401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF WELLSPRING, INC.
|
2023
|
311020023
|
2024-10-08
|
WELLSPRING, INC.
|
71
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
5026374361
|
Plan sponsor’s
address |
PO BOX 1927, LOUISVILLE, KY, 402011927
|
Signature of
Role |
Plan administrator |
Date |
2024-10-08 |
Name of individual signing |
RICK ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF WELLSPRING, INC.
|
2022
|
311020023
|
2024-01-29
|
WELLSPRING, INC.
|
66
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
5026374361
|
Plan sponsor’s
address |
PO BOX 1927, LOUISVILLE, KY, 402011927
|
Signature of
Role |
Plan administrator |
Date |
2024-01-29 |
Name of individual signing |
RICK ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF WELLSPRING, INC.
|
2021
|
311020023
|
2023-04-11
|
WELLSPRING, INC.
|
72
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
5026374361
|
Plan sponsor’s
address |
PO BOX 1927, LOUISVILLE, KY, 402011927
|
Signature of
Role |
Plan administrator |
Date |
2023-04-11 |
Name of individual signing |
RICK ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF WELLSPRING, INC.
|
2021
|
311020023
|
2023-04-06
|
WELLSPRING, INC.
|
72
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-04-01
|
Sponsor’s telephone number |
5026374361
|
Plan sponsor’s
address |
PO BOX 1927, LOUISVILLE, KY, 402011927
|
Signature of
Role |
Plan administrator |
Date |
2023-04-06 |
Name of individual signing |
RICK ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF WELLSPRING, INC.
|
2020
|
311020023
|
2022-04-12
|
WELLSPRING, INC.
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-04-01
|
Business code |
621420
|
Sponsor’s telephone number |
5026374361
|
Plan sponsor’s
address |
PO BOX 1927, LOUISVILLE, KY, 402011927
|
Signature of
Role |
Plan administrator |
Date |
2022-04-12 |
Name of individual signing |
RICK ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF WELLSPRING, INC.
|
2019
|
311020023
|
2020-08-27
|
WELLSPRING, INC.
|
37
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-04-01
|
Business code |
621420
|
Sponsor’s telephone number |
5026374361
|
Plan sponsor’s
address |
PO BOX 1927, LOUISVILLE, KY, 402011927
|
Signature of
Role |
Plan administrator |
Date |
2020-08-27 |
Name of individual signing |
RICK ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF WELLSPRING, INC.
|
2019
|
311020023
|
2020-11-18
|
WELLSPRING, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-04-01
|
Business code |
621420
|
Sponsor’s telephone number |
5026374361
|
Plan sponsor’s
address |
PO BOX 1927, LOUISVILLE, KY, 402011927
|
Signature of
Role |
Plan administrator |
Date |
2020-11-18 |
Name of individual signing |
RICK ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF WELLSPRING, INC.
|
2018
|
311020023
|
2020-08-27
|
WELLSPRING, INC.
|
32
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-04-01
|
Business code |
621420
|
Sponsor’s telephone number |
5026374361
|
Plan sponsor’s
address |
PO BOX 1927, LOUISVILLE, KY, 402011927
|
Signature of
Role |
Plan administrator |
Date |
2020-08-27 |
Name of individual signing |
RICK ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF WELLSPRING, INC.
|
2018
|
311020023
|
2020-11-18
|
WELLSPRING, INC.
|
80
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-04-01
|
Business code |
621420
|
Sponsor’s telephone number |
5026374361
|
Plan sponsor’s
address |
PO BOX 1927, LOUISVILLE, KY, 402011927
|
Signature of
Role |
Plan administrator |
Date |
2020-11-18 |
Name of individual signing |
RICK ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF WELLSPRING, INC.
|
2017
|
311020023
|
2019-04-11
|
WELLSPRING, INC.
