BLUEGRASS PHARMACIES INC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
610977769
|
2024-06-06
|
BLUEGRASS PHARMACIES INC
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
2708252775
|
Plan sponsor’s
address |
1128 N MAIN ST, MADISONVILLE, KY, 424311265
|
Plan administrator’s name and address
Administrator’s EIN |
471637791 |
Plan administrator’s name |
ERISA FIDUCIARY SERVICES, INC. |
Plan administrator’s
address |
1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
Administrator’s telephone number |
6312490500 |
Signature of
Role |
Plan administrator |
Date |
2024-06-06 |
Name of individual signing |
ERISA FIDUCIARY SERVICES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEGRASS PHARMACIES 401(K) PROFIT SHARING PLAN
|
2022
|
610977769
|
2023-04-19
|
BLUEGRASS PHARMACIES, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
2708252775
|
Plan sponsor’s
address |
1128 NORTH MAIN STREET, MADISONVILLE, KY, 42431
|
|
BLUEGRASS PHARMACIES 401(K) PROFIT SHARING PLAN
|
2021
|
610977769
|
2022-07-12
|
BLUEGRASS PHARMACIES, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
2708252775
|
Plan sponsor’s
address |
1128 NORTH MAIN STREET, MADISONVILLE, KY, 42431
|
|
BLUEGRASS PHARMACIES 401(K) PROFIT SHARING PLAN
|
2020
|
610977769
|
2021-07-12
|
BLUEGRASS PHARMACIES, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
2708252775
|
Plan sponsor’s
address |
1128 NORTH MAIN STREET, MADISONVILLE, KY, 42431
|
|
BLUEGRASS PHARMACIES, INC CBS BENEFIT PLAN
|
2020
|
610977769
|
2021-12-14
|
BLUEGRASS PHARMACIES, INC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-12-01
|
Business code |
446110
|
Sponsor’s telephone number |
2708252775
|
Plan sponsor’s
address |
1128 NORTH MAIN, MADISONVILLE, KY, 42431
|
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 |
|
|
BLUEGRASS PHARMACIES 401(K) PROFIT SHARING PLAN
|
2019
|
610977769
|
2020-04-21
|
BLUEGRASS PHARMACIES, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
2708252775
|
Plan sponsor’s
address |
1128 NORTH MAIN STREET, MADISONVILLE, KY, 42431
|
|
BLUEGRASS PHARMACIES, INC CBS BENEFIT PLAN
|
2019
|
610977769
|
2020-12-23
|
BLUEGRASS PHARMACIES, INC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-12-01
|
Business code |
446110
|
Sponsor’s telephone number |
2708252775
|
Plan sponsor’s
address |
1128 NORTH MAIN, MADISONVILLE, KY, 42431
|
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 |
|
|
BLUEGRASS PHARMACIES 401(K) PROFIT SHARING PLAN
|
2018
|
610977769
|
2019-05-28
|
BLUEGRASS PHARMACIES, INC.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
2708252775
|
Plan sponsor’s
address |
1128 NORTH MAIN STREET, MADISONVILLE, KY, 42431
|
|
BLUEGRASS PHARMACIES 401(K) PROFIT SHARING PLAN
|
2017
|
610977769
|
2018-03-09
|
BLUEGRASS PHARMACIES, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
2708252775
|
Plan sponsor’s
address |
1128 NORTH MAIN STREET, MADISONVILLE, KY, 42431
|
|
BLUEGRASS PHARMACIES 401(K) PROFIT SHARING PLAN
|
2016
|
610977769
|
2017-06-30
|
BLUEGRASS PHARMACIES, INC.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
2708252775
|
Plan sponsor’s
address |
1128 NORTH MAIN STREET, MADISONVILLE, KY, 42431
|
|