Menu
Search icon

KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY

Company Details

Name: KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Jurisdiction: Kentucky
Profit or Non-Profit: Profit
Legal type: Kentucky Mutual Insurance Co.
Status: Active
Standing: Good
File Date: 30 Nov 1943 (81 years ago)
Organization Date: 30 Nov 1943 (81 years ago)
Last Annual Report: 23 May 2024 (8 months ago)
Organization Number: 0027731
Industry: Insurance Agents, Brokers and Service
Number of Employees: Large (100+)
Principal Office: 9201 BUNSEN PKWY., P.O.BOX 20700, LOUISVILLE, KY 402203793
Place of Formation: KENTUCKY
Authorized Shares: 1

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
549300FFXW0HZH4BUP27 0027731 US-KY GENERAL ACTIVE 1943-11-30

Addresses
Legal 9201 BUNSEN PKWY., LOUISVILLE, US-KY, US, 20700
Headquarters 9201 BUNSEN PKWY., LOUISVILLE, US-KY, US, 20700

Registration details
Registration Date 2015-07-08
Last Update 2024-02-08
Status ISSUED
Next Renewal 2025-02-26
LEI Issuer 529900T8BM49AURSDO55
Corroboration Level FULLY_CORROBORATED
Data Validated As 0027731

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KENTUCKY FARM BUREAU GROUP LIFE 2022 610392792 2024-01-29 KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY 1009
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1956-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address PO BOX 20700, LOUISVILLE, KY, 402500700
Plan sponsor’s address 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220

Number of participants as of the end of the plan year
Active participants 663
Other retired or separated participants entitled to future benefits 379

Signature of
Role Plan administrator
Date 2024-01-29
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
KENTUCKY FARM BUREAU GROUP LIFE 2021 610392792 2023-01-30 KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY 994
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1956-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address PO BOX 20700, LOUISVILLE, KY, 402500700
Plan sponsor’s address 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220

Number of participants as of the end of the plan year
Active participants 653
Other retired or separated participants entitled to future benefits 356

Signature of
Role Plan administrator
Date 2023-01-30
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
KENTUCKY FARM BUREAU GROUP LIFE 2020 610392792 2022-01-28 KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY 1002
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1956-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address P. O. BOX 20700, LOUISVILLE, KY, 40250
Plan sponsor’s address 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address P. O.BOX 20700, LOUISVILLE, KY, 40250
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 662
Other retired or separated participants entitled to future benefits 332

Signature of
Role Plan administrator
Date 2022-01-21
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY HEALTH & WELFARE PLAN 2019 610392792 2021-09-14 KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY 885
File View Page
Three-digit plan number (PN) 511
Effective date of plan 2019-01-01
Business code 524150
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 609
Retired or separated participants receiving benefits 280
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2021-09-14
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-14
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
KENTUCKY FARM BUREAU GROUP LIFE 2019 610392792 2021-01-27 KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY 1005
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1956-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address P.O. BOX 20700, LOUISVILLE, KY, 40250
Plan sponsor’s address 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE CO
Plan administrator’s address P.O. BOX 20700, LOUISVILLE, KY, 40250
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 680
Other retired or separated participants entitled to future benefits 322

Signature of
Role Plan administrator
Date 2021-01-27
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY HEALTH & WELFARE PLAN 2019 610392792 2020-10-15 KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY 885
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2019-01-01
Business code 524150
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 609
Retired or separated participants receiving benefits 280
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
KENTUCKY FARM BUREAU MUTUAL MEDICAL 2018 610392792 2020-10-15 KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY 746
File View Page
Three-digit plan number (PN) 504
Effective date of plan 1968-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
KENTUCKY FARM BUREAU MUTUAL DENTAL PLAN 2018 610392792 2020-10-15 KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY 871
File View Page
Three-digit plan number (PN) 507
Effective date of plan 1989-01-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Number of participants as of the end of the plan year
Retired or separated participants receiving benefits 266

Signature of
Role Plan administrator
Date 2020-10-15
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-10-15
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
KENTUCKY FARM BUREAU MUTUAL MEDICAL 2018 610392792 2019-10-14 KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY 746
Three-digit plan number (PN) 504
Effective date of plan 1968-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Number of participants as of the end of the plan year
Active participants 615
Retired or separated participants receiving benefits 122

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
KENTUCKY FARM BUREAU MUTUAL DENTAL PLAN 2018 610392792 2019-10-14 KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY 871
Three-digit plan number (PN) 507
Effective date of plan 1989-01-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Number of participants as of the end of the plan year
Active participants 614
Retired or separated participants receiving benefits 266

