CLAY WARD AGENCY CBS BENEFIT PLAN
|
2023
|
610587506
|
2024-04-29
|
CLAY WARD AGENCY
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
8599871861
|
Plan sponsor’s
address |
1102 MAIN STREET, PARIS, KY, 40361
|
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 |
|
|
CLAY WARD AGENCY CBS BENEFIT PLAN
|
2022
|
610587506
|
2023-12-27
|
CLAY WARD AGENCY
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
8599871861
|
Plan sponsor’s
address |
1102 MAIN STREET, PARIS, KY, 40361
|
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 |
|
|
CLAY WARD AGENCY CBS BENEFIT PLAN
|
2021
|
610587506
|
2022-12-29
|
CLAY WARD AGENCY
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
8599871861
|
Plan sponsor’s
address |
1102 MAIN STREET, PARIS, KY, 40361
|
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 |
|
|
CLAY WARD AGENCY CBS BENEFIT PLAN
|
2020
|
610587506
|
2021-12-14
|
CLAY WARD AGENCY
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
8599871861
|
Plan sponsor’s
address |
1102 MAIN STREET, PARIS, KY, 40361
|
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 |
|
|
CLAY WARD AGENCY CBS BENEFIT PLAN
|
2019
|
610587506
|
2020-12-23
|
CLAY WARD AGENCY
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
8599871861
|
Plan sponsor’s
address |
1102 MAIN STREET, PARIS, KY, 40361
|
Plan administrator’s name and address
Administrator’s EIN |
846429706 |
Plan administrator’s name |
KELLY WOLF |
Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
Administrator’s telephone number |
5026954700 |
Signature of
Role |
Plan administrator |
Date |
2020-12-23 |
Name of individual signing |
KELLY WOLF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLAY-WARD AGENCY, INC. PROFIT SHARING PLAN
|
2014
|
610587506
|
2015-01-29
|
CLAY-WARD AGENCY, LLC
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-31
|
Business code |
524290
|
Sponsor’s telephone number |
8599871861
|
Plan sponsor’s
address |
P.O. BOX 294, 1102 MAIN STREET, PARIS, KY, 403620294
|
Signature of
Role |
Plan administrator |
Date |
2015-01-29 |
Name of individual signing |
W. BRUCE ISAACS III |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLAY-WARD AGENCY, INC. PROFIT SHARING PLAN
|
2013
|
610587506
|
2014-05-28
|
CLAY-WARD AGENCY, LLC
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-31
|
Business code |
524290
|
Sponsor’s telephone number |
8599871861
|
Plan sponsor’s
address |
P.O. BOX 294, 1102 MAIN STREET, PARIS, KY, 403620294
|
Signature of
Role |
Plan administrator |
Date |
2014-05-28 |
Name of individual signing |
W. BRUCE ISAACS III |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLAY-WARD AGENCY, INC. PROFIT SHARING PLAN
|
2012
|
610587506
|
2013-05-08
|
CLAY-WARD AGENCY, LLC
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-31
|
Business code |
524290
|
Sponsor’s telephone number |
8599871861
|
Plan sponsor’s
address |
P.O. BOX 294, 1102 MAIN STREET, PARIS, KY, 403620294
|
Plan administrator’s name and address
Administrator’s EIN |
610587506 |
Plan administrator’s name |
CLAY-WARD AGENCY, LLC |
Plan administrator’s
address |
P.O. BOX 294, 1102 MAIN STREET, PARIS, KY, 403620294 |
Administrator’s telephone number |
8599871861 |
Signature of
Role |
Plan administrator |
Date |
2013-05-08 |
Name of individual signing |
W. BRUCE ISAACS III |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLAY-WARD AGENCY, INC. PROFIT SHARING PLAN
|
2011
|
610587506
|
2012-05-17
|
CLAY-WARD AGENCY, LLC
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-31
|
Business code |
524290
|
Plan sponsor’s
address |
P.O. BOX 294, 1102 MAIN STREET, PARIS, KY, 403620294
|
Plan administrator’s name and address
Administrator’s EIN |
610587506 |
Plan administrator’s name |
CLAY-WARD AGENCY, LLC |
Plan administrator’s
address |
P.O. BOX 294, 1102 MAIN STREET, PARIS, KY, 403620294 |
Administrator’s telephone number |
8599871861 |
Signature of
Role |
Plan administrator |
Date |
2012-05-17 |
Name of individual signing |
W. BRUCE ISAACS III |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLAY-WARD AGENCY, INC. PROFIT SHARING PLAN
|
2010
|
610587506
|
2011-05-05
|
CLAY-WARD AGENCY, LLC
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-31
|
Business code |
524290
|
Sponsor’s telephone number |
8599871861
|
Plan sponsor’s
address |
P.O. BOX 294, 1102 MAIN STREET, PARIS, KY, 403620294
|
Plan administrator’s name and address
Administrator’s EIN |
610587506 |
Plan administrator’s name |
CLAY-WARD AGENCY, LLC |
Plan administrator’s
address |
P.O. BOX 294, 1102 MAIN STREET, PARIS, KY, 403620294 |
Administrator’s telephone number |
8599871861 |
Signature of
Role |
Plan administrator |
Date |
2011-05-05 |
Name of individual signing |
W. BRUCE ISAACS III |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLAY-WARD AGENCY, INC. PROFIT SHARING PLAN
|
2009
|
610587506
|
2010-04-13
|
CLAY-WARD AGENCY, LLC
|
44
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/04/13/20100413075950P030009507734001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1979-01-31 |
Business code |
524290 |
Sponsor’s telephone number |
8599871861 |
Plan sponsor’s
address |
P.O. BOX 294, PARIS, KY, 403620294 |
Plan administrator’s name and address
Administrator’s EIN |
610587506 |
Plan administrator’s name |
CLAY-WARD AGENCY, LLC |
Plan administrator’s
address |
P.O. BOX 294, PARIS, KY, 403620294 |
Administrator’s telephone number |
8599871861 |
Signature of
Role |
Plan administrator |
Date |
2010-04-13 |
Name of individual signing |
W. BRUCE ISAACS III |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-04-13 |
Name of individual signing |
W. BRUCE ISAACS III |
Valid signature |
Filed with authorized/valid electronic signature |
|
|