RICHARD A. ADRIO D.M.D., P.S.C. 401K PROFIT SHARING PLAN
|
2021
|
611285978
|
2022-09-13
|
RICHARD A. ADRIO D.M.D., P.S.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028950474
|
Plan sponsor’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207
|
Signature of
Role |
Plan administrator |
Date |
2022-09-13 |
Name of individual signing |
JEAN F. BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD A. ADRIO D.M.D., P.S.C. 401K PROFIT SHARING PLAN
|
2021
|
611285978
|
2022-08-01
|
RICHARD A. ADRIO D.M.D., P.S.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028950474
|
Plan sponsor’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207
|
Signature of
Role |
Plan administrator |
Date |
2022-08-01 |
Name of individual signing |
JEAN F. BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD A. ADRIO D.M.D., P.S.C. 401K PROFIT SHARING PLAN
|
2020
|
611285978
|
2021-06-07
|
RICHARD A. ADRIO D.M.D., P.S.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028950474
|
Plan sponsor’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
Administrator’s EIN |
611285978 |
Plan administrator’s name |
RICHARD A. ADRIO D.M.D., P.S.C. |
Plan administrator’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028950474 |
Signature of
Role |
Plan administrator |
Date |
2021-06-07 |
Name of individual signing |
JEAN F. BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD A. ADRIO D.M.D., P.S.C. 401K PROFIT SHARING PLAN
|
2019
|
611285978
|
2020-04-17
|
RICHARD A. ADRIO D.M.D., P.S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028950474
|
Plan sponsor’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
Administrator’s EIN |
611285978 |
Plan administrator’s name |
RICHARD A. ADRIO D.M.D., P.S.C. |
Plan administrator’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028950474 |
Signature of
Role |
Plan administrator |
Date |
2020-04-17 |
Name of individual signing |
JEAN F. BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD A. ADRIO D.M.D., P.S.C. 401K PROFIT SHARING PLAN
|
2018
|
611285978
|
2019-04-19
|
RICHARD A. ADRIO D.M.D., P.S.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028950474
|
Plan sponsor’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
Administrator’s EIN |
611285978 |
Plan administrator’s name |
RICHARD A. ADRIO D.M.D., P.S.C. |
Plan administrator’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028950474 |
Signature of
Role |
Plan administrator |
Date |
2019-04-19 |
Name of individual signing |
JEAN F. BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD A. ADRIO D.M.D., P.S.C. 401K PROFIT SHARING PLAN
|
2017
|
611285978
|
2018-05-29
|
RICHARD A. ADRIO D.M.D., P.S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028950474
|
Plan sponsor’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
Administrator’s EIN |
611285978 |
Plan administrator’s name |
RICHARD A. ADRIO D.M.D., P.S.C. |
Plan administrator’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028950474 |
Signature of
Role |
Plan administrator |
Date |
2018-05-29 |
Name of individual signing |
JEAN F. BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD A. ADRIO D.M.D., P.S.C. 401K PROFIT SHARING PLAN
|
2016
|
611285978
|
2017-09-15
|
RICHARD A. ADRIO D.M.D., P.S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028950474
|
Plan sponsor’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
Administrator’s EIN |
611285978 |
Plan administrator’s name |
RICHARD A. ADRIO D.M.D., P.S.C. |
Plan administrator’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028950474 |
Signature of
Role |
Plan administrator |
Date |
2017-09-15 |
Name of individual signing |
JEAN F. BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD A. ADRIO D.M.D., P.S.C. 401K PROFIT SHARING PLAN
|
2015
|
611285978
|
2016-05-20
|
RICHARD A. ADRIO D.M.D., P.S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028950474
|
Plan sponsor’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
Administrator’s EIN |
611285978 |
Plan administrator’s name |
RICHARD A. ADRIO D.M.D., P.S.C. |
Plan administrator’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028950474 |
Signature of
Role |
Plan administrator |
Date |
2016-05-20 |
Name of individual signing |