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2020/01/28/20200128153604NAL0001429587001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1956-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address P.O. BOX 20700, LOUISVILLE, KY, 40250
Plan sponsor’s address 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address P.O. BOX 20700, LOUISVILLE, KY, 40250
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 687
Other retired or separated participants entitled to future benefits 318

Signature of
Role Plan administrator
Date 2020-01-28
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/10/06/20191006130043P030059360391001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1944-04-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2019-10-06
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-06
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/10/06/20191006125351P030059355991001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1944-04-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Number of participants as of the end of the plan year
Active participants 0

Signature of
Role Plan administrator
Date 2019-10-06
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-06
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2019/01/29/20190129100734P030023984455001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1956-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address P.O. BOX 20700, LOUISVILLE, KY, 40250
Plan sponsor’s address 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address P.O. BOX 20700, LOUISVILLE, KY, 40250
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 697
Other retired or separated participants entitled to future benefits 303

Signature of
Role Plan administrator
Date 2019-01-28
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/10/20181010172955P030094038095001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1944-04-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Number of participants as of the end of the plan year
Active participants 267

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-10
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/10/20181010172319P040245720391001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1944-04-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Number of participants as of the end of the plan year
Active participants 649

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-10
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/10/20181010165425P030009877849001.pdf
Three-digit plan number (PN) 507
Effective date of plan 1989-01-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Number of participants as of the end of the plan year
Active participants 622
Retired or separated participants receiving benefits 249

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-10
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/10/20181010171235P030256288369001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1968-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Number of participants as of the end of the plan year
Active participants 627
Retired or separated participants receiving benefits 119

Signature of
Role Plan administrator
Date 2018-10-10
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-10-10
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2018/02/01/20180201070548P030061093207001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1956-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address P.O. BOX 20700, LOUISVILLE, KY, 40250
Plan sponsor’s address 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address P.O. BOX 20700, LOUISVILLE, KY, 40250
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 701
Other retired or separated participants entitled to future benefits 290

Signature of
Role Plan administrator
Date 2018-01-31
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/10/09/20171009110738P040189811607001.pdf
Three-digit plan number (PN) 507
Effective date of plan 1989-01-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Number of participants as of the end of the plan year
Active participants 633
Retired or separated participants receiving benefits 233

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-09
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/10/09/20171009093605P030183711575001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1944-04-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Number of participants as of the end of the plan year
Active participants 241

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-09
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/10/09/20171009095750P030183738935001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1944-04-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Number of participants as of the end of the plan year
Active participants 626

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-09
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2017/10/09/20171009105221P030202277217001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1968-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Number of participants as of the end of the plan year
Active participants 631
Retired or separated participants receiving benefits 120

Signature of
Role Plan administrator
Date 2017-10-09
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-10-09
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/12/19/20161219120022P030001501745001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1956-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address P.O. BOX 20700, LOUISVILLE, KY, 40250
Plan sponsor’s address 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address P.O. BOX 20700, LOUISVILLE, KY, 40250
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 712
Other retired or separated participants entitled to future benefits 284

Signature of
Role Plan administrator
Date 2016-12-16
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/10/20161010101024P030018752337001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1968-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Number of participants as of the end of the plan year
Active participants 641
Retired or separated participants receiving benefits 134

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-10
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/09/26/20160926154551P030009493005001.pdf
Three-digit plan number (PN) 507
Effective date of plan 1989-01-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address ATTN - HUMAN RESOURCES, 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address ATTN - HUMAN RESOURCES, 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Number of participants as of the end of the plan year
Active participants 636
Retired or separated participants receiving benefits 231
Other retired or separated participants entitled to future benefits 5

Signature of
Role Plan administrator
Date 2016-09-26
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-09-26
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/10/20161010114305P040016569927001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1944-04-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Number of participants as of the end of the plan year
Active participants 622

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-10
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/10/20161010115838P030018965313001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1944-04-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792
Plan sponsor’s address 9201 BUNSEN PKWY, LOUISVILLE, KY, 402203792

Number of participants as of the end of the plan year
Active participants 250

Signature of
Role Plan administrator
Date 2016-10-10
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-10-10
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/13/20151013120125P030021610095001.pdf
Three-digit plan number (PN) 510
Effective date of plan 2004-12-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220
Plan sponsor’s address DAVID A. HOLLIGER, 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220

Number of participants as of the end of the plan year
Active participants 426

Signature of
Role Plan administrator
Date 2015-10-13
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/09/20150609101827P030043569953001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1968-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Number of participants as of the end of the plan year
Active participants 649
Retired or separated participants receiving benefits 134
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2015-06-09
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-09
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/09/20150609085300P030037036967001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1944-04-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Number of participants as of the end of the plan year
Active participants 603
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

