HEAD BASEMENT WALLS INC CBS BENEFIT PLAN
|
2023
|
611280255
|
2024-04-29
|
HEAD BASEMENT WALLS INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-01-01
|
Business code |
238100
|
Sponsor’s telephone number |
5023338846
|
Plan sponsor’s
address |
665 HEAD LANE, BARDSTOWN, KY, 40004
|
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 |
2024-04-29 |
Name of individual signing |
SHAWNA BURTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEAD BASEMENT WALLS INC CBS BENEFIT PLAN
|
2022
|
611280255
|
2023-12-27
|
HEAD BASEMENT WALLS INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-01-01
|
Business code |
238100
|
Sponsor’s telephone number |
5023338846
|
Plan sponsor’s
address |
665 HEAD LANE, BARDSTOWN, KY, 40004
|
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 |
2023-12-27 |
Name of individual signing |
SHAWNA BURTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEAD BASEMENT WALLS INC CBS BENEFIT PLAN
|
2021
|
611280255
|
2022-12-29
|
HEAD BASEMENT WALLS INC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-01-01
|
Business code |
238100
|
Sponsor’s telephone number |
5023338846
|
Plan sponsor’s
address |
665 HEAD LANE, BARDSTOWN, KY, 40004
|
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 |
2022-12-29 |
Name of individual signing |
SHAWNA BURTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEAD BASEMENT WALLS INC CBS BENEFIT PLAN
|
2020
|
611280255
|
2021-12-14
|
HEAD BASEMENT WALLS INC
|
5
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-01-01
|
Business code |
238100
|
Sponsor’s telephone number |
5023338846
|
Plan sponsor’s
address |
665 HEAD LANE, BARDSTOWN, KY, 40004
|
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 |
|
|
HEAD BASEMENT WALLS, INC. 401(K) RETIREMENT PLAN
|
2016
|
611280255
|
2018-10-24
|
HEAD BASEMENT WALLS, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-04-01
|
Business code |
238100
|
Sponsor’s telephone number |
5023338846
|
Plan sponsor’s
address |
665 HEAD LANE, BARDSTOWN, KY, 40004
|
Signature of
Role |
Plan administrator |
Date |
2018-10-24 |
Name of individual signing |
KELLY HEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-24 |
Name of individual signing |
KELLY HEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEAD BASEMENT WALLS, INC. 401(K) RETIREMENT PLAN
|
2016
|
611280255
|
2017-08-21
|
HEAD BASEMENT WALLS, INC.
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-04-01
|
Business code |
238100
|
Sponsor’s telephone number |
5023338846
|
Plan sponsor’s
address |
665 HEAD LANE, BARDSTOWN, KY, 40004
|
Signature of
Role |
Plan administrator |
Date |
2017-08-21 |
Name of individual signing |
KELLY HEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-21 |
Name of individual signing |
KELLY HEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEAD BASEMENT WALLS, INC. 401(K) RETIREMENT PLAN
|
2015
|
611280255
|
2016-09-08
|
HEAD BASEMENT WALLS, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-04-01
|
Business code |
238100
|
Sponsor’s telephone number |
5023338846
|
Plan sponsor’s
address |
665 HEAD LANE, BARDSTOWN, KY, 40004
|
Signature of
Role |
Plan administrator |
Date |
2016-09-08 |
Name of individual signing |
KELLY HEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-08 |
Name of individual signing |
KELLY HEAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|