BOSWELL, SIMS & VASSEUR, PLLC

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1979-01-01
Business code	541110
Sponsor’s telephone number	2704429237
Plan sponsor’s address	425 SOUTH 6TH STREET, P. O. BOX 1265, PADUCAH, KY, 420021265

Signature of

Role	Plan administrator
Date	2021-07-27
Name of individual signing	MARK A THOMAS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1979-01-01
Business code	541110
Sponsor’s telephone number	2704429237
Plan sponsor’s address	425 SOUTH 6TH STREET, P. O. BOX 1265, PADUCAH, KY, 420021265

Signature of

Role	Plan administrator
Date	2021-11-01
Name of individual signing	MARK A. THOMAS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1979-01-01
Business code	541110
Sponsor’s telephone number	2704429237
Plan sponsor’s address	425 SOUTH 6TH STREET, P. O. BOX 1265, PADUCAH, KY, 420021265

Signature of

Role	Plan administrator
Date	2020-07-08
Name of individual signing	VAN SIMS
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2020-07-08
Name of individual signing	VAN SIMS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1979-01-01
Business code	541110
Sponsor’s telephone number	2704429237
Plan sponsor’s address	425 SOUTH 6TH STREET, P. O. BOX 1265, PADUCAH, KY, 420021265

Signature of

Role	Plan administrator
Date	2019-07-23
Name of individual signing	VAN SIMS
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2019-07-23
Name of individual signing	VAN SIMS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1979-01-01
Business code	541110
Sponsor’s telephone number	2704429237
Plan sponsor’s address	425 SOUTH 6TH STREET, P. O. BOX 1265, PADUCAH, KY, 420021265

Signature of

Role	Plan administrator
Date	2018-07-25
Name of individual signing	VAN F. SIMS
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2018-07-25
Name of individual signing	VAN F. SIMS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1979-01-01
Business code	541110
Sponsor’s telephone number	2704429237
Plan sponsor’s address	425 SOUTH 6TH STREET, P. O. BOX 1265, PADUCAH, KY, 420021265

Signature of

Role	Plan administrator
Date	2017-07-20
Name of individual signing	VAN F. SIMS
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2017-07-20
Name of individual signing	VAN F. SIMS
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1979-01-01
Business code	541110
Sponsor’s telephone number	2704429237
Plan sponsor’s mailing address	425 SOUTH 6TH STREET, P. O. BOX 1265, PADUCAH, KY, 420021265
Plan sponsor’s address	425 SOUTH SIXTH STREET, PADUCAH, KY, 42003

Number of participants as of the end of the plan year

Active participants	6
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	1
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	6
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Plan administrator
Date	2016-07-06
Name of individual signing	VAN SIMS
Valid signature	Filed with authorized/valid electronic signature

Loan Status Date	2020-12-18
Loan Status	Paid in Full
Loan Maturity in Months	24
SBA Guaranty Percentage	100
Loan Approval Amount (at origination)	64000
Loan Approval Amount (current)	64000
Undisbursed Amount	0
Franchise Name	-
Lender Location ID	27680
Servicing Lender Name	The Paducah Bank and Trust Company
Servicing Lender Address	555 Jefferson St, PADUCAH, KY, 42001-1088
Rural or Urban Indicator	U
Hubzone	Y
LMI	N
Business Age Description	Existing or more than 2 years old
Project Address	PADUCAH, MCCRACKEN, KY, 42003-1809
Project Congressional District	KY-01
Number of Employees	3
NAICS code	541110
Borrower Race	Unanswered
Borrower Ethnicity	Unknown/NotStated
Business Type	Limited Liability Company(LLC)
Originating Lender ID	27680
Originating Lender Name	The Paducah Bank and Trust Company
Originating Lender Address	PADUCAH, KY
Gender	Unanswered
Veteran	Unanswered
Forgiveness Amount	64347.18
Forgiveness Paid Date	2020-11-23