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
5026374361
|
Plan sponsor’s
address |
PO BOX 1927, LOUISVILLE, KY, 402011927
|
Signature of
Role |
Plan administrator |
Date |
2019-04-11 |
Name of individual signing |
RICK ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF WELLSPRING, INC WELLSPRING, INC
|
2016
|
311020023
|
2018-01-29
|
WELLSPRING, INC.
|
65
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2018/01/29/20180129115052P030002366421001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2012-04-01 |
Business code |
623000 |
Sponsor’s telephone number |
5026374361 |
Plan sponsor’s
address |
PO BOX 1927, LOUISVILLE, KY, 402011927 |
Signature of
Role |
Plan administrator |
Date |
2018-01-29 |
Name of individual signing |
JOHN ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-01-29 |
Name of individual signing |
JOHN ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF WELLSPRING, INC.
|
2015
|
311020023
|
2017-01-12
|
WELLSPRING, INC.
|
56
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/01/12/20170112142715P030026273933001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2012-04-01 |
Business code |
623000 |
Sponsor’s telephone number |
5026374361 |
Plan sponsor’s
address |
PO BOX 1927, LOUISVILLE, KY, 402011927 |
Signature of
Role |
Plan administrator |
Date |
2017-01-12 |
Name of individual signing |
RICK ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-01-12 |
Name of individual signing |
RICK ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF WELLSPRING, INC.
|
2013
|
311020023
|
2014-12-02
|
WELLSPRING, INC.
|
58
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/12/02/20141202083526P040043866669001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2012-04-01 |
Business code |
623000 |
Sponsor’s telephone number |
5026374361 |
Plan sponsor’s
address |
PO BOX 1927, LOUISVILLE, KY, 40201 |
Signature of
Role |
Plan administrator |
Date |
2014-12-02 |
Name of individual signing |
AMY GEORGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-12-02 |
Name of individual signing |
AMY GEORGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF WELLSPRING, INC.
|
2012
|
311020023
|
2013-09-26
|
WELLSPRING, INC.
|
54
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/26/20130926134235P030003810277001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2012-04-01 |
Business code |
623000 |
Sponsor’s telephone number |
5026374361 |
Plan sponsor’s
address |
PO BOX 1927, LOUISVILLE, KY, 40201 |
Signature of
Role |
Plan administrator |
Date |
2013-09-26 |
Name of individual signing |
AMY GEORGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-26 |
Name of individual signing |
AMY GEORGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403B THRIFTPLAN OF WELLSPRING, INC.
|
2012
|
311020023
|
2013-07-02
|
WELLSPRING, INC.
|
73
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/02/20130702101046P040362730945001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2002-05-01 |
Business code |
623000 |
Sponsor’s telephone number |
5027531455 |
Plan sponsor’s
address |
PO BOX 1927, LOUISVILLE, KY, 402011927 |
Signature of
Role |
Plan administrator |
Date |
2013-07-02 |
Name of individual signing |
AMY GEORGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF WELLSPRING, INC.
|
2011
|
311020023
|
2012-12-13
|
WELLSPRING, INC.
|
0
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/12/13/20121213090545P040003416933001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2012-04-01 |
Business code |
623000 |
Sponsor’s telephone number |
5026374361 |
Plan sponsor’s
address |
PO BOX 1927, LOUISVILLE, KY, 40201 |
Plan administrator’s name and address
Administrator’s EIN |
311020023 |
Plan administrator’s name |
WELLSPRING, INC. |
Plan administrator’s
address |
PO BOX 1927, LOUISVILLE, KY, 40201 |
Administrator’s telephone number |
5026374361 |
Signature of
Role |
Plan administrator |
Date |
2012-12-13 |
Name of individual signing |
AMY GEORGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-12-13 |
Name of individual signing |
AMY GEORGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF WELLSPRING, INC.
|
2009
|
311020023
|
2011-03-28
|
WELLSPRING, INC.
|
119
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/03/28/20110328101002P030153881568001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2002-05-01 |
Business code |
623000 |
Sponsor’s telephone number |
5026374361 |
Plan sponsor’s
address |
PO BOX 1927, LOUISVILLE, KY, 40201 |
Plan administrator’s name and address
Administrator’s EIN |
311020023 |
Plan administrator’s name |
WELLSPRING, INC. |
Plan administrator’s
address |
PO BOX 1927, LOUISVILLE, KY, 40201 |
Administrator’s telephone number |
5026374361 |
Signature of
Role |
Plan administrator |
Date |
2011-03-28 |
Name of individual signing |
AMY WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-28 |
Name of individual signing |
AMY WILSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|