FOUNDATION FOR A HEALTHY KENTUCKY
|
2023
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311784753
|
2024-06-26
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FOUNDATION FOR A HEALTHY KENTUCKY
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13
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File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
813000
|
Sponsor’s telephone number |
5023262583
|
Plan sponsor’s
address |
1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223
|
Signature of
Role |
Plan administrator |
Date |
2024-06-26 |
Name of individual signing |
ALLISON ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
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FOUNDATION FOR A HEALTHY KENTUCKY
|
2022
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311784753
|
2023-09-11
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FOUNDATION FOR A HEALTHY KENTUCKY
|
10
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
813000
|
Sponsor’s telephone number |
5023262583
|
Plan sponsor’s
address |
1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223
|
Signature of
Role |
Plan administrator |
Date |
2023-09-11 |
Name of individual signing |
ALLISON ADAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
2021
|
311784753
|
2022-06-06
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
813000
|
Sponsor’s telephone number |
5023262583
|
Plan sponsor’s
address |
1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223
|
Signature of
Role |
Plan administrator |
Date |
2022-06-06 |
Name of individual signing |
MARY JO SHIRCLIFFE |
Valid signature |
Filed with authorized/valid electronic signature |
|
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FOUNDATION FOR A HEALTHY KENTUCKY
|
2020
|
311784753
|
2021-06-10
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
813000
|
Sponsor’s telephone number |
5023262583
|
Plan sponsor’s
address |
1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223
|
Signature of
Role |
Plan administrator |
Date |
2021-06-10 |
Name of individual signing |
MARY JO SHIRCLIFFE |
Valid signature |
Filed with authorized/valid electronic signature |
|
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FOUNDATION FOR A HEALTHY KENTUCKY
|
2019
|
311784753
|
2020-06-25
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
813000
|
Sponsor’s telephone number |
5023262583
|
Plan sponsor’s
address |
1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223
|
Signature of
Role |
Plan administrator |
Date |
2020-06-25 |
Name of individual signing |
MARY JO SHIRCLIFFE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
2018
|
311784753
|
2019-07-05
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
813000
|
Sponsor’s telephone number |
5023262583
|
Plan sponsor’s
address |
1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223
|
Signature of
Role |
Plan administrator |
Date |
2019-07-05 |
Name of individual signing |
MARY JO SHIRCLIFFE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
2017
|
311784753
|
2018-07-16
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
813000
|
Sponsor’s telephone number |
5023262583
|
Plan sponsor’s
address |
1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223
|
Signature of
Role |
Plan administrator |
Date |
2018-07-16 |
Name of individual signing |
MARY JO SHIRCLIFFE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
2016
|
311784753
|
2017-07-08
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
813000
|
Sponsor’s telephone number |
5023262583
|
Plan sponsor’s
address |
1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223
|
Signature of
Role |
Plan administrator |
Date |
2017-07-08 |
Name of individual signing |
MARY JO SHIRCLIFFE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
2015
|
311784753
|
2016-07-07
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
813000
|
Sponsor’s telephone number |
5023262583
|
Plan sponsor’s
address |
1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223
|
Signature of
Role |
Plan administrator |
Date |
2016-07-07 |
Name of individual signing |
SUSAN G. ZEPEDA, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
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FOUNDATION FOR A HEALTHY KENTUCKY
|
2014
|
311784753
|
2015-07-16
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-10-01
|
Business code |
813000
|
Sponsor’s telephone number |
5023262583
|
Plan sponsor’s
address |
1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223
|
Signature of
Role |
Plan administrator |
Date |
2015-07-16 |
Name of individual signing |
SUSAN G. ZEPEDA, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
2013
|
311784753
|
2014-07-02
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/02/20140702135420P040020400167001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2009-10-01 |
Business code |
813000 |
Sponsor’s telephone number |
5023262583 |
Plan sponsor’s
