EMPLOYEE BENEFIT PLAN OF SENIOR SERVICES OF NORTHERN KENTUCKY, INC.
|
2015
|
610725458
|
2016-10-03
|
SENIOR SERVICES OF NORTHERN KENTUCKY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-04-01
|
Business code |
624200
|
Sponsor’s telephone number |
8593316501
|
Plan sponsor’s
address |
PO BOX 175843, COVINGTON, KY, 410175843
|
Signature of
Role |
Plan administrator |
Date |
2016-10-03 |
Name of individual signing |
MARIANN DUNN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF SENIOR SERVICES OF NORTHERN KENTUCKY, INC.
|
2014
|
610725458
|
2015-12-16
|
SENIOR SERVICES OF NORTHERN KENTUCKY, INC
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-04-01
|
Business code |
624200
|
Sponsor’s telephone number |
8594910522
|
Plan sponsor’s
address |
1032 MADISON AVE, COVINGTON, KY, 41011
|
Signature of
Role |
Plan administrator |
Date |
2015-12-16 |
Name of individual signing |
MARIANN DUNN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-12-16 |
Name of individual signing |
MARIANN DUNN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIF PLAN OF SENIOR SERVICES OF NORTHERN KENTUCKY, INC.
|
2013
|
610725458
|
2014-04-25
|
SENIOR SERVICES OF NORTHERN KENTUCKY, INC.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
8594910522
|
Plan sponsor’s
address |
1032 MADISON, COVINGTON, KY, 41011
|
Signature of
Role |
Plan administrator |
Date |
2014-04-25 |
Name of individual signing |
MARIANN DUNN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF SENIOR SERVICES OF NORTHERN KENTUCKY, INC.
|
2010
|
610725458
|
2012-04-17
|
SENIOR SERVICES OF NORTHERN KENTUCKY, INC.
|
192
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
8594910522
|
Plan sponsor’s mailing address |
1032 MADISON AVE, COVINGTON, KY, 41011
|
Plan sponsor’s
address |
1032 MADISON AVE, COVINGTON, KY, 41011
|
Plan administrator’s name and address
Administrator’s EIN |
610725458 |
Plan administrator’s name |
SENIOR SERVICES OF NORTHERN KENTUCKY, INC. |
Plan administrator’s
address |
1032 MADISON AVE, COVINGTON, KY, 41011 |
Administrator’s telephone number |
8594910522 |
Number of participants as of the end of the plan year
Active participants |
73 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
123 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
164 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2012-04-17 |
Name of individual signing |
SHEILA M. GREATOREX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF SENIOR SERVICES OF NORTHERN KENTUCKY, INC.
|
2009
|
610725458
|
2011-04-14
|
SENIOR SERVICES OF NORTHERN KENTUCKY, INC.
|
191
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
8594910522
|
Plan sponsor’s mailing address |
1032 MADSON AVENUE, COVINGTON, KY, 41011
|
Plan sponsor’s
address |
1032 MADSON AVENUE, COVINGTON, KY, 41011
|
Plan administrator’s name and address
Administrator’s EIN |
610725458 |
Plan administrator’s name |
SENIOR SERVICES OF NORTHERN KENTUCKY, INC. |
Plan administrator’s
address |
1032 MADSON AVENUE, COVINGTON, KY, 41011 |
Administrator’s telephone number |
8594910522 |
Number of participants as of the end of the plan year
Active participants |
68 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
124 |
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 |
170 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
Role |
Plan administrator |
Date |
2011-04-14 |
Name of individual signing |
BARBARA J. GUNN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF SENIOR SERVICES OF NORTHERN KENTUCKY, INC.
|
2009
|
610725458
|
2011-06-28
|
SENIOR SERVICES OF NORTHERN KENTUCKY, INC.
|
191
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
8594910522
|
Plan sponsor’s mailing address |
1032 MADSON AVENUE, COVINGTON, KY, 41011
|
Plan sponsor’s
address |
1032 MADSON AVENUE, COVINGTON, KY, 41011
|
Plan administrator’s name and address
Administrator’s EIN |
610725458 |
Plan administrator’s name |
SENIOR SERVICES OF NORTHERN KENTUCKY, INC. |
Plan administrator’s
address |
1032 MADSON AVENUE, COVINGTON, KY, 41011 |
Administrator’s telephone number |
8594910522 |
Number of participants as of the end of the plan year
Active participants |
68 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
124 |
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 |
170 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
Role |
Plan administrator |
Date |
2011-06-28 |
Name of individual signing |
BARBARA J. GUNN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF SENIOR SERVICES OF NORTHERN KENTUCKY, INC.
|
2009
|
610725458
|
2011-04-14
|
SENIOR SERVICES OF NORTHERN KENTUCKY, INC.
|
191
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
8594910522
|
Plan sponsor’s mailing address |
1032 MADSON AVENUE, COVINGTON, KY, 41011
|
Plan sponsor’s
address |
1032 MADSON AVENUE, COVINGTON, KY, 41011
|
Plan administrator’s name and address
Administrator’s EIN |
610725458 |
Plan administrator’s name |
SENIOR SERVICES OF NORTHERN KENTUCKY, INC. |
Plan administrator’s
address |
1032 MADSON AVENUE, COVINGTON, KY, 41011 |
Administrator’s telephone number |
8594910522 |
Number of participants as of the end of the plan year
Active participants |
68 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
124 |
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 |
170 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
Role |
Plan administrator |
Date |
2011-04-14 |
Name of individual signing |
BARBARA J. GUNN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|