CAVE RUN PHARMACY, INC. 401(K) PROFIT SHARING PLAN
|
2023
|
610945523
|
2024-12-10
|
CAVE RUN PHARMACY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6067831511
|
Plan sponsor’s
address |
255 OLD FLEMINGSBURG RD, MOREHEAD, KY, 403511090
|
Signature of
Role |
Plan administrator |
Date |
2024-12-09 |
Name of individual signing |
CHEYENNE BABER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-12-09 |
Name of individual signing |
CHEYENNE BABER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAVE RUN PHARMACY, INC. 401(K) PROFIT SHARING PLAN
|
2022
|
610945523
|
2024-12-10
|
CAVE RUN PHARMACY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6067831511
|
Plan sponsor’s
address |
255 OLD FLEMINGSBURG RD, MOREHEAD, KY, 403511090
|
Signature of
Role |
Plan administrator |
Date |
2024-12-09 |
Name of individual signing |
CHEYENNE BABER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-12-09 |
Name of individual signing |
CHEYENNE BABER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAVE RUN PHARMACY, INC. 401(K) PROFIT SHARING PLAN
|
2021
|
610945523
|
2022-10-07
|
CAVE RUN PHARMACY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6067831511
|
Plan sponsor’s
address |
255 OLD FLEMINGSBURG ROAD, MOREHEAD, KY, 40351
|
Signature of
Role |
Plan administrator |
Date |
2022-09-22 |
Name of individual signing |
CHEYENNE BABER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAVE RUN PHARMACY, INC. 401(K) PROFIT SHARING PLAN
|
2020
|
610945523
|
2021-10-13
|
CAVE RUN PHARMACY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6067831511
|
Plan sponsor’s
address |
425 CLINIC DRIVE, MOREHEAD, KY, 40351
|
Signature of
Role |
Plan administrator |
Date |
2021-10-04 |
Name of individual signing |
WILLIAM W. SHELY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAVE RUN PHARMACY, INC. 401(K) PROFIT SHARING PLAN
|
2019
|
610945523
|
2020-10-08
|
CAVE RUN PHARMACY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6067831511
|
Plan sponsor’s
address |
425 CLINIC DRIVE, MOREHEAD, KY, 40351
|
Signature of
Role |
Plan administrator |
Date |
2020-08-31 |
Name of individual signing |
WILLIAM W. SHELY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAVE RUN PHARMACY, INC. 401(K) PROFIT SHARING PLAN
|
2018
|
610945523
|
2019-10-11
|
CAVE RUN PHARMACY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6067831511
|
Plan sponsor’s
address |
425 CLINIC DRIVE, MOREHEAD, KY, 40351
|
Signature of
Role |
Plan administrator |
Date |
2019-10-08 |
Name of individual signing |
WILLIAM W. SHELY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAVE RUN PHARMACY, INC. 401(K) PROFIT SHARING PLAN
|
2017
|
610945523
|
2018-10-10
|
CAVE RUN PHARMACY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6067831511
|
Plan sponsor’s
address |
425 CLINIC DRIVE, MOREHEAD, KY, 40351
|
Signature of
Role |
Plan administrator |
Date |
2018-10-10 |
Name of individual signing |
WILLIAM W. SHELY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAVE RUN PHARMACY, INC. 401(K) PROFIT SHARING PLAN
|
2016
|
610945523
|
2017-10-09
|
CAVE RUN PHARMACY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6067831511
|
Plan sponsor’s
address |
425 CLINIC DRIVE, MOREHEAD, KY, 40351
|
Signature of
Role |
Plan administrator |
Date |
2017-08-02 |
Name of individual signing |
WILLIAM W. SHELY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAVE RUN PHARMACY, INC. 401(K) PROFIT SHARING PLAN
|
2015
|
610945523
|
2016-10-14
|
CAVE RUN PHARMACY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6067831511
|
Plan sponsor’s
address |
425 CLINIC DRIVE, MOREHEAD, KY, 40351
|
Signature of
Role |
Plan administrator |
Date |
2016-08-31 |
Name of individual signing |
WILLIAM W. SHELY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAVE RUN PHARMACY INC 401K PROFIT SHARING PLAN
|
2014
|
610945523
|
2015-10-13
|
CAVE RUN PHARMACY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6067831511
|
Plan sponsor’s
address |
425 CLINIC DRIVE, MOREHEAD, KY, 40351
|
Signature of
Role |
Plan administrator |
Date |
2015-09-18 |
Name of individual signing |
WILLIAM W. SHELY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAVE RUN PHARMACY, INC. 401(K) PROFIT SHARING PLAN
|
2013
|
610945523
|
2014-06-30
|
CAVE RUN PHARMACY, INC.
