PERRY OIL CBS BENEFIT PLAN
|
2020
|
610306981
|
2021-12-14
|
PERRY OIL
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-01-01
|
Business code |
213110
|
Sponsor’s telephone number |
6064363119
|
Plan sponsor’s
address |
50 COUNTRY CIRCLE, HAZARD, KY, 41701
|
Plan administrator’s name and address
Administrator’s EIN |
846429706 |
Plan administrator’s name |
SHAWNA BURTON |
Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
Administrator’s telephone number |
5026954700 |
Signature of
Role |
Plan administrator |
Date |
2021-12-14 |
Name of individual signing |
SHAWNA BURTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY OIL COMPANY, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
610306981
|
2021-01-04
|
PERRY OIL COMPANY, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
313000
|
Sponsor’s telephone number |
6064363119
|
Plan sponsor’s
address |
P.O. BOX 1479, HAZARD, KY, 41702
|
Signature of
Role |
Plan administrator |
Date |
2021-01-01 |
Name of individual signing |
JAMIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-01-01 |
Name of individual signing |
JAMIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY OIL CBS BENEFIT PLAN
|
2019
|
610306981
|
2020-12-23
|
PERRY OIL
|
8
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-01-01
|
Business code |
213110
|
Sponsor’s telephone number |
6064363119
|
Plan sponsor’s
address |
50 COUNTRY CIRCLE, HAZARD, KY, 41701
|
Plan administrator’s name and address
Administrator’s EIN |
846429706 |
Plan administrator’s name |
KELLY WOLF |
Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
Administrator’s telephone number |
5026954700 |
Signature of
Role |
Plan administrator |
Date |
2020-12-23 |
Name of individual signing |
KELLY WOLF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY OIL COMPANY, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
610306981
|
2020-03-06
|
PERRY OIL COMPANY, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
313000
|
Sponsor’s telephone number |
6064363119
|
Plan sponsor’s
address |
P.O. BOX 1479, HAZARD, KY, 41702
|
Signature of
Role |
Plan administrator |
Date |
2020-03-06 |
Name of individual signing |
JAMIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-03-06 |
Name of individual signing |
JAMIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY OIL COMPANY, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
610306981
|
2019-01-31
|
PERRY OIL COMPANY, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
313000
|
Sponsor’s telephone number |
6064363119
|
Plan sponsor’s
address |
P.O. BOX 1479, HAZARD, KY, 41702
|
Signature of
Role |
Plan administrator |
Date |
2019-01-31 |
Name of individual signing |
JAMIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-01-31 |
Name of individual signing |
JAMIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY OIL COMPANY, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
610306981
|
2018-03-21
|
PERRY OIL COMPANY, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
313000
|
Sponsor’s telephone number |
6064363119
|
Plan sponsor’s
address |
P.O. BOX 1479, HAZARD, KY, 41702
|
Signature of
Role |
Plan administrator |
Date |
2018-03-12 |
Name of individual signing |
JAMIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-12 |
Name of individual signing |
JAMIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY OIL COMPANY, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
610306981
|
2017-03-16
|
PERRY OIL COMPANY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
313000
|
Sponsor’s telephone number |
6064363119
|
Plan sponsor’s
address |
P.O. BOX 1479, HAZARD, KY, 41702
|
Signature of
Role |
Plan administrator |
Date |
2017-03-16 |
Name of individual signing |
JAMIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-03-16 |
Name of individual signing |
JAMIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY OIL COMPANY, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
610306981
|
2016-09-22
|
PERRY OIL COMPANY, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
313000
|
Sponsor’s telephone number |
6064363119
|
Plan sponsor’s
address |
P.O. BOX 1479, HAZARD, KY, 41702
|
Signature of
Role |
Plan administrator |
Date |
2016-09-15 |
Name of individual signing |
JAMIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-15 |
Name of individual signing |
JAMIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY OIL COMPANY, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
610306981
|
2015-07-28
|
PERRY OIL COMPANY, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
313000
|
Sponsor’s telephone number |
6064363119
|
Plan sponsor’s
address |
P.O. BOX 1479, HAZARD, KY, 41702
|
Signature of
Role |
Plan administrator |
Date |
2015-07-28 |
Name of individual signing |
JAMIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-28 |
Name of individual signing |
JAMIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY OIL COMPANY, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
610306981
|
2014-06-13
|
PERRY OIL COMPANY, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
313000
|
Sponsor’s telephone number |
6064363119
|
Plan sponsor’s
address |
P.O. BOX 1479, HAZARD, KY, 41702
|
Signature of
Role |
Plan administrator |
Date |
2014-06-13 |
Name of individual signing |
JAMIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-13 |
Name of individual signing |
JAMIE SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY OIL COMPANY, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
610306981
|
2013-06-10
|
PERRY OIL COMPANY, INC.
|
15
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/10/20130610092025P040088332165001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1992-01-01 |
Business code |
313000 |
Sponsor’s telephone number |
6064363119 |
Plan sponsor’s
address |
P.O. BOX 1479, HAZARD, KY, 41702 |
Signature of
Role |
Plan administrator |
Date |
2013-06-10 |
Name of individual signing |
JAMES D. HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-10 |
Name of individual signing |
JAMES D. HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY OIL COMPANY, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
610306981
|
2012-06-08
|
PERRY OIL COMPANY, INC.
|
16
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/08/20120608091033P040031972818001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1992-01-01 |
Business code |
313000 |
Sponsor’s telephone number |
6064363119 |
Plan sponsor’s
address |
P.O. BOX 1479, HAZARD, KY, 41702 |
Plan administrator’s name and address
Administrator’s EIN |
610306981 |
Plan administrator’s name |
PERRY OIL COMPANY, INC. |
Plan administrator’s
address |
P.O. BOX 1479, HAZARD, KY, 41702 |
Administrator’s telephone number |
6064363119 |
Signature of
Role |
Plan administrator |
Date |
2012-06-07 |
Name of individual signing |
JAMES D. HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-07 |
Name of individual signing |
JAMES D. HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY OIL COMPANY, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
610306981
|
2011-06-22
|
PERRY OIL COMPANY, INC.
|
18
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/06/22/20110622115958P030379934400001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1992-01-01 |
Business code |
313000 |
Sponsor’s telephone number |
6064363119 |
Plan sponsor’s
address |
P.O. BOX 1479, HAZARD, KY, 41702 |
Plan administrator’s name and address
Administrator’s EIN |
610306981 |
Plan administrator’s name |
PERRY OIL COMPANY, INC. |
Plan administrator’s
address |
P.O. BOX 1479, HAZARD, KY, 41702 |
Administrator’s telephone number |
6064363119 |
Signature of
Role |
Plan administrator |
Date |
2011-06-22 |
Name of individual signing |
JAMES D. HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-22 |
Name of individual signing |
JAMES D. HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERRY OIL COMPANY, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
610306981
|
2010-07-20
|
PERRY OIL COMPANY, INC.
|
16
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/20/20100720080637P070002589941001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1992-01-01 |
Business code |
313000 |
Sponsor’s telephone number |
6064363119 |
Plan sponsor’s
address |
P.O. BOX 1479, HAZARD, KY, 41702 |
Plan administrator’s name and address
Administrator’s EIN |
610306981 |
Plan administrator’s name |
PERRY OIL COMPANY, INC. |
Plan administrator’s
address |
P.O. BOX 1479, HAZARD, KY, 41702 |
Administrator’s telephone number |
6064363119 |
Signature of
Role |
Plan administrator |
Date |
2010-07-19 |
Name of individual signing |
JAMES D. HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-19 |
Name of individual signing |
JAMES D. HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|