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BLITZ BUILDERS, INC.

Company Details

Name: BLITZ BUILDERS, INC.
Legal type: Name Reservation
Status: Deleted
File Date: 14 Sep 2000 (25 years ago)
Authority Date: 15 Sep 2000 (25 years ago)
Organization Number: 0501033

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BLITZ BUILDERS INC CBS BENEFIT PLAN 2023 351705379 2024-04-29 BLITZ BUILDERS INC 20
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-07-01
Business code 238900
Sponsor’s telephone number 5026331075
Plan sponsor’s address 1173 BROOKS INDUSTRIAL RD, SHELBYVILLE, KY, 40065

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
BLITZ BUILDERS INC CBS BENEFIT PLAN 2022 351705379 2023-12-27 BLITZ BUILDERS INC 16
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-07-01
Business code 238900
Sponsor’s telephone number 5026331075
Plan sponsor’s address 1173 BROOKS INDUSTRIAL RD, SHELBYVILLE, KY, 40065

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
BLITZ BUILDERS INC CBS BENEFIT PLAN 2021 351705379 2022-12-29 BLITZ BUILDERS INC 23
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-07-01
Business code 238900
Sponsor’s telephone number 5026331075
Plan sponsor’s address 1173 BROOKS INDUSTRIAL RD, SHELBYVILLE, KY, 40065

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
BLITZ BUILDERS, INC. 401K PLAN AND TRUST 2021 351705379 2022-06-27 BLITZ BUILDERS, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 236200
Sponsor’s telephone number 5026331071
Plan sponsor’s address P.O. BOX 458, 1173 BROOK INDUSTRIAL, SHELBYVILLE, KY, 40066

Signature of
Role Plan administrator
Date 2022-06-27
Name of individual signing REBECCA KIRTS
Valid signature Filed with authorized/valid electronic signature
BLITZ BUILDERS INC CBS BENEFIT PLAN 2020 351705379 2021-12-14 BLITZ BUILDERS INC 16
File View Page
Three-digit plan number (PN) 501
Effective date of plan 2020-07-01
Business code 238900
Sponsor’s telephone number 5026331075
Plan sponsor’s address 1173 BROOKS INDUSTRIAL RD, SHELBYVILLE, KY, 40065

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
BLITZ BUILDERS, INC. 401K PLAN AND TRUST 2020 351705379 2021-09-13 BLITZ BUILDERS, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 236200
Sponsor’s telephone number 5026331071
Plan sponsor’s address P.O. BOX 458, 1173 BROOK INDUSTRIAL, SHELBYVILLE, KY, 40066

Signature of
Role Plan administrator
Date 2021-09-13
Name of individual signing REBECCA KIRTS
Valid signature Filed with authorized/valid electronic signature
BLITZ BUILDERS, INC. 401K PLAN AND TRUST 2019 351705379 2020-06-26 BLITZ BUILDERS, INC. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 236200
Sponsor’s telephone number 5026331071
Plan sponsor’s address P.O. BOX 458, 1173 BROOK INDUSTRIAL, SHELBYVILLE, KY, 40066

Signature of
Role Plan administrator
Date 2020-06-26
Name of individual signing REBECCA KIRTS
Valid signature Filed with authorized/valid electronic signature
BLITZ BUILDERS, INC. 401K PLAN AND TRUST 2018 351705379 2019-09-26 BLITZ BUILDERS, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 236200
Sponsor’s telephone number 5026331071
Plan sponsor’s address P.O. BOX 458, 1173 BROOK INDUSTRIAL, SHELBYVILLE, KY, 40066

Signature of
Role Plan administrator
Date 2019-09-26
Name of individual signing REBECCA KIRTS
Valid signature Filed with authorized/valid electronic signature
BLITZ BUILDERS, INC. 401K PLAN AND TRUST 2017 351705379 2018-09-28 BLITZ BUILDERS, INC. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 236200
Sponsor’s telephone number 5026331071
Plan sponsor’s address P.O. BOX 458, 1173 BROOK INDUSTRIAL, SHELBYVILLE, KY, 40066

Signature of
Role Plan administrator
Date 2018-09-28
Name of individual signing REBECCA KIRTS
Valid signature Filed with authorized/valid electronic signature
BLITZ BUILDERS, INC. 401K PLAN AND TRUST 2016 351705379 2017-09-13 BLITZ BUILDERS, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 236200
Sponsor’s telephone number 5026331071
Plan sponsor’s address P.O. BOX 458, 1173 BROOK INDUSTRIAL, SHELBYVILLE, KY, 40066

Signature of
Role Plan administrator
Date 2017-09-13
Name of individual signing REBECCA KIRTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/09/26/20160926135947P030009361805001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 236200
Sponsor’s telephone number 5026331071
Plan sponsor’s address P.O. BOX 458, 1173 BROOK INDUSTRIAL, SHELBYVILLE, KY, 40066

Signature of
Role Plan administrator
Date 2016-09-26
Name of individual signing REBECCA KIRTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/24/20150724130109P030114677047001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 236200
Sponsor’s telephone number 5026331071
Plan sponsor’s address P.O. BOX 458, 1173 BROOK INDUSTRIAL, SHELBYVILLE, KY, 40066