|
5
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/30/20140630111508P040007879501001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-01-01 |
Business code |
446110 |
Sponsor’s telephone number |
6067831511 |
Plan sponsor’s
address |
425 CLINIC DRIVE, MOREHEAD, KY, 40351 |
Signature of
Role |
Plan administrator |
Date |
2014-05-28 |
Name of individual signing |
WILLIAM W. SHELY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAVE RUN PHARMACY, INC. 401(K) PROFIT SHARING PLAN
|
2012
|
610945523
|
2013-07-16
|
CAVE RUN PHARMACY, INC.
|
7
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/16/20130716105254P040110986309003.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-01-01 |
Business code |
446110 |
Sponsor’s telephone number |
6067831511 |
Plan sponsor’s
address |
425 CLINIC DRIVE, MOREHEAD, KY, 40351 |
Signature of
Role |
Plan administrator |
Date |
2013-06-24 |
Name of individual signing |
WILLIAM W. SHELY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAVE RUN PHARMACY, INC. 401(K) PROFIT SHARING PLAN
|
2011
|
610945523
|
2012-06-14
|
CAVE RUN PHARMACY, INC.
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/14/20120614093645P040019093233004.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-01-01 |
Business code |
446110 |
Sponsor’s telephone number |
6067831511 |
Plan sponsor’s
address |
425 CLINIC DRIVE, MOREHEAD, KY, 40351 |
Plan administrator’s name and address
Administrator’s EIN |
610945523 |
Plan administrator’s name |
CAVE RUN PHARMACY, INC. |
Plan administrator’s
address |
425 CLINIC DRIVE, MOREHEAD, KY, 40351 |
Administrator’s telephone number |
6067831511 |
Signature of
Role |
Plan administrator |
Date |
2012-01-20 |
Name of individual signing |
WILLIAM W. SHELY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAVE RUN PHARMACY, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
610945523
|
2011-10-07
|
CAVE RUN PHARMACY, INC.
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/07/20111007101228P030144112225008.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-01-01 |
Business code |
446110 |
Sponsor’s telephone number |
6067831511 |
Plan sponsor’s
address |
425 CLINIC DRIVE, MOREHEAD, KY, 40351 |
Plan administrator’s name and address
Administrator’s EIN |
610945523 |
Plan administrator’s name |
CAVE RUN PHARMACY, INC. |
Plan administrator’s
address |
425 CLINIC DRIVE, MOREHEAD, KY, 40351 |
Administrator’s telephone number |
6067831511 |
Signature of
Role |
Plan administrator |
Date |
2011-09-29 |
Name of individual signing |
WILLIAM W. SHELY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAVE RUN PHARMACY, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
610945523
|
2010-07-20
|
CAVE RUN PHARMACY, INC.
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/20/20100720225650P030387403409017.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2005-01-01 |
Business code |
446110 |
Sponsor’s telephone number |
6067831511 |
Plan sponsor’s
address |
425 CLINIC DRIVE, MOREHEAD, KY, 40351 |
Plan administrator’s name and address
Administrator’s EIN |
610945523 |
Plan administrator’s name |
CAVE RUN PHARMACY, INC. |
Plan administrator’s
address |
425 CLINIC DRIVE, MOREHEAD, KY, 40351 |
Administrator’s telephone number |
6067831511 |
Signature of
Role |
Plan administrator |
Date |
2010-07-05 |
Name of individual signing |
WILLIAM W. SHELY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|