JOHN WATERS 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
611073507
|
2024-09-23
|
JOHN WATERS, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-15
|
Business code |
238220
|
Sponsor’s telephone number |
5028960850
|
Plan sponsor’s
address |
2315 WATERSON TRAIL, LOUISVILLE, KY, 40299
|
|
JOHN WATERS 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
611073507
|
2023-10-03
|
JOHN WATERS, INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-15
|
Business code |
238220
|
Sponsor’s telephone number |
5028960850
|
Plan sponsor’s
address |
2315 WATERSON TRAIL, LOUISVILLE, KY, 40299
|
|
JOHN WATERS 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
611073507
|
2022-10-14
|
JOHN WATERS, INC.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-15
|
Business code |
238220
|
Sponsor’s telephone number |
5028960850
|
Plan sponsor’s
address |
2315 WATERSON TRAIL, LOUISVILLE, KY, 40299
|
|
JOHN WATERS 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
611073507
|
2021-09-05
|
JOHN WATERS, INC.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-15
|
Business code |
238220
|
Sponsor’s telephone number |
5028960850
|
Plan sponsor’s
address |
2315 WATERSON TRAIL, LOUISVILLE, KY, 40299
|
|
JOHN WATERS CBS BENEFIT PLAN
|
2020
|
611073507
|
2021-12-14
|
JOHN WATERS
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-01-01
|
Business code |
238210
|
Sponsor’s telephone number |
5028960850
|
Plan sponsor’s
address |
2315 WATTERSON TRAIL, LOUISVILLE, KY, 40299
|
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 |
|
|
JOHN WATERS 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
611073507
|
2020-06-09
|
JOHN WATERS, INC.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-15
|
Business code |
238220
|
Sponsor’s telephone number |
5028960850
|
Plan sponsor’s
address |
PO BOX 99819, LOUISVILLE, KY, 40269
|
Signature of
Role |
Plan administrator |
Date |
2020-06-09 |
Name of individual signing |
DONNA FAUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN WATERS CBS BENEFIT PLAN
|
2019
|
611073507
|
2020-12-23
|
JOHN WATERS
|
20
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-01-01
|
Business code |
238210
|
Sponsor’s telephone number |
5028960850
|
Plan sponsor’s
address |
2315 WATTERSON TRAIL, LOUISVILLE, KY, 40299
|
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 |
|
|
JOHN WATERS 401(K) PROFIT SHARING PLAN & TRUST
|
2018
|
611073507
|
2019-07-31
|
JOHN WATERS, INC.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-15
|
Business code |
238220
|
Sponsor’s telephone number |
5028960850
|
Plan sponsor’s
address |
PO BOX 99819, LOUISVILLE, KY, 40269
|
Signature of
Role |
Plan administrator |
Date |
2019-07-31 |
Name of individual signing |
DONNA FAUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN WATERS 401(K) PROFIT SHARING PLAN & TRUST
|
2017
|
611073507
|
2018-06-19
|
JOHN WATERS, INC.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-15
|
Business code |
238220
|
Sponsor’s telephone number |
5028960850
|
Plan sponsor’s
address |
PO BOX 99819, LOUISVILLE, KY, 40269
|
Signature of
Role |
Plan administrator |
Date |
2018-06-19 |
Name of individual signing |
DONNA FAUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN WATERS 401(K) PROFIT SHARING PLAN & TRUST
|
2016
|
611073507
|
2017-07-13
|
JOHN WATERS, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-15
|
Business code |
238220
|
Sponsor’s telephone number |
5028960850
|
Plan sponsor’s
address |
PO BOX 99819, LOUISVILLE, KY, 40269
|
Signature of
Role |
Plan administrator |
Date |
2017-07-13 |
Name of individual signing |
DONNA FAUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN WATERS 401(K) PROFIT SHARING PLAN & TRUST
|
2015
|
611073507
|
2016-06-06
|
JOHN WATERS INC
|
37
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/06/06/20160606072506P040096137527001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1990-01-15 |
Business code |
238220 |
Sponsor’s telephone number |
5028960850 |
Plan sponsor’s
address |
PO BOX 99819, LOUISVILLE, KY, 40269 |
Signature of
Role |
Plan administrator |
Date |
2016-06-06 |
Name of individual signing |
DONNA FAUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN WATERS 401K PROFIT SHARING PLAN & TRUST
|
2014
|
611073507
|
2015-06-18
|
JOHN WATERS INC
|
36
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/18/20150618082423P030060966065001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1990-01-15 |
Business code |
238220 |
Sponsor’s telephone number |
5028960850 |
Plan sponsor’s
address |
PO BOX 99819, LOUISVILLE, KY, 40269 |
Signature of
Role |
Plan administrator |
Date |
2015-06-18 |
Name of individual signing |
DONNA FAUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN WATERS 401K PROFIT SHARING PLAN & TRUST
|
2013
|
611073507
|
2014-07-23
|
JOHN WATERS INC
|
31
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/23/20140723074343P030054389969001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1990-01-15 |
