KENTUCKY EAGLE, INC. GROUP LIFE AND DISABILITY
|
2015
|
610421368
|
2016-07-22
|
KENTUCKY EAGLE, INC.
|
190
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1993-01-01
|
Business code |
424800
|
Sponsor’s telephone number |
8592523434
|
Plan sponsor’s mailing address |
2440 INNOVATION DR, LEXINGTON, KY, 405118515
|
Plan sponsor’s
address |
2440 INNOVATION DR, LEXINGTON, KY, 405118515
|
Number of participants as of the end of the plan year
Active participants |
178 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-22 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKY EAGLE, INC. GROUP DENTAL AND VISION PLAN
|
2015
|
610421368
|
2016-07-22
|
KENTUCKY EAGLE, INC
|
160
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2011-01-01
|
Business code |
424800
|
Sponsor’s telephone number |
8592523434
|
Plan sponsor’s mailing address |
2440 INNOVATION DR, LEXINGTON, KY, 405118515
|
Plan sponsor’s
address |
2440 INNOVATION DR, LEXINGTON, KY, 405118515
|
Number of participants as of the end of the plan year
Active participants |
146 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2016-07-22 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKY EAGLE, INC. GROUP HEALTH PLAN
|
2015
|
610421368
|
2016-07-22
|
KENTUCKY EAGLE, INC.
|
161
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1996-01-01
|
Business code |
424800
|
Sponsor’s telephone number |
8592523434
|
Plan sponsor’s mailing address |
2440 INNOVATION DR, LEXINGTON, KY, 405118515
|
Plan sponsor’s
address |
2440 INNOVATION DR, LEXINGTON, KY, 405118515
|
Number of participants as of the end of the plan year
Active participants |
149 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2016-07-22 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKY EAGLE, INC. GROUP LIFE AND DISABILITY
|
2014
|
610421368
|
2015-07-31
|
KENTUCKY EAGLE, INC.
|
185
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1993-01-01
|
Business code |
424800
|
Sponsor’s telephone number |
8592523434
|
Plan sponsor’s mailing address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511
|
Plan sponsor’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKY EAGLE, INC. GROUP DENTAL AND VISION PLAN
|
2014
|
610421368
|
2015-07-31
|
KENTUCKY EAGLE, INC.
|
159
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2011-01-01
|
Business code |
424800
|
Sponsor’s telephone number |
8592523434
|
Plan sponsor’s mailing address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511
|
Plan sponsor’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511
|
Number of participants as of the end of the plan year
Active participants |
158 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKY EAGLE, INC. GROUP HEALTH PLAN
|
2014
|
610421368
|
2015-07-31
|
KENTUCKY EAGLE, INC.
|
160
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1996-01-01
|
Business code |
424800
|
Sponsor’s telephone number |
8592523434
|
Plan sponsor’s mailing address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511
|
Plan sponsor’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511
|
Number of participants as of the end of the plan year
Active participants |
159 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKY EAGLE, INC. GROUP LIFE AND DISABILITY
|
2013
|
610421368
|
2014-07-29
|
KENTUCKY EAGLE, INC.
|
174
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1993-01-01
|
Business code |
424800
|
Sponsor’s telephone number |
8592523434
|
Plan sponsor’s mailing address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511
|
Plan sponsor’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-29 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-29 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKY EAGLE, INC. GROUP DENTAL AND VISION PLAN
|
2013
|
610421368
|
2014-07-29
|
KENTUCKY EAGLE, INC.
|
154
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2011-01-01
|
Business code |
424800
|
Sponsor’s telephone number |
8592523434
|
Plan sponsor’s mailing address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511
|
Plan sponsor’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511
|
Number of participants as of the end of the plan year
Active participants |
155 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2014-07-29 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-29 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKY EAGLE, INC. GROUP HEALTH PLAN
|
2013
|
610421368
|
2014-07-29
|
KENTUCKY EAGLE, INC.
|
160
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1996-01-01
|
Business code |
424800
|
Sponsor’s telephone number |
8592523434
|
Plan sponsor’s mailing address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511
|
Plan sponsor’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511
|
Number of participants as of the end of the plan year
Active participants |
156 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2014-07-29 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-29 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKY EAGLE, INC. GROUP DENTAL AND VISION PLAN
|
2012
|
610421368
|
2013-07-29
|
KENTUCKY EAGLE, INC.
|
142
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2011-01-01
|
Business code |
424800
|
Sponsor’s telephone number |
8592523434
|
Plan sponsor’s mailing address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511
|
Plan sponsor’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511
|
Number of participants as of the end of the plan year
Active participants |
148 |
Retired or separated participants receiving
benefits |
6 |
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 |
2013-07-29 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTCKY EAGLE, INC. GROUP LIFE AND DISABILITY
|
2012
|
610421368
|
2013-07-29
|
KENTUCKY EAGLE, INC
|
178
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/29/20130729143640P040414089601001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1993-01-01 |
Business code |
424800 |
Sponsor’s telephone number |
8592523434 |
Plan sponsor’s mailing address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Plan sponsor’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Number of participants as of the end of the plan year
Active participants |
174 |
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 |
2013-07-29 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKY EAGLE, INC. GROUP HEALTH PLAN
|
2012
|
610421368
|
2013-07-29
|
KENTUCKY EAGLE, INC.