Signature of
Role Plan administrator
Date 2015-07-24
Name of individual signing REBECCA S. KIRTS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-24
Name of individual signing REBECCA S KIRTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/16/20140716102606P030041547079001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 236200
Sponsor’s telephone number 5026331071
Plan sponsor’s address P.O. BOX 458, 1173 BROOK INDUSTRIAL, SHELBYVILLE, KY, 40066

Signature of
Role Plan administrator
Date 2014-07-16
Name of individual signing REBECCA KIRTS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-16
Name of individual signing REBECCA KIRTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/26/20130926113841P030007613539001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 236200
Sponsor’s telephone number 5026331071
Plan sponsor’s address P.O. BOX 458, 1173 BROOK INDUSTRIAL, SHELBYVILLE, KY, 40066

Signature of
Role Plan administrator
Date 2013-09-26
Name of individual signing REBECCA KIRTS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-09-26
Name of individual signing REBECCA KIRTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/09/26/20120926140803P040001054343001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 236200
Sponsor’s telephone number 5026331071
Plan sponsor’s address P.O. BOX 458, 1173 BROOK INDUSTRIAL, SHELBYVILLE, KY, 40066

Plan administrator’s name and address
Administrator’s EIN 351705379
Plan administrator’s name BLITZ BUILDERS, INC.
Plan administrator’s address P.O. BOX 458, 1173 BROOK INDUSTRIAL, SHELBYVILLE, KY, 40066
Administrator’s telephone number 5026331071

Signature of
Role Plan administrator
Date 2012-09-26
Name of individual signing REBECCA S KIRTS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-26
Name of individual signing REBECCA S KIRTS
Valid signature Filed with authorized/valid electronic signature
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 236200
Sponsor’s telephone number 5026331071
Plan sponsor’s address P.O. BOX 458, SHELBYVILLE, KY, 40066

Plan administrator’s name and address
Administrator’s EIN 351705379
Plan administrator’s name BLITZ BUILDERS, INC.
Plan administrator’s address P.O. BOX 458, SHELBYVILLE, KY, 40066
Administrator’s telephone number 5026331071

Signature of
Role Plan administrator
Date 2011-09-20
Name of individual signing REBECCA KIRTS
Valid signature Filed with incorrect/unrecognized electronic signature
Role Employer/plan sponsor
Date 2011-09-20
Name of individual signing REBECCA KIRTS
Valid signature Filed with incorrect/unrecognized electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/23/20110923123528P030135484465001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 236200
Sponsor’s telephone number 5026331071
Plan sponsor’s address P.O. BOX 458, SHELBYVILLE, KY, 40066

Plan administrator’s name and address
Administrator’s EIN 351705379
Plan administrator’s name BLITZ BUILDERS, INC.
Plan administrator’s address P.O. BOX 458, SHELBYVILLE, KY, 40066
Administrator’s telephone number 5026331071

Signature of
Role Plan administrator
Date 2011-09-20
Name of individual signing REBECCA KIRTS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-09-20
Name of individual signing REBECCA KIRTS
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/20/20100720055839P030037142583001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 236200
Sponsor’s telephone number 5026331071
Plan sponsor’s address P.O. BOX 458, SHELBYVILLE, KY, 40066

Plan administrator’s name and address
Administrator’s EIN 351705379
Plan administrator’s name BLITZ BUILDERS, INC.
Plan administrator’s address P.O. BOX 458, SHELBYVILLE, KY, 40066
Administrator’s telephone number 5026331071

Signature of
Role Plan administrator
Date 2010-07-19
Name of individual signing REBECCA S KIRTS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-19
Name of individual signing REBECCA S KIRTS
Valid signature Filed with authorized/valid electronic signature

Assumed Names

Name Status Expiration Date
BLITZ BUILDERS, INC. Unknown 2001-01-12

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
311298806 0452110 2008-04-24 2110 FRANKFORT RD, SHELBYVILLE, KY, 40065
Inspection Type Referral
Scope Partial
Safety/Health Safety
Close Conference 2008-04-24
Case Closed 2008-04-25

Related Activity
Type Referral
Activity Nr 202697652
Safety Yes
305916546 0452110 2003-03-31 1173 BROOKS INDUSTRIAL RD, SHELBYVILLE, KY, 40066
Inspection Type Planned
Scope Complete
Safety/Health Safety
Close Conference 2003-03-31
Case Closed 2003-05-13

Violation Items
Citation ID 01001
Citaton Type Other
Standard Cited 19100305 B02
Issuance Date 2003-04-21
Abatement Due Date 2003-05-22
Nr Instances 1
Nr Exposed 5
Citation ID 01002
Citaton Type Other
Standard Cited 19101200 E01
Issuance Date 2003-04-21
Abatement Due Date 2003-05-22
Nr Instances 1
Nr Exposed 5
115947848 0452110 1991-11-25 RT. 1, VERSAILLES, KY, 40383
Inspection Type Complaint
Scope NoInspection
Safety/Health Safety
Close Conference 1991-11-25
Case Closed 1991-11-25

Related Activity
Type Complaint
Activity Nr 70266200
Safety Yes

Related by officers

No related officers

Related by address

No related companies by address

Sources: Kentucky Secretary of State

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