Business code |
238220 |
Sponsor’s telephone number |
5028960850 |
Plan sponsor’s
address |
2315 WATERSON TR, LOUISVILLE, KY, 40299 |
Signature of
Role |
Plan administrator |
Date |
2014-07-23 |
Name of individual signing |
DONNA FAUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN WATERS 401K PROFIT SHARING PLAN & TRUST
|
2012
|
611073507
|
2014-10-27
|
JOHN WATERS INC
|
34
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/27/20141027155714P040027346637001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1990-01-15 |
Business code |
238220 |
Sponsor’s telephone number |
5028960850 |
Plan sponsor’s mailing address |
2315 WATERSON TR, LOUISVILLE, KY, 40299 |
Plan sponsor’s
address |
2315 WATTERSON TRAIL, LOUISVILLE, KY, 40299 |
Number of participants as of the end of the plan year
Active participants |
20 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
11 |
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 |
24 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-10-27 |
Name of individual signing |
DONNA FAUST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN WATERS 401K PROFIT SHARING PLAN & TRUST
|
2011
|
611073507
|
2012-06-29
|
JOHN WATERS INC
|
34
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/29/20120629075028P030004485366001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1990-01-15 |
Business code |
238220 |
Sponsor’s telephone number |
5028960850 |
Plan sponsor’s mailing address |
2315 WATERSON TR, LOUISVILLE, KY, 40299 |
Plan sponsor’s
address |
2315 WATTERSON TRAIL, LOUISVILLE, KY, 40299 |
Plan administrator’s name and address
Administrator’s EIN |
611073507 |
Plan administrator’s name |
JOHN WATERS INC |
Plan administrator’s
address |
2315 WATERSON TR, LOUISVILLE, KY, 40299 |
Administrator’s telephone number |
5028960850 |
Number of participants as of the end of the plan year
Active participants |
23 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
11 |
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 |
26 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-06-28 |
Name of individual signing |
TIM DAWSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN WATERS 401K PROFIT SHARING PLAN & TRUST
|
2010
|
611073507
|
2011-07-28
|
JOHN WATERS INC
|
38
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/28/20110728132438P030102317521001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1990-01-15 |
Business code |
238220 |
Sponsor’s telephone number |
5028960850 |
Plan sponsor’s mailing address |
2315 WATERSON TR, LOUISVILLE, KY, 40299 |
Plan sponsor’s
address |
2315 WATTERSON TRAIL, LOUISVILLE, KY, 40299 |
Plan administrator’s name and address
Administrator’s EIN |
611073507 |
Plan administrator’s name |
JOHN WATERS INC |
Plan administrator’s
address |
2315 WATERSON TR, LOUISVILLE, KY, 40299 |
Administrator’s telephone number |
5028960850 |
Number of participants as of the end of the plan year
Active participants |
21 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
13 |
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 |
27 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-07-28 |
Name of individual signing |
TIM DAWSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN WATERS 401K PROFIT SHARING PLAN & TRUST
|
2009
|
611073507
|
2012-06-29
|
JOHN WATERS INC
|
38
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/29/20120629075126P030004485414001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1990-01-15 |
Business code |
238220 |
Sponsor’s telephone number |
5028960850 |
Plan sponsor’s mailing address |
2315 WATTERSON TR, LOUISVILLE, KY, 40299 |
Plan sponsor’s
address |
2315 WATTERSON TRAIL, LOUISVILLE, KY, 40299 |
Plan administrator’s name and address
Administrator’s EIN |
611073507 |
Plan administrator’s name |
JOHN WATERS INC |
Plan administrator’s
address |
2315 WATTERSON TR, LOUISVILLE, KY, 40299 |
Administrator’s telephone number |
5028960850 |
Number of participants as of the end of the plan year
Active participants |
26 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
12 |
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 |
30 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-06-28 |
Name of individual signing |
TIM DAWSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN WATERS 401K PROFIT SHARING PLAN & TRUST
|
2009
|
611073507
|
2012-06-29
|
JOHN WATERS INC
|
32
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/29/20120629075104P030004485398001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1990-01-15 |
Business code |
238220 |
Sponsor’s telephone number |
5028960850 |
Plan sponsor’s mailing address |
2315 WATTERSON TR, LOUISVILLE, KY, 40299 |
Plan sponsor’s
address |
2315 WATTERSON TRAIL, LOUISVILLE, KY, 40299 |
Plan administrator’s name and address
Administrator’s EIN |
611073507 |
Plan administrator’s name |
JOHN WATERS INC |
Plan administrator’s