JEAN F. BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD A. ADRIO D.M.D., P.S.C. 401K PROFIT SHARING PLAN
|
2014
|
611285978
|
2015-06-05
|
RICHARD A. ADRIO D.M.D., P.S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028950474
|
Plan sponsor’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
Administrator’s EIN |
611285978 |
Plan administrator’s name |
RICHARD A. ADRIO D.M.D., P.S.C. |
Plan administrator’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028950474 |
Signature of
Role |
Plan administrator |
Date |
2015-06-05 |
Name of individual signing |
JEAN F. BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD A. ADRIO D.M.D., P.S.C. 401K PROFIT SHARING PLAN
|
2013
|
611285978
|
2014-06-09
|
RICHARD A. ADRIO D.M.D., P.S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5028950474
|
Plan sponsor’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
Administrator’s EIN |
611285978 |
Plan administrator’s name |
RICHARD A. ADRIO D.M.D., P.S.C. |
Plan administrator’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028950474 |
Signature of
Role |
Plan administrator |
Date |
2014-06-09 |
Name of individual signing |
JEAN F. BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD A. ADRIO D.M.D., P.S.C. 401K PROFIT SHARING PLAN
|
2012
|
611285978
|
2013-04-19
|
RICHARD A. ADRIO D.M.D., P.S.C.
|
4
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/19/20130419094012P030177973283001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
5028950474 |
Plan sponsor’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207 |
Plan administrator’s name and address
Administrator’s EIN |
611285978 |
Plan administrator’s name |
RICHARD A. ADRIO D.M.D., P.S.C. |
Plan administrator’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028950474 |
Signature of
Role |
Plan administrator |
Date |
2013-04-19 |
Name of individual signing |
JEAN F. BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD A. ADRIO D.M.D., P.S.C. 401K PROFIT SHARING PLAN
|
2011
|
611285978
|
2012-08-30
|
RICHARD A. ADRIO D.M.D., P.S.C.
|
5
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/08/30/20120830080550P030041631938001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
5028950474 |
Plan sponsor’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207 |
Plan administrator’s name and address
Administrator’s EIN |
611285978 |
Plan administrator’s name |
RICHARD A. ADRIO D.M.D., P.S.C. |
Plan administrator’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028950474 |
Signature of
Role |
Plan administrator |
Date |
2012-08-30 |
Name of individual signing |
JEAN F. BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD A. ADRIO D.M.D., P.S.C. 401K PROFIT SHARING PLAN
|
2010
|
611285978
|
2011-09-22
|
RICHARD A. ADRIO D.M.D., P.S.C.
|
5
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/22/20110922131600P030134884833001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
5028950474 |
Plan sponsor’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207 |
Plan administrator’s name and address
Administrator’s EIN |
611285978 |
Plan administrator’s name |
RICHARD A. ADRIO D.M.D., P.S.C. |
Plan administrator’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028950474 |
Signature of
Role |
Plan administrator |
Date |
2011-09-22 |
Name of individual signing |
JEAN F. BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RICHARD A. ADRIO D.M.D., P.S.C. 401K PROFIT SHARING PLAN
|
2009
|
611285978
|
2010-06-08
|
RICHARD A. ADRIO, D.M.D., P.S.C.
|
5
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/08/20100608184628P030030322339001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
621210 |
Sponsor’s telephone number |
5028950474 |
Plan sponsor’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207 |
Plan administrator’s name and address
Administrator’s EIN |
611285978 |
Plan administrator’s name |
RICHARD A. ADRIO, D.M.D., P.S.C. |
Plan administrator’s
address |
209 BRECKENRIDGE LANE, LOUISVILLE, KY, 40207 |
Administrator’s telephone number |
5028950474 |
Signature of
Role |
Plan administrator |
Date |
2010-06-08 |
Name of individual signing |
JEAN F. BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-08 |
Name of individual signing |
JEAN F. BURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|