address |
1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223 |
Signature of
Role |
Plan administrator |
Date |
2014-07-02 |
Name of individual signing |
SUSAN G. ZEPEDA, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
2012
|
311784753
|
2013-07-16
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
8
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/16/20130716160154P040039787287001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2009-10-01 |
Business code |
813000 |
Sponsor’s telephone number |
5023262583 |
Plan sponsor’s
address |
1640 LYNDON FARM COURT SUITE 100, LOUISVILLE, KY, 40223 |
Signature of
Role |
Plan administrator |
Date |
2013-07-16 |
Name of individual signing |
SUSAN G. ZEPEDA, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
2011
|
311784753
|
2012-07-02
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/02/20120702143728P030004700630001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2009-10-01 |
Business code |
813000 |
Sponsor’s telephone number |
5023262583 |
Plan sponsor’s
address |
9300 SHELBYVILLE ROAD SUITE 1305, LOUISVILLE, KY, 40222 |
Plan administrator’s name and address
Administrator’s EIN |
311784753 |
Plan administrator’s name |
FOUNDATION FOR A HEALTHY KENTUCKY |
Plan administrator’s
address |
9300 SHELBYVILLE ROAD SUITE 1305, LOUISVILLE, KY, 40222 |
Administrator’s telephone number |
5023262583 |
Signature of
Role |
Plan administrator |
Date |
2012-07-02 |
Name of individual signing |
SUSAN G. ZEPEDA, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
2010
|
311784753
|
2011-07-05
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
4
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/05/20110705125308P030027386231001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2009-10-01 |
Business code |
813000 |
Sponsor’s telephone number |
5023262583 |
Plan sponsor’s
address |
9300 SHELBYVILLE ROAD SUITE 1305, LOUISVILLE, KY, 40222 |
Plan administrator’s name and address
Administrator’s EIN |
311784753 |
Plan administrator’s name |
FOUNDATION FOR A HEALTHY KENTUCKY |
Plan administrator’s
address |
9300 SHELBYVILLE ROAD SUITE 1305, LOUISVILLE, KY, 40222 |
Administrator’s telephone number |
5023262583 |
Signature of
Role |
Plan administrator |
Date |
2011-07-05 |
Name of individual signing |
SUSAN G. ZEPEDA, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF FOUNDATION FOR A HEALTHY KENTUCKY
|
2010
|
311784753
|
2011-10-12
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
3
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/12/20111012100741P030684619520001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2002-04-01 |
Business code |
813000 |
Sponsor’s telephone number |
5023262583 |
Plan sponsor’s
address |
9300 SHELBYVILLE ROAD, SUITE 1305, LOUISVILLE, KY, 40222 |
Plan administrator’s name and address
Administrator’s EIN |
311784753 |
Plan administrator’s name |
FOUNDATION FOR A HEALTHY KENTUCKY |
Plan administrator’s
address |
9300 SHELBYVILLE ROAD, SUITE 1305, LOUISVILLE, KY, 40222 |
Administrator’s telephone number |
5023262583 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
SUSAN ZEPEDA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF FOUNDATION FOR A HEALTHY KENTUCKY
|
2009
|
311784753
|
2010-07-20
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
5
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/20/20100720094216P030087518200001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2002-04-01 |
Business code |
813000 |
Sponsor’s telephone number |
5023262583 |
Plan sponsor’s
address |
9300 SHELBYVILLE RD STE 1305, LOUISVILLE, KY, 40222 |
Plan administrator’s name and address
Administrator’s EIN |
311784753 |
Plan administrator’s name |
FOUNDATION FOR A HEALTHY KENTUCKY |
Plan administrator’s
address |
9300 SHELBYVILLE RD STE 1305, LOUISVILLE, KY, 40222 |
Administrator’s telephone number |
5023262583 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
SUSAN G. ZEPEDA, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-20 |
Name of individual signing |
SUSAN G. ZEPEDA, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
2009
|
311784753
|
2010-07-15
|
FOUNDATION FOR A HEALTHY KENTUCKY
|
4
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/15/20100715151856P040376899025001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2009-10-01 |
Business code |
813000 |
Sponsor’s telephone number |
5023262583 |
Plan sponsor’s
address |
9300 SHELBYVILLE ROAD SUITE 1305, LOUISVILLE, KY, 40222 |
Plan administrator’s name and address
Administrator’s EIN |
311784753 |
Plan administrator’s name |
FOUNDATION FOR A HEALTHY KENTUCKY |
Plan administrator’s
address |
9300 SHELBYVILLE ROAD SUITE 1305, LOUISVILLE, KY, 40222 |
Administrator’s telephone number |
5023262583 |
Signature of
Role |
Plan administrator |
Date |
2010-07-15 |
Name of individual signing |
SUSAN G. ZEPEDA, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|