|
HENRY A. PETTER SUPPLY CO LLC EMPLOYEE FUND MEDICAL & RX
|
2010
|
610675180
|
2011-07-12
|
HENRY A PETTER SUPPLY COMPANY LLC
|
128
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2006-01-01
|
| Business code |
423800
|
| Sponsor’s telephone number |
2704432441
|
| Plan sponsor’s mailing address |
5110 CHARTER OAK DRIVE, PADUCAH, KY, 42001
|
| Plan sponsor’s
address |
5110 CHARTER OAK DRIVE, PADUCAH, KY, 42001
|
Plan administrator’s name and address
| Administrator’s EIN |
610675180 |
| Plan administrator’s name |
HENRY A PETTER SUPPLY COMPANY LLC |
| Plan administrator’s
address |
5110 CHARTER OAK DRIVE, PADUCAH, KY, 42001 |
| Administrator’s telephone number |
2704432441 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-12 |
| Name of individual signing |
JOHN E. SIRCY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HENRY A. PETTER SUPPLY CO LLC EMPLOYEE BENEFIT FUND MEDICAL & RX
|
2009
|
610675180
|
2010-07-30
|
HENRY A PETTER SUPPLY COMPANY LLC
|
166
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2006-01-01
|
| Business code |
423600
|
| Sponsor’s telephone number |
2704432441
|
| Plan sponsor’s mailing address |
5110 CHARTER OAK DRIVE, PADUCAH, KY, 42001
|
| Plan sponsor’s
address |
5110 CHARTER OAK DRIVE, PADUCAH, KY, 42001
|
Plan administrator’s name and address
| Administrator’s EIN |
610675180 |
| Plan administrator’s name |
HENRY A PETTER SUPPLY COMPANY LLC |
| Plan administrator’s
address |
5110 CHARTER OAK DRIVE, PADUCAH, KY, 42001 |
| Administrator’s telephone number |
2704432441 |
Number of participants as of the end of the plan year
| Active participants |
125 |
| Retired or separated participants receiving
benefits |
3 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-30 |
| Name of individual signing |
JOHN E. SIRCY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-30 |
| Name of individual signing |
JOHN E. SIRCY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HENRY A. PETTER SUPPLY COMPANY 401K SAVINGS PLAN
|
2009
|
610675180
|
2010-08-12
|
HENRY A. PETTER SUPPLY COMPANY
|
210
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1975-01-01
|
| Business code |
423700
|
| Sponsor’s telephone number |
2704432441
|
| Plan sponsor’s mailing address |
P.O. BOX 2350, PADUCAH, KY, 420022350
|
| Plan sponsor’s
address |
5110 CHARTER OAK DRIVE, PADUCAH, KY, 42001
|
Plan administrator’s name and address
| Administrator’s EIN |
610675180 |
| Plan administrator’s name |
HENRY A. PETTER SUPPLY COMPANY |
| Plan administrator’s
address |
P.O. BOX 2350, PADUCAH, KY, 420022350 |
| Administrator’s telephone number |
2704432441 |
Number of participants as of the end of the plan year
| Active participants |
211 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
35 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
194 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
8 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-12 |
| Name of individual signing |
JOHN SIRCY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HENRY A PETTER SUPPLY COMPANY EMPLOYEE CAFETERIA PLAN
|
2009
|
610675180
|
2010-07-30
|
HENRY A PETTER SUPPLY COMPANY LLC
|
166
|
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2006-01-01
|
| Business code |
423600
|
| Sponsor’s telephone number |
2704432441
|
| Plan sponsor’s mailing address |
5110 CHARTER OAK DRIVE, PADUCAH, KY, 42001
|
| Plan sponsor’s
address |
5110 CHARTER OAK DRIVE, PADUCAH, KY, 42001
|
Plan administrator’s name and address
| Administrator’s EIN |
610675180 |
| Plan administrator’s name |
HENRY A PETTER SUPPLY COMPANY LLC |
| Plan administrator’s
address |
5110 CHARTER OAK DRIVE, PADUCAH, KY, 42001 |
| Administrator’s telephone number |
2704432441 |
Number of participants as of the end of the plan year
| Active participants |
125 |
| Retired or separated participants receiving
benefits |
3 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-30 |
| Name of individual signing |
JOHN E. SIRCY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-30 |
| Name of individual signing |
JOHN SIRCY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
