KINGFISH, INC. 401(K) RETIREMENT SAVINGS PLAN
|
2023
|
611165396
|
2024-08-22
|
KINGFISH, INC.
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-07-01
|
Business code |
722511
|
Sponsor’s telephone number |
5023390565
|
Plan sponsor’s
address |
7400 NEW LAGRANGE RD, SUITE 303, LOUISVILLE, KY, 40222
|
Signature of
Role |
Plan administrator |
Date |
2024-08-22 |
Name of individual signing |
GREG WORTHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-08-22 |
Name of individual signing |
GREG WORTHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGFISH, INC. 401(K) RETIREMENT SAVINGS PLAN
|
2022
|
611165396
|
2023-10-11
|
KINGFISH, INC.
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-07-01
|
Business code |
722511
|
Sponsor’s telephone number |
5023390565
|
Plan sponsor’s
address |
7400 NEW LAGRANGE RD, SUITE 303, LOUISVILLE, KY, 40222
|
Signature of
Role |
Plan administrator |
Date |
2023-10-11 |
Name of individual signing |
GREG WORTHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGFISH INC MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
611165396
|
2024-05-15
|
KINGFISH INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-07-01
|
Business code |
722511
|
Sponsor’s telephone number |
5023390565
|
Plan sponsor’s
address |
7400 NEW LA GRANGE RD STE 303, LOUISVILLE, KY, 402224870
|
Plan administrator’s name and address
Administrator’s EIN |
200200514 |
Plan administrator’s name |
RECEIVERSHIP MANAGEMENT, INC. |
Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
Administrator’s telephone number |
6153700051 |
Signature of
Role |
Plan administrator |
Date |
2024-05-14 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGFISH, INC. 401(K) RETIREMENT SAVINGS PLAN
|
2021
|
611165396
|
2022-09-27
|
KINGFISH, INC.
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-07-01
|
Business code |
722511
|
Sponsor’s telephone number |
5023390565
|
Plan sponsor’s
address |
7400 LAGRANGE RD, SUITE 405, LOUISVILLE, KY, 40222
|
Signature of
Role |
Plan administrator |
Date |
2022-09-27 |
Name of individual signing |
GREG WORTHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGFISH, INC. 401(K) RETIREMENT SAVINGS PLAN
|
2020
|
611165396
|
2021-10-13
|
KINGFISH, INC.
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-07-01
|
Business code |
722511
|
Sponsor’s telephone number |
5023390565
|
Plan sponsor’s
address |
7400 NEW LAGRANGE ROAD STE 405, LOUISVILLE, KY, 402224870
|
Signature of
Role |
Plan administrator |
Date |
2021-10-13 |
Name of individual signing |
GREG WORTHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGFISH INC MEDOVA LIFESTYLE HEALTH PLAN
|
2020
|
611165396
|
2022-04-12
|
KINGFISH INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-07-01
|
Business code |
722511
|
Sponsor’s telephone number |
5023390565
|
Plan sponsor’s
address |
7400 NEW LA GRANGE RD STE 303, LOUISVILLE, KY, 402224870
|
Plan administrator’s name and address
Administrator’s EIN |
200200514 |
Plan administrator’s name |
RECEIVERSHIP MANAGEMENT INC |
Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
Administrator’s telephone number |
6153700051 |
Signature of
Role |
Plan administrator |
Date |
2022-03-08 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGFISH, INC. 401(K) RETIREMENT SAVINGS PLAN
|
2019
|
611165396
|
2020-10-12
|
KINGFISH, INC.
|
56
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-07-01
|
Business code |
722511
|
Sponsor’s telephone number |
5023390565
|
Plan sponsor’s
address |
7400 NEW LAGRANGE ROAD STE 405, LOUISVILLE, KY, 402224870
|
Signature of
Role |
Plan administrator |
Date |
2020-10-12 |
Name of individual signing |
GREGORY T. WORTHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-12 |
Name of individual signing |
GREGORY T. WORTHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGFISH, INC. 401(K) RETIREMENT SAVINGS PLAN
|
2018
|
611165396
|
2019-06-18
|
KINGFISH, INC.
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-07-01
|
Business code |
722511
|
Sponsor’s telephone number |
5023390565
|
Plan sponsor’s
address |
7400 NEW LAGRANGE ROAD STE 405, LOUISVILLE, KY, 402224870
|
Signature of
Role |
Plan administrator |
Date |
2019-06-18 |
Name of individual signing |
GREGORY T. WORTHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-18 |
Name of individual signing |
GREGORY T. WORTHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGFISH, INC. 401(K) RETIREMENT SAVINGS PLAN
|
2017
|
611165396
|
2018-07-12
|
KINGFISH, INC.
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-07-01
|
Business code |
722511
|
Sponsor’s telephone number |
5023390565
|
Plan sponsor’s
address |
7400 NEW LAGRANGE ROAD STE 405, LOUISVILLE, KY, 402224870
|
Signature of
Role |
Plan administrator |
Date |
2018-07-12 |
Name of individual signing |
GREGORY T. WORTHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-12 |
Name of individual signing |
GREGORY T. WORTHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGFISH, INC. 401K RETIREMENT PLAN
|
2016
|
611165396
|
2017-07-27
|
KINGFISH, INC.