Signature of
Role Plan administrator
Date 2015-06-09
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-09
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/09/20150609095659P040015541773001.pdf
Three-digit plan number (PN) 507
Effective date of plan 1989-01-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Number of participants as of the end of the plan year
Active participants 648
Retired or separated participants receiving benefits 223
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2015-06-09
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-09
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/09/20150609093444P030037077671001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1944-04-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Number of participants as of the end of the plan year
Active participants 253
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

Signature of
Role Plan administrator
Date 2015-06-09
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-09
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/01/20/20160120110859P030153902055001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1956-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address P.O. BOX 20700, LOUISVILLE, KY, 40250
Plan sponsor’s address 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address P.O. BOX 20700, LOUISVILLE, KY, 40250
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 724
Other retired or separated participants entitled to future benefits 280

Signature of
Role Plan administrator
Date 2016-01-20
Name of individual signing AMANDA ZORIO
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/01/21/20150121153406P030002468725001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1956-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address P.O. BOX 20700, LOUISVILLE, KY, 40250
Plan sponsor’s address 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address P.O. BOX 20700, LOUISVILLE, KY, 40250
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 734
Other retired or separated participants entitled to future benefits 251

Signature of
Role Plan administrator
Date 2015-01-21
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/06/20141006120958P040034306711001.pdf
Three-digit plan number (PN) 510
Effective date of plan 2004-12-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220
Plan sponsor’s address DAVID A. HOLLIGER, 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 432

Signature of
Role Plan administrator
Date 2014-10-06
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/03/25/20140325152330P030090605829001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1968-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Number of participants as of the end of the plan year
Active participants 640
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

Signature of
Role Plan administrator
Date 2014-03-25
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-03-25
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/02/18/20140218143750P030217367123001.pdf
Three-digit plan number (PN) 507
Effective date of plan 1989-01-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Number of participants as of the end of the plan year
Active participants 653
Retired or separated participants receiving benefits 206
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2014-02-18
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-02-18
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/01/28/20140128082417P040188682179001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1944-04-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Number of participants as of the end of the plan year
Active participants 605
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

Signature of
Role Plan administrator
Date 2014-01-28
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-01-28
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/01/28/20140128080819P040217154913001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1944-04-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Number of participants as of the end of the plan year
Active participants 258
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

Signature of
Role Plan administrator
Date 2014-01-28
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-01-28
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/01/27/20140127115602P030186750627001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1956-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address P.O. BOX 20700, LOUISVILLE, KY, 40250
Plan sponsor’s address 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address P.O. BOX 20700, LOUISVILLE, KY, 40250
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 724
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 249
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2014-01-27
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/26/20130726093100P040017909408001.pdf
Three-digit plan number (PN) 510
Effective date of plan 2004-12-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220
Plan sponsor’s address DAVID A. HOLLIGER, 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 396

Signature of
Role Plan administrator
Date 2013-07-26
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/02/20130502103606P040071781941001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1968-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 653
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

Signature of
Role Plan administrator
Date 2013-05-02
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-02
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/02/20130502101618P030068199237001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1944-04-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 597
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

Signature of
Role Plan administrator
Date 2013-05-02
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-02
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/05/02/20130502085751P040198918547001.pdf
Three-digit plan number (PN) 507
Effective date of plan 1989-01-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 651
Retired or separated participants receiving benefits 196
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2013-05-02
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-02
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/11/19/20121119142128P030042470706001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1956-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address PO BOX 20700, LOUISVILLE, KY, 40250
Plan sponsor’s address 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address PO BOX 20700, LOUISVILLE, KY, 40250
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 721
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 240
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2012-11-19
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/10/11/20121011103318P030000686437001.pdf
Three-digit plan number (PN) 510
Effective date of plan 2004-12-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220
Plan sponsor’s address DAVID A. HOLLIGER, 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Retired or separated participants receiving benefits 391
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2012-10-11
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/23/20120823151323P030102922016001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1968-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 649
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

Signature of
Role Plan administrator
Date 2012-08-23
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/23/20120823083445P030102268096001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1944-04-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 251
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

Signature of
Role Plan administrator
Date 2012-08-23
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/23/20120823133804P030102751440001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1944-04-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 626
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

Signature of
Role Plan administrator
Date 2012-08-23
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/23/20120823160221P040036487650001.pdf
Three-digit plan number (PN) 507
Effective date of plan 1989-01-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 656
Retired or separated participants receiving benefits 187
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2012-08-23
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/11/03/20111103111055P030023826018001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1956-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address PO BOX 20700, LOUISVILLE, KY, 40250
Plan sponsor’s address 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address PO BOX 20700, LOUISVILLE, KY, 40250
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 731
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 235
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2011-11-03
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/02/23/20110223100946P030069772656001.pdf
Three-digit plan number (PN) 507
Effective date of plan 1989-01-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 681
Retired or separated participants receiving benefits 178
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2011-02-23
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/03/09/20110309145727P040022809617001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1968-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 679
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2011-03-09
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/02/22/20110222133307P040014621073001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1944-04-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 275
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

Signature of
Role Plan administrator
Date 2011-02-22
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/02/16/20110216150204P030001867446001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1944-04-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 660
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

Signature of
Role Plan administrator
Date 2011-02-16
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/01/27/20110127082123P030000151553001.pdf
Three-digit plan number (PN) 502
Effective date of plan 1956-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address PO BOX 20700, LOUISVILLE, KY, 40250
Plan sponsor’s address 9201 BUNSEN PARKWAY, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address PO BOX 20700, LOUISVILLE, KY, 40250
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 756
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 226

Signature of
Role Plan administrator
Date 2011-01-27
Name of individual signing DAVID HOLLIGER
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/01/20100601133549P030026404375001.pdf
Three-digit plan number (PN) 504
Effective date of plan 1968-08-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 691
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2010-05-28
Name of individual signing GALE COX
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/01/20100601133518P030028820371001.pdf
Three-digit plan number (PN) 503
Effective date of plan 1944-04-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 645
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

Signature of
Role Plan administrator
Date 2010-05-28
Name of individual signing GALE COX
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/01/20100601133446P040093643234001.pdf
Three-digit plan number (PN) 507
Effective date of plan 1989-01-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address 9201 BUNSEN PARKWAY, ATTN-HUMAN RESOURCES, LOUISVILLE, KY, 40220
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 690
Retired or separated participants receiving benefits 174
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0

Signature of
Role Plan administrator
Date 2010-05-28
Name of individual signing GALE COX
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/05/25/20100525113645P040089311442001.pdf
Three-digit plan number (PN) 501
Effective date of plan 1944-04-01
Business code 524290
Sponsor’s telephone number 5024955000
Plan sponsor’s mailing address 9201 BUNSEN PARKWAY, ATTN - HUMAN RESOURCES, LOUISVILLE, KY, 40220
Plan sponsor’s address 9201 BUNSEN PARKWAY, ATTN - HUMAN RESOURCES, LOUISVILLE, KY, 40220

Plan administrator’s name and address
Administrator’s EIN 610392792
Plan administrator’s name KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
Plan administrator’s address 9201 BUNSEN PARKWAY, ATTN - HUMAN RESOURCES, LOUISVILLE, KY, 40220
Administrator’s telephone number 5024955000

Number of participants as of the end of the plan year
Active participants 285
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

Signature of
Role Plan administrator
Date 2010-05-25
Name of individual signing GALE COX
Valid signature Filed with authorized/valid electronic signature

Registered Agent

Name Role
PAULA P. SMITH Registered Agent

Director

Name Role
A. H. CALVERT Director
BEN S. ADAMS Director
W. F. THOMPSON Director
ROSCO STONE Director
H. M. ROSEBERRY Director

Incorporator

Name Role
R. H. PROCTOR Incorporator
W. F. THOMPSON Incorporator
R. P. DAVIS Incorporator
CALLAWAY BRIGHT Incorporator
W. R. MOORMAN JR. Incorporator

Former Company Names

Name Action
BLUEGRASS COOPERATIVE INSURANCE COMPANY Merger
BRACKEN COUNTY INSURANCE COMPANY Old Name

Filings

Name File Date
Annual Report 2024-05-23
Annual Report 2024-05-23
Annual Report 2023-06-07
Registered Agent name/address change 2022-12-08
Annual Report 2022-05-05
Annual Report 2021-05-26
Annual Report 2020-05-13
Annual Report 2019-06-18
Annual Report 2018-06-28
Annual Report 2017-06-09

Related by officers

PAULA P. SMITH

THE FB INSURANCE COMPANY KENTUCKY FARM BUREAU INSURANCE AGENCY, LLC AVIZION GLASS, LLC FBR REALTY, LLC MedPark Property Co LLC BLUEGRASS SENIOR LIVING SOMERSET LLC NOVUSPHERE HOLDINGS 1943 LLC AVIZION INSURANCE SOLUTIONS LLC

BEN S. ADAMS

CHRISTIAN QUARRIES CHRISTIAN COUNTY FARMERS BUILDING CORPORATION

W. F. THOMPSON

SALT RIVER ELECTRIC COOPERATIVE CORPORATION

ROSCO STONE

HICKMAN-FULTON COUNTIES RURAL ELECTRIC COOPERATIVE CORPORATION KENTUCKY FARM BUREAU INVESTMENT CORPORATION

R. P. DAVIS

GALLATIN COUNTY FARM BUREAU OF GALLATIN COUNTY, KENTUCKY

Related by address

No related companies by address

Date of last update: 05 Nov 2024

Sources: Kentucky Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 kyprofile.com, Part of Big Data Integrated