|
161
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/29/20130729143624P040414089073001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1996-01-01 |
Business code |
424800 |
Sponsor’s telephone number |
8592523434 |
Plan sponsor’s mailing address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Plan sponsor’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Number of participants as of the end of the plan year
Active participants |
154 |
Retired or separated participants receiving
benefits |
6 |
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 |
2013-07-29 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKY EAGLE, INC. GROUP LIFE AND DISABILITY
|
2011
|
610421368
|
2012-07-31
|
KENTUCKY EAGLE, INC.
|
168
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/31/20120731081623P040049073440001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1993-01-01 |
Business code |
424800 |
Sponsor’s telephone number |
8592523434 |
Plan sponsor’s mailing address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Plan sponsor’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Plan administrator’s name and address
Administrator’s EIN |
610421368 |
Plan administrator’s name |
KENTUCKY EAGLE, INC. |
Plan administrator’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Administrator’s telephone number |
8592523434 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-31 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKY EAGLE, INC. GROUP DENTAL AND VISION PLAN
|
2011
|
610421368
|
2012-07-31
|
KENTUCKY EAGLE, INC.
|
151
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/31/20120731081326P030001882692001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2011-01-01 |
Business code |
424800 |
Sponsor’s telephone number |
8592523434 |
Plan sponsor’s mailing address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Plan sponsor’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Plan administrator’s name and address
Administrator’s EIN |
610421368 |
Plan administrator’s name |
KENTUCKY EAGLE, INC. |
Plan administrator’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Administrator’s telephone number |
8592523434 |
Number of participants as of the end of the plan year
Active participants |
139 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2012-07-31 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKY EAGLE, INC. GROUP HEALTH PLAN
|
2011
|
610421368
|
2012-07-31
|
KENTUCKY EAGLE, INC.
|
151
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/31/20120731080834P040008927857001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1996-01-01 |
Business code |
424800 |
Sponsor’s telephone number |
8592523434 |
Plan sponsor’s mailing address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Plan sponsor’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Plan administrator’s name and address
Administrator’s EIN |
610421368 |
Plan administrator’s name |
KENTUCKY EAGLE, INC. |
Plan administrator’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Administrator’s telephone number |
8592523434 |
Number of participants as of the end of the plan year
Active participants |
158 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2012-07-31 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKY EAGLE, INC. GROUP HEALTH AND DENTAL PLAN
|
2010
|
610421368
|
2011-07-28
|
KENTUCKY EAGLE, INC.
|
153
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/28/20110728124803P030102295553001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1996-01-01 |
Business code |
424800 |
Sponsor’s telephone number |
8592523434 |
Plan sponsor’s mailing address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Plan sponsor’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Plan administrator’s name and address
Administrator’s EIN |
610421368 |
Plan administrator’s name |
KENTUCKY EAGLE, INC. |
Plan administrator’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Administrator’s telephone number |
8592523434 |
Number of participants as of the end of the plan year
Active participants |
146 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2011-07-28 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKY EAGLE, INC. GROUP LIFE AND DISABILITY
|
2010
|
610421368
|
2011-07-28
|
KENTUCKY EAGLE, INC.
|
172
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/28/20110728124725P030016672806001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1993-01-01 |
Business code |
424800 |
Sponsor’s telephone number |
8592523434 |
Plan sponsor’s mailing address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Plan sponsor’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Plan administrator’s name and address
Administrator’s EIN |
610421368 |
Plan administrator’s name |
KENTUCKY EAGLE, INC. |
Plan administrator’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Administrator’s telephone number |
8592523434 |
Number of participants as of the end of the plan year
Active participants |
168 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-07-28 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKY EAGLE, INC. GROUP LIFE AND DISABILITY
|
2009
|
610421368
|
2010-08-02
|
KENTUCKY EAGLE, INC.
|
176
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/02/20100802122534P070020273400001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1993-01-01 |
Business code |
424800 |
Sponsor’s telephone number |
8592523434 |
Plan sponsor’s mailing address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Plan sponsor’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Plan administrator’s name and address
Administrator’s EIN |
610421368 |
Plan administrator’s name |
KENTUCKY EAGLE, INC. |
Plan administrator’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Administrator’s telephone number |
8592523434 |
Number of participants as of the end of the plan year
Active participants |
170 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-08-02 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENTUCKY EAGLE INC. GROUP HEALTH AND DENTAL
|
2009
|
610421368
|
2010-08-02
|
KENTUCKY EAGLE, INC.
|
153
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/08/02/20100802122548P070005028500001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1996-01-01 |
Business code |
424800 |
Sponsor’s telephone number |
8592523434 |
Plan sponsor’s mailing address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Plan sponsor’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Plan administrator’s name and address
Administrator’s EIN |
610421368 |
Plan administrator’s name |
KENTUCKY EAGLE, INC. |
Plan administrator’s
address |
2440 INNOVATION DRIVE, LEXINGTON, KY, 40511 |
Administrator’s telephone number |
8592523434 |
Number of participants as of the end of the plan year
Active participants |
148 |
Retired or separated participants receiving
benefits |
5 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-08-02 |
Name of individual signing |
SUELLEN FLORA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|