address |
2315 WATTERSON TR, LOUISVILLE, KY, 40299 |
Administrator’s telephone number |
5028960850 |
Number of participants as of the end of the plan year
Active participants |
27 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
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 |
17 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-06-28 |
Name of individual signing |
TIM DAWSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN WATERS INC 401 K PROFIT SHARING PLAN AND TRUST
|
2009
|
611073507
|
2011-07-08
|
JOHN WATERS INC
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/08/20110708113816P030089805297001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1989-04-01 |
Plan sponsor’s mailing address |
P O BOX 99819, 2315 WATTERSON TR, LOUISVILLE, KY, 40269 |
Plan sponsor’s
address |
P O BOX 99819, 2315 WATTERSON TR, LOUISVILLE, KY, 40269 |
Plan administrator’s name and address
Administrator’s EIN |
611073507 |
Plan administrator’s name |
JOHN WATERS INC |
Plan administrator’s
address |
P O BOX 99819, 2315 WATTERSON TR, LOUISVILLE, KY, 40269 |
|
JOHN WATERS 401K PROFIT SHARING PLAN & TRUST
|
2009
|
611073507
|
2011-02-28
|
JOHN WATERS INC
|
32
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
1990-01-15 |
Business code |
238220 |
Sponsor’s telephone number |
5028960850 |
Plan sponsor’s mailing address |
2315 WATTERSON TR, LOUISVILLE, KY, 40299 |
Plan sponsor’s
address |
2315 WATTERSON TRAIL, LOUISVILLE, KY, 40299 |
Plan administrator’s name and address
Administrator’s EIN |
611073507 |
Plan administrator’s name |
JOHN WATERS INC |
Plan administrator’s
address |
2315 WATTERSON TR, LOUISVILLE, KY, 40299 |
Administrator’s telephone number |
5028960850 |
Number of participants as of the end of the plan year
Active participants |
27 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
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 |
17 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-02-28 |
Name of individual signing |
TIM DAWSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN WATERS 401K PROFIT SHARING PLAN & TRUST
|
2009
|
611073507
|
2011-03-24
|
JOHN WATERS INC
|
38
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
1990-01-15 |
Business code |
238220 |
Sponsor’s telephone number |
5028960850 |
Plan sponsor’s mailing address |
2315 WATTERSON TR, LOUISVILLE, KY, 40299 |
Plan sponsor’s
address |
2315 WATTERSON TRAIL, LOUISVILLE, KY, 40299 |
Plan administrator’s name and address
Administrator’s EIN |
611073507 |
Plan administrator’s name |
JOHN WATERS INC |
Plan administrator’s
address |
2315 WATTERSON TR, LOUISVILLE, KY, 40299 |
Administrator’s telephone number |
5028960850 |
Number of participants as of the end of the plan year
Active participants |
26 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
12 |
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 |
30 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-03-23 |
Name of individual signing |
TIM DAWSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN WATERS 401K PROFIT SHARING PLAN & TRUST
|
2009
|
611073507
|
2011-02-28
|
JOHN WATERS INC
|
32
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
1990-01-15 |
Business code |
238220 |
Sponsor’s telephone number |
5028960850 |
Plan sponsor’s mailing address |
2315 WATTERSON TR, LOUISVILLE, KY, 40299 |
Plan sponsor’s
address |
2315 WATTERSON TRAIL, LOUISVILLE, KY, 40299 |
Plan administrator’s name and address
Administrator’s EIN |
611073507 |
Plan administrator’s name |
JOHN WATERS INC |
Plan administrator’s
address |
2315 WATTERSON TR, LOUISVILLE, KY, 40299 |
Administrator’s telephone number |
5028960850 |
Number of participants as of the end of the plan year
Active participants |
27 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
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 |
17 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-02-25 |
Name of individual signing |
TIM DAWSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN WATERS 401K PROFIT SHARING PLAN & TRUST
|
2009
|
611073507
|
2010-10-14
|
JOHN WATERS INC
|
32
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
1990-01-15 |
Business code |
238220 |
Sponsor’s telephone number |
5028960850 |
Plan sponsor’s mailing address |
2315 WATTERSON TR, LOUISVILLE, KY, 40299 |
Plan sponsor’s
address |
2315 WATTERSON TRAIL, LOUISVILLE, KY, 40299 |
Plan administrator’s name and address
Administrator’s EIN |
611073507 |
Plan administrator’s name |
JOHN WATERS INC |
Plan administrator’s
address |
2315 WATTERSON TR, LOUISVILLE, KY, 40299 |
Administrator’s telephone number |
5028960850 |
Number of participants as of the end of the plan year
Active participants |
27 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
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 |
17 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
TIM DAWSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|