R&S DISABILITY BENEFIT PLAN
|
2013
|
300068277
|
2014-07-30
|
FOUNTAIN HOLDING, LLC
|
161
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2002-09-01
|
Business code |
325410
|
Sponsor’s telephone number |
2704342045
|
Plan
sponsor’s DBA name |
R&S NORTHEAST, LLC
|
Plan sponsor’s mailing address |
8407 AUSTIN TRACY ROAD, FOUNTAIN RUN, KY, 42133
|
Plan sponsor’s
address |
8407 AUSTIN TRACY ROAD, FOUNTAIN RUN, KY, 42133
|
Number of participants as of the end of the plan year
Active participants |
141 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
MICHELLE SIKES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-30 |
Name of individual signing |
MICHELLE SIKES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUNTAIN HOLDING 401(K) PLAN
|
2013
|
300068277
|
2014-10-10
|
FOUNTAIN HOLDING LLC
|
120
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
424210
|
Sponsor’s telephone number |
8006260208
|
Plan sponsor’s
address |
8407 AUSTIN TRACY ROAD, FOUNTAIN RUN, KY, 42133
|
Plan administrator’s name and address
Administrator’s EIN |
300068277 |
Plan administrator’s name |
FOUNTAIN HOLDING LLC |
Plan administrator’s
address |
8407 AUSTIN TRACY ROAD, FOUNTAIN RUN, KY, 42133 |
Administrator’s telephone number |
8006260208 |
Signature of
Role |
Plan administrator |
Date |
2014-10-10 |
Name of individual signing |
MARK BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUNTAIN HOLDING 401(K) PLAN
|
2012
|
300068277
|
2013-10-15
|
FOUNTAIN HOLDING LLC
|
93
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
424210
|
Sponsor’s telephone number |
8006260208
|
Plan sponsor’s
address |
8407 AUSTIN TRACY ROAD, FOUNTAIN RUN, KY, 42133
|
Plan administrator’s name and address
Administrator’s EIN |
300068277 |
Plan administrator’s name |
FOUNTAIN HOLDING LLC |
Plan administrator’s
address |
8407 AUSTIN TRACY ROAD, FOUNTAIN RUN, KY, 42133 |
Administrator’s telephone number |
8006260208 |
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
MARY TIM SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUNTAIN HOLDING 401(K) PLAN
|
2011
|
300068277
|
2012-10-15
|
FOUNTAIN HOLDING LLC
|
66
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
424210
|
Sponsor’s telephone number |
8006260208
|
Plan sponsor’s
address |
8407 AUSTIN TRACY ROAD, FOUNTAIN RUN, KY, 42133
|
Plan administrator’s name and address
Administrator’s EIN |
300068277 |
Plan administrator’s name |
FOUNTAIN HOLDING LLC |
Plan administrator’s
address |
8407 AUSTIN TRACY ROAD, FOUNTAIN RUN, KY, 42133 |
Administrator’s telephone number |
8006260208 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
MARK BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUNTAIN HOLDING 401(K) PLAN
|
2010
|
300068277
|
2011-07-08
|
FOUNTAIN HOLDING LLC
|
56
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
424210
|
Sponsor’s telephone number |
8006260208
|
Plan sponsor’s
address