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1961-06-07
|
Business code |
722511
|
Sponsor’s telephone number |
5023390565
|
Plan sponsor’s
address |
7400 NEW LAGRANGE ROAD STE 405, LOUISVILLE, KY, 402224870
|
Signature of
Role |
Plan administrator |
Date |
2017-07-27 |
Name of individual signing |
GREGORY T. WORTHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-27 |
Name of individual signing |
GREGORY T. WORTHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGFISH, INC. 401K RETIREMENT PLAN
|
2015
|
611165396
|
2016-07-26
|
KINGFISH, INC.
|
104
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/26/20160726154637P040051191553001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1961-06-07 |
Business code |
722511 |
Sponsor’s telephone number |
5023390565 |
Plan sponsor’s
address |
7400 NEW LAGRANGE ROAD STE 405, LOUISVILLE, KY, 402224870 |
Signature of
Role |
Plan administrator |
Date |
2016-07-26 |
Name of individual signing |
GREGORY T. WORTHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-26 |
Name of individual signing |
GREGORY T. WORTHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGFISH, INC. 401K RETIREMENT PLAN
|
2014
|
611165396
|
2015-07-21
|
KINGFISH, INC.
|
103
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/21/20150721075510P040102799063001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1961-06-07 |
Business code |
722511 |
Sponsor’s telephone number |
5023390565 |
Plan sponsor’s
address |
7400 NEW LAGRANGE ROAD STE 405, LOUISVILLE, KY, 402224870 |
Signature of
Role |
Plan administrator |
Date |
2015-07-21 |
Name of individual signing |
GREGORY T. WORTHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-21 |
Name of individual signing |
GREGORY T. WORTHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGFISH, INC. 401K RETIREMENT PLAN
|
2013
|
611165396
|
2014-05-14
|
KINGFISH, INC.
|
95
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/05/14/20140514124804P040391548561001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1961-06-07 |
Business code |
722511 |
Sponsor’s telephone number |
5023390565 |
Plan sponsor’s
address |
7400 NEW LAGRANGE ROAD STE 405, LOUISVILLE, KY, 402224870 |
Signature of
Role |
Plan administrator |
Date |
2014-05-14 |
Name of individual signing |
LAURA VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-14 |
Name of individual signing |
LAURA VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGFISH, INC. 401K RETIREMENT PLAN
|
2012
|
611165396
|
2013-04-16
|
KINGFISH, INC.
|
101
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/16/20130416103544P040176824099001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1961-06-07 |
Business code |
722511 |
Sponsor’s telephone number |
5023390565 |
Plan sponsor’s
address |
7400 NEW LAGRANGE ROAD STE 405, LOUISVILLE, KY, 402224870 |
Signature of
Role |
Plan administrator |
Date |
2013-04-16 |
Name of individual signing |
LAURA VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-16 |
Name of individual signing |
LAURA VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGFISH, INC. 401K RETIREMENT PLAN
|
2011
|
611165396
|
2012-05-07
|
KINGFISH, INC.
|
94
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/07/20120507100455P030009067650001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1961-06-07 |
Business code |
722110 |
Sponsor’s telephone number |
5023390565 |
Plan sponsor’s
address |
7400 NEW LAGRANGE ROAD STE 405, LOUISVILLE, KY, 402224870 |
Plan administrator’s name and address
Administrator’s EIN |
611165396 |
Plan administrator’s name |
KINGFISH, INC. |
Plan administrator’s
address |
7400 NEW LAGRANGE ROAD STE 405, LOUISVILLE, KY, 402224870 |
Administrator’s telephone number |
5023390565 |
Signature of
Role |
Plan administrator |
Date |
2012-05-07 |
Name of individual signing |
LAURA VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-07 |
Name of individual signing |
LAURA VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGFISH, INC. 401K RETIREMENT PLAN
|
2010
|
611165396
|
2011-05-09
|
KINGFISH, INC.
|
96
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/09/20110509135902P030263468928001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1961-06-07 |
Business code |
722110 |
Sponsor’s telephone number |
5023390565 |
Plan sponsor’s
address |
7400 NEW LAGRANGE ROAD STE 405, LOUISVILLE, KY, 402224870 |
Plan administrator’s name and address
Administrator’s EIN |
611165396 |
Plan administrator’s name |
KINGFISH, INC. |
Plan administrator’s
address |
7400 NEW LAGRANGE ROAD STE 405, LOUISVILLE, KY, 402224870 |
Administrator’s telephone number |
5023390565 |
Signature of
Role |
Plan administrator |
Date |
2011-05-09 |
Name of individual signing |
LAURA VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-09 |
Name of individual signing |
LAURA VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGFISH, INC. 401K RETIREMENT PLAN
|
2009
|
611165396
|
2010-06-08
|
KINGFISH, INC.
|
101
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/08/20100608101211P030100472338001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1961-06-07 |
Business code |
722110 |
Sponsor’s telephone number |
5023390565 |
Plan sponsor’s
address |
7400 NEW LAGRANGE ROAD STE 405, LOUISVILLE, KY, 402224870 |
Plan administrator’s name and address
Administrator’s EIN |
611165396 |
Plan administrator’s name |
KINGFISH, INC. |
Plan administrator’s
address |
7400 NEW LAGRANGE ROAD STE 405, LOUISVILLE, KY, 402224870 |
Administrator’s telephone number |
5023390565 |
Signature of
Role |
Plan administrator |
Date |
2010-06-08 |
Name of individual signing |
LAURA VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-08 |
Name of individual signing |
LAURA VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|