TAX DEFERRED ANNUITY PLAN BELLEWOOD PRESBYTERIAN HOME FOR CHILDREN, INC.
|
2014
|
610444793
|
2015-07-29
|
BELLEWOOD PRESBYTERIAN HOME FOR CHILDREN, INC.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-05-01
|
Business code |
624200
|
Sponsor’s telephone number |
5025150405
|
Plan sponsor’s
address |
3121 BROOKLAWN CAMPUS DRIVE, LOUISVILLE, KY, 40218
|
Signature of
Role |
Plan administrator |
Date |
2015-07-29 |
Name of individual signing |
MAMIE NELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF BELLEWOOD PRESBYTERIAN HOME FOR CHILDREN, INC.
|
2013
|
610444793
|
2014-07-30
|
BELLEWOOD PRESBYTERIAN HOME FOR CHILDREN, INC.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-05-01
|
Business code |
624200
|
Sponsor’s telephone number |
5025150405
|
Plan sponsor’s
address |
C/O USPIRITUS, INC., 3121 BROOKLAWN CAMPUS DRIVE, LOUISVILLE, KY, 40218
|
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
MAMIE NELSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROOKLAWN PREMIUM ONLY PLAN
|
2011
|
610471572
|
2013-02-26
|
BROOKLAWN, INCORPORATED
|
147
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-05-01
|
Business code |
813000
|
Sponsor’s telephone number |
5024515177
|
Plan sponsor’s mailing address |
3121 BROOKLAWN CAMPUS DRIVE, LOUISVILLE, KY, 40218
|
Plan sponsor’s
address |
3121 BROOKLAWN CAMPUS DRIVE, LOUISVILLE, KY, 40218
|
Plan administrator’s name and address
Administrator’s EIN |
610471572 |
Plan administrator’s name |
BROOKLAWN, INCORPORATED |
Plan administrator’s
address |
3121 BROOKLAWN CAMPUS DRIVE, LOUISVILLE, KY, 40218 |
Administrator’s telephone number |
5024515177 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-02-04 |
Name of individual signing |
MARY KATE POLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF BELLEWOOD PRESBYTERIAN HOME FOR CHILDREN, INC
|
2011
|
610444793
|
2012-07-30
|
BELLEWOOD PRESBYTERIAN HOME FOR CHILDREN, INC
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-05-01
|
Business code |
624200
|
Sponsor’s telephone number |
5022454171
|
Plan sponsor’s
address |
11103 PARK ROAD, LOUISVILLE, KY, 40223
|
Plan administrator’s name and address
Administrator’s EIN |
610444793 |
Plan administrator’s name |
BELLEWOOD PRESBYTERIAN HOME FOR CHILDREN, INC |
Plan administrator’s
address |
11103 PARK ROAD, LOUISVILLE, KY, 40223 |
Administrator’s telephone number |
5022454171 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
BRAD WILLIAMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROOKLAWN PREMIUM ONLY PLAN
|
2010
|
610471572
|
2011-11-22
|
BROOKLAWN, INCORPORATED
|
166
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-05-01
|
Business code |
813000
|
Sponsor’s telephone number |
5024515177
|
Plan sponsor’s mailing address |
2125 GOLDSMITH LANE, LOUISVILLE, KY, 40218
|
Plan sponsor’s
address |
2125 GOLDSMITH LANE, LOUISVILLE, KY, 40218
|
Plan administrator’s name and address
Administrator’s EIN |
610471572 |
Plan administrator’s name |
BROOKLAWN, INCORPORATED |
Plan administrator’s
address |
2125 GOLDSMITH LANE, LOUISVILLE, KY, 40218 |
Administrator’s telephone number |
5024515177 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-11-04 |
Name of individual signing |
MARY KATE POLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROOKLAWN PREMIUM ONLY PLAN
|
2009
|
610471572
|
2011-12-20
|
BROOKLAWN, INCORPORATED
|
210
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-05-01
|
Business code |
813000
|
Sponsor’s telephone number |
5024515177
|
Plan sponsor’s mailing address |
2125 GOLDSMITH LANE, LOUISVILLE, KY, 40218
|
Plan sponsor’s
address |
3121 BROOKLAWN CAMPUS DRIVE, LOUISVILLE, KY, 40218
|
Plan administrator’s name and address
Administrator’s EIN |
610471572 |
Plan administrator’s name |
BROOKLAWN, INCORPORATED |
Plan administrator’s
address |
2125 GOLDSMITH LANE, LOUISVILLE, KY, 40218 |
Administrator’s telephone number |
5024515177 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-12-07 |
Name of individual signing |
MARY KATE POLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF BELLEWOOD PRESBYTERIAN HOME FOR CHILDREN, INC.
|
2009
|
610044793
|
2010-10-14
|
BELLEWOOD PRESBYTERIAN HOME FOR CHILDREN, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1984-05-01
|
Business code |
624200
|
Sponsor’s telephone number |
5022454171
|
Plan sponsor’s
address |
11103 PARK ROAD, LOUISVILLE, KY, 40223
|
Plan administrator’s name and address
Administrator’s EIN |
610044793 |
Plan administrator’s name |
BELLEWOOD PRESBYTERIAN HOME FOR CHILDREN, INC. |
Plan administrator’s
address |
11103 PARK ROAD, LOUISVILLE, KY, 40223 |
Administrator’s telephone number |
5022454171 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
RUTH DUNBAR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|