CORBIN RESTAURANTS 401(K) PLAN
|
2023
|
610646567
|
2024-07-08
|
CORBIN RESTAURANTS, INC.
|
88
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-04-01
|
Business code |
722513
|
Sponsor’s telephone number |
6062488352
|
Plan sponsor’s
address |
1910 CUMBERLAND AVE, MIDDLESBORO, KY, 40965
|
Signature of
Role |
Plan administrator |
Date |
2024-07-08 |
Name of individual signing |
CONNIE NAPIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORBIN RESTAURANTS 401(K) PLAN
|
2022
|
610646567
|
2023-10-16
|
CORBIN RESTAURANTS, INC.
|
72
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-04-01
|
Business code |
722513
|
Sponsor’s telephone number |
6062488352
|
Plan sponsor’s
address |
1910 CUMBERLAND AVE, MIDDLESBORO, KY, 40965
|
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
CONNIE NAPIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORBIN RESTAURANTS 401(K) PLAN
|
2018
|
610646567
|
2019-10-03
|
CORBIN RESTAURANTS, INC.
|
88
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-04-01
|
Business code |
722513
|
Sponsor’s telephone number |
6062488352
|
Plan sponsor’s
address |
1910 CUMBERLAND AVE, MIDDLESBORO, KY, 40965
|
Signature of
Role |
Plan administrator |
Date |
2019-10-03 |
Name of individual signing |
CONNIE NAPIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORBIN RESTAURANTS 401(K) PLAN
|
2017
|
610646567
|
2018-06-29
|
CORBIN RESTAURANTS, INC.
|
98
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-04-01
|
Business code |
722513
|
Sponsor’s telephone number |
6062488352
|
Plan sponsor’s
address |
1910 CUMBERLAND AVE, MIDDLESBORO, KY, 40965
|
Signature of
Role |
Plan administrator |
Date |
2018-06-29 |
Name of individual signing |
JAME J. SHOFFNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORBIN RESTAURANTS 401(K) PLAN
|
2016
|
610646567
|
2017-07-19
|
CORBIN RESTAURANTS, INC
|
95
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-04-01
|
Business code |
722513
|
Sponsor’s telephone number |
6062488352
|
Plan sponsor’s
address |
1910 CUMBERLAND AVE, MIDDLESBORO, KY, 40965
|
Signature of
Role |
Plan administrator |
Date |
2017-07-19 |
Name of individual signing |
JAMES J. SHOFFNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-19 |
Name of individual signing |
JAMES J. SHOFFNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORBIN RESTAURANTS 401(K) PLAN
|
2015
|
610646567
|
2016-06-10
|
CORBIN RESTAURANTS, INC
|
115
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-04-01
|
Business code |
722511
|
Sponsor’s telephone number |
6062488352
|
Plan sponsor’s
address |
1910 CUMBERLAND AVE, MIDDLESBORO, KY, 40965
|
Signature of
Role |
Plan administrator |
Date |
2016-06-10 |
Name of individual signing |
JAMES J. SHOFFNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORBIN RESTAURANTS 401(K) PLAN
|
2014
|
610646567
|
2015-07-20
|
CORBIN RESTAURANTS, INC
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-04-01
|
Business code |
722511
|
Sponsor’s telephone number |
6062488352
|
Plan sponsor’s
address |
1910 CUMBERLAND AVE, MIDDLESBORO, KY, 40965
|
Signature of
Role |
Plan administrator |
Date |
2015-07-20 |
Name of individual signing |
JAMES J. SHOFFNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORBIN RESTAURANTS 401(K) PLAN
|
2013
|
610646567
|
2014-06-04
|
CORBIN RESTAURANTS, INC
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-04-01
|
Business code |
722511
|
Sponsor’s telephone number |
6062488352
|
Plan sponsor’s
address |
1910 CUMBERLAND AVE, MIDDLESBORO, KY, 40965
|
Signature of
Role |
Plan administrator |
Date |
2014-06-04 |
Name of individual signing |
JAMES J. SHOFFNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORBIN RESTAURANTS 401(K) PLAN
|
2012
|
610646567
|
2013-07-18
|
CORBIN RESTAURANTS, INC
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-04-01
|
Business code |
722110
|
Sponsor’s telephone number |
6062488352
|
Plan sponsor’s
address |
1910 CUMBERLAND AVE, P.O. BOX 218, MIDDLESBORO, KY, 40965
|
Signature of
Role |
Plan administrator |
Date |
2013-07-18 |
Name of individual signing |
JAMES J. SHOFFNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORBIN RESTAURANTS 401(K) PLAN
|
2011
|
610646567
|
2012-07-11
|
CORBIN RESTAURANTS, INC
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-04-01
|
Business code |
722110
|
Sponsor’s telephone number |
6062488352
|
Plan sponsor’s
address |
1910 CUMBERLAND AVE, P.O.BOX 218, MIDDLESBORO, KY, 40965
|
Plan administrator’s name and address
Administrator’s EIN |
610646567 |
Plan administrator’s name |
CORBIN RESTAURANTS, INC |
Plan administrator’s
address |
1910 CUMBERLAND AVE, P.O.BOX 218, MIDDLESBORO, KY, 40965 |
Administrator’s telephone number |
6062488352 |
Signature of
Role |
Plan administrator |
Date |
2012-07-11 |
Name of individual signing |
JAMES J. SHOFFNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORBIN RESTAURANTS 401(K) PLAN
|
2010
|
610646567
|
2011-07-20
|
CORBIN RESTAURANTS, INC.
|
73
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/20/20110720102345P040031297463001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-04-01 |
Business code |
722110 |
Sponsor’s telephone number |
6062488352 |
Plan sponsor’s
address |
1910 CUMBERLAND AVE, P.O. BOX 218, MIDDLESBORO, KY, 40965 |
Plan administrator’s name and address
Administrator’s EIN |
610646567 |
Plan administrator’s name |
CORBIN RESTAURANTS, INC. |
Plan administrator’s
address |
1910 CUMBERLAND AVE, P.O. BOX 218, MIDDLESBORO, KY, 40965 |
Administrator’s telephone number |
6062488352 |
Signature of
Role |
Plan administrator |
Date |
2011-07-20 |
Name of individual signing |
JAMES J. SHOFFNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORBIN RESTAURANTS 401K PLAN
|
2009
|
610646567
|
2010-10-07
|
CORBIN RESTAURANTS
|
98
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/07/20101007100513P070014403409001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2004-04-01 |
Business code |
722110 |
Sponsor’s telephone number |
8592723486 |
Plan sponsor’s
address |
152 EAST REYNOLDS ROAD, LEXINGTON, KY, 405171265 |
Plan administrator’s name and address
Administrator’s EIN |
610646567 |
Plan administrator’s name |
CORBIN RESTAURANTS |
Plan administrator’s
address |
152 EAST REYNOLDS ROAD, LEXINGTON, KY, 405171265 |
Administrator’s telephone number |
8592723486 |
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
ALICE HARRIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|