY, 412405768
|
Plan sponsor’s
address |
485 PONDEROSA DRIVE, PAINTSVILLE, KY, 41240
|
Number of participants as of the end of the plan year
Active participants |
136 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-07-26 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHRISTIAN APPALACHIAN PROJECT, INC. FLEXIBLE BENEFIT PLAN
|
2017
|
610661137
|
2018-07-26
|
CHRISTIAN APPALACHIAN PROJECT, INC.
|
139
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1989-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
6067899791
|
Plan sponsor’s mailing address |
PO BOX 1768, PAINTSVILLE, KY, 412405768
|
Plan sponsor’s
address |
485 PONDEROSA DRIVE, PAINTSVILLE, KY, 41240
|
Number of participants as of the end of the plan year
Active participants |
136 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-07-26 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE INS. FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT, INC.
|
2016
|
610661137
|
2017-07-27
|
CHRISTIAN APPALACHIAN PROJECT, INC.
|
122
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1999-06-15
|
Business code |
813000
|
Sponsor’s telephone number |
6067899791
|
Plan sponsor’s mailing address |
PO BOX 1768, PAINTSVILLE, KY, 412405768
|
Plan sponsor’s
address |
485 PONDEROSA DRIVE, PAINTSVILLE, KY, 41240
|
Number of participants as of the end of the plan year
Active participants |
139 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-27 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHRISTIAN APPALACHIAN PROJECT, INC.
|
2016
|
610661137
|
2017-07-27
|
CHRISTIAN APPALACHIAN PROJECT, INC.
|
138
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/27/20170727154121P040034796575001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1989-01-01 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
PO BOX 1768, PAINTSVILLE, KY, 412405768 |
Plan sponsor’s
address |
485 PONDEROSA DRIVE, PAINTSVILLE, KY, 41240 |
Number of participants as of the end of the plan year
Active participants |
139 |
Retired or separated participants receiving
benefits |
8 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-27 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LONG TERM DISABILITY INS. FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT, INC.
|
2016
|
610661137
|
2017-07-27
|
CHRISTIAN APPALACHIAN PROJECT, INC.
|
145
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/27/20170727154100P030068317633001.pdf |
Three-digit plan number (PN) |
504 |
Effective date of plan |
1993-01-01 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
PO BOX 1768, PAINTSVILLE, KY, 412405768 |
Plan sponsor’s
address |
485 PONDEROSA DRIVE, PAINTSVILLE, KY, 41240 |
Number of participants as of the end of the plan year
Active participants |
139 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-27 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE INS. FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT, INC.
|
2015
|
610661137
|
2016-09-07
|
CHRISTIAN APPALACHIAN PROJECT, INC.
|
151
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/09/07/20160907130457P040019773031001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1999-06-15 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
PO BOX 1768, PAINTSVILLE, KY, 412405768 |
Plan sponsor’s
address |
485 PONDEROSA DRIVE, PAINTSVILLE, KY, 41240 |
Number of participants as of the end of the plan year
Active participants |
132 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-09-07 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LONG TERM DISABILITY INS. FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT INC.
|
2015
|
610661137
|
2016-09-07
|
CHRISTIAN APPALACHIAN PROJECT, INC.
|
151
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/09/07/20160907130514P030021026823001.pdf |
Three-digit plan number (PN) |
504 |
Effective date of plan |
1993-01-01 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
PO BOX 1768, PAINTSVILLE, KY, 412405768 |
Plan sponsor’s
address |
485 PONDEROSA DRIVE, PAINTSVILLE, KY, 41240 |
Number of participants as of the end of the plan year
Active participants |
132 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-09-07 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHRISTIAN APPALACHIAN PROJECT, INC.
|
2015
|
610661137
|
2016-09-07
|
CHRISTIAN APPALACHIAN PROJECT, INC.
|
151
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/09/07/20160907141218P030024468545001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1989-01-01 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
PO BOX 1768, PAINTSVILLE, KY, 412405768 |
Plan sponsor’s
address |
485 PONDEROSA DRIVE, PAINTSVILLE, KY, 41240 |
Number of participants as of the end of the plan year
Active participants |
132 |
Retired or separated participants receiving
benefits |
8 |
Other
retired or separated participants entitled to future benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-09-07 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LONG TERM DISABILITY INS FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT, INC
|
2014
|
610661137
|
2015-07-31
|
CHRISTIAN APPALACHIAN PROJECT, INC
|
157
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/31/20150731151759P030146944273001.pdf |
Three-digit plan number (PN) |
504 |
Effective date of plan |
1993-01-01 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
P O BOX 459, 6550 US 321 SOUTH, HAGERHILL, KY, 41222 |
Plan sponsor’s
address |
P O BOX 459, 6550 US 321 SOUTH, HAGERHILL, KY, 41222 |
Number of participants as of the end of the plan year
Active participants |
155 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE INS FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT, INC
|
2014
|
610661137
|
2015-07-31
|
CHRISTIAN APPALACHIAN PROJECT, INC
|
157
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/31/20150731151748P040005319333001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1999-06-15 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
P O BOX 459, 6550 US 321 SOUTH, HAGERHILL, KY, 41222 |
Plan sponsor’s
address |
P O BOX 459, 6550 US 321 SOUTH, HAGERHILL, KY, 41222 |
Number of participants as of the end of the plan year
Active participants |
155 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHRISTIAN APPALACHIAN PROJECT, INC FLEXIBLE BENEFIT PLAN CAFETERIA
|
2014
|
610661137
|
2015-07-31
|
CHRISTIAN APPALACHIAN PROJECT, INC
|
151
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/31/20150731151736P040149072177001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1989-01-01 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
P O BOX 459, 6550 U S 321 SOUTH, HAGERHILL, KY, 41222 |
Plan sponsor’s
address |
P O BOX 459, 6550 U S 321 SOUTH, HAGERHILL, KY, 41222 |
Number of participants as of the end of the plan year
Active participants |
153 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHRISTIAN APPALACHIAN PROJECT, INC
|
2013
|
610661137
|
2014-07-30
|
CHRISTIAN APPALACHIAN PROJECT, INC
|
156
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/30/20140730155003P030021343295001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1989-01-01 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
P O BOX 459, 6550 US 321 SOUTH, HAGERHILL, KY, 41222 |
Plan sponsor’s
address |
P O BOX 459, 6550 US 321 SOUTH, HAGERHILL, KY, 41222 |
Number of participants as of the end of the plan year
Active participants |
144 |
Retired or separated participants receiving
benefits |
7 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LONG TERM DISABILLITY INS FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT, INC
|
2013
|
610661137
|
2014-07-30
|
CHRISTIAN APPALACHIAN PROJECT, INC
|
153
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/30/20140730153427P040027176909001.pdf |
Three-digit plan number (PN) |
504 |
Effective date of plan |
1993-01-01 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
P O BOX 459, 6550 US 321 SOUTH, HAGERHILL, KY, 41222 |
Plan sponsor’s
address |
P O BOX 459, 6550 US 321 SOUTH, HAGERHILL, KY, 41222 |
Number of participants as of the end of the plan year
Active participants |
152 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE INSURANCE FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT, INC
|
2013
|
610661137
|
2014-07-30
|
CHRISTIAN APPALACHIAN PROJECT, INC
|
153
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/30/20140730153304P030021333071001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1999-06-15 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
P O BOX 459, 6550 US 321 SOUTH, HAGERHILL, KY, 41222 |
Plan sponsor’s
address |
P O BOX 459, 6550 US 321 SOUTH, HAGERHILL, KY, 41222 |
Number of participants as of the end of the plan year
Active participants |
152 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
BOBBIE PLAYFORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LONG TERM DISABILITY INS FOR EMPLOYES OF CHRISTIAN APPALACHIAN PROJECT, INC
|
2012
|
610661137
|
2013-07-30
|
CHRISTIAN APPALACHIAN PROJECT, INC
|
168
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/30/20130730110624P040018244816001.pdf |
Three-digit plan number (PN) |
504 |
Effective date of plan |
1993-01-01 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Plan sponsor’s
address |
6550 US 321 SOUTH, HAGERHILL, KY, 41222 |
Number of participants as of the end of the plan year
Active participants |
147 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
GLORIA JORDAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE INSURANCE FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT, INC
|
2012
|
610661137
|
2013-07-30
|
CHRISTIAN APPALACHIAN PROJECT, INC
|
171
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/30/20130730110513P030416989121001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1999-06-15 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Plan sponsor’s
address |
6550 US 321 SOUTH, HAGERHILL, KY, 41222 |
Number of participants as of the end of the plan year
Active participants |
148 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
GLORIA JORDAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHRISTIAN APPALACHIAN PROJECT, INC FLEXIBLE BENEFIT PLAN CAFETERIA
|
2012
|
610661137
|
2013-07-30
|
CHRISTIAN APPALACHIAN PROJECT, INC
|
168
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/30/20130730110221P030118207893001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1989-01-01 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Plan sponsor’s
address |
6550 US 321 SOUTH, HAGERHILL, KY, 41222 |
Number of participants as of the end of the plan year
Active participants |
138 |
Retired or separated participants receiving
benefits |
9 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
GLORIA JORDAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LONG TERM DISABILITY INS FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT, INC
|
2011
|
610661137
|
2012-07-30
|
CHRISTIAN APPALACHIAN PROJECT, INC
|
178
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/30/20120730165156P040018769330001.pdf |
Three-digit plan number (PN) |
504 |
Effective date of plan |
1993-01-01 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Plan sponsor’s
address |
6550 US 321 SOUTH, HAGERHILL, KY, 41222 |
Plan administrator’s name and address
Administrator’s EIN |
610661137 |
Plan administrator’s name |
CHRISTIAN APPALACHIAN PROJECT, INC |
Plan administrator’s
address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Administrator’s telephone number |
6067899791 |
Number of participants as of the end of the plan year
Active participants |
178 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
GLORIA JORDAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE INSURANCE FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT, INC
|
2011
|
610661137
|
2012-07-30
|
CHRISTIAN APPALACHIAN PROJECT, INC
|
178
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/30/20120730165131P040018768770001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1999-06-15 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Plan sponsor’s
address |
6500 US 321 SOUTH, HAGERHILL, KY, 41222 |
Plan administrator’s name and address
Administrator’s EIN |
610661137 |
Plan administrator’s name |
CHRISTIAN APPALACHIAN PROJECT, INC |
Plan administrator’s
address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Number of participants as of the end of the plan year
Active participants |
178 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
GLORIA JORDAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHRISTIAN APPALACHIAN PROJECT, INC FLEXIBLE BENEFIT PLAN CAFETERIA
|
2011
|
610661137
|
2012-07-30
|
CHRISTIAN APPALACHIAN PROJECT, INC
|
178
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/30/20120730165103P040018767906001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1989-01-01 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Plan sponsor’s
address |
6550 US 321 SOUTH, HAGERHILL, KY, 41222 |
Plan administrator’s name and address
Administrator’s EIN |
610661137 |
Plan administrator’s name |
CHRISTIAN APPALACHIAN PROJECT, INC |
Plan administrator’s
address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Administrator’s telephone number |
6067899791 |
Number of participants as of the end of the plan year
Active participants |
165 |
Retired or separated participants receiving
benefits |
5 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
GLORIA JORDAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHRISTIAN APPALACHIAN PROJECT, INC FLEXIBLE BENEFIT PLAN CAFETERIA
|
2010
|
610661137
|
2011-07-29
|
CHRISTIAN APPALACHIAN PROJECT, INC
|
179
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/29/20110729130135P030015104914001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1989-01-01 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Plan sponsor’s
address |
6500 US 321 SOUTH, HAGERHILL, KY, 41222 |
Plan administrator’s name and address
Administrator’s EIN |
610661137 |
Plan administrator’s name |
CHRISTIAN APPALACHIAN PROJECT, INC |
Plan administrator’s
address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Administrator’s telephone number |
6067899791 |
Number of participants as of the end of the plan year
Active participants |
167 |
Retired or separated participants receiving
benefits |
5 |
Other
retired or separated participants entitled to future benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-07-29 |
Name of individual signing |
GLORIA JORDAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE INSURANCE FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT, INC
|
2010
|
610661137
|
2011-07-29
|
CHRISTIAN APPALACHIAN PROJECT, INC.
|
165
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/29/20110729125905P040105825873001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1999-06-15 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Plan sponsor’s
address |
6500 US 321 SOUTH, HAGERHILL, KY, 41222 |
Plan administrator’s name and address
Administrator’s EIN |
610661137 |
Plan administrator’s name |
CHRISTIAN APPALACHIAN PROJECT, INC. |
Plan administrator’s
address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Administrator’s telephone number |
6067899791 |
Number of participants as of the end of the plan year
Active participants |
167 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-07-29 |
Name of individual signing |
GLORIA JORDAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT
|
2010
|
610661137
|
2011-07-29
|
CHRISTIAN APPALACHIAN PROJECT, INC
|
165
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/29/20110729130045P040015635442001.pdf |
Three-digit plan number (PN) |
504 |
Effective date of plan |
1993-01-01 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Plan sponsor’s
address |
6500 US 321 SOUTH, HAGERHILL, KY, 41222 |
Plan administrator’s name and address
Administrator’s EIN |
610661137 |
Plan administrator’s name |
CHRISTIAN APPALACHIAN PROJECT, INC |
Plan administrator’s
address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Administrator’s telephone number |
6067899791 |
Number of participants as of the end of the plan year
Active participants |
167 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-07-29 |
Name of individual signing |
GLORIA JORDAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE INS FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT, INC
|
2009
|
610661137
|
2010-09-28
|
CHRISTIAN APPALACHIAN PROJECT, INC
|
211
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/28/20100928115845P030003407171001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1999-06-15 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Plan sponsor’s
address |
6550 US 321 SOUTH, HAGERHILL, KY, 41222 |
Plan administrator’s name and address
Administrator’s EIN |
610661137 |
Plan administrator’s name |
CHRISTIAN APPALACHIAN PROJECT, INC |
Plan administrator’s
address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Administrator’s telephone number |
6067899791 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-09-28 |
Name of individual signing |
GLORIA JORDAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF CHRISTIAN APPALACHIAN PROJECT, INC.
|
2009
|
610661137
|
2010-09-28
|
CHRISTIAN APPALACHIAN PROJECT, INC
|
211
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/28/20100928120007P030007610690001.pdf |
Three-digit plan number (PN) |
504 |
Effective date of plan |
1993-01-01 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Plan sponsor’s
address |
6550 US 321 SOUTH, HAGERHILL, KY, 41222 |
Plan administrator’s name and address
Administrator’s EIN |
610661137 |
Plan administrator’s name |
CHRISTIAN APPALACHIAN PROJECT, INC |
Plan administrator’s
address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Administrator’s telephone number |
6067899791 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-09-28 |
Name of individual signing |
GLORIA JORDAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHRISTIAN APPALACHIAN PROJECT, INC FLEXIBLE BENEFIT PLAN CAFETERIA
|
2009
|
610661137
|
2010-09-28
|
CHRISTIAN APPALACHIAN PROJECT, INC
|
216
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/28/20100928115756P030018916033001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1989-01-01 |
Business code |
813000 |
Sponsor’s telephone number |
6067899791 |
Plan sponsor’s mailing address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Plan sponsor’s
address |
6550 US 321 SOUTH, HAGERHILL, KY, 41222 |
Plan administrator’s name and address
Administrator’s EIN |
610661137 |
Plan administrator’s name |
CHRISTIAN APPALACHIAN PROJECT, INC |
Plan administrator’s
address |
P. O. BOX 459, HAGERHILL, KY, 41222 |
Administrator’s telephone number |
6067899791 |
Number of participants as of the end of the plan year
Active participants |
158 |
Retired or separated participants receiving
benefits |
16 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-09-28 |
Name of individual signing |
GLORIA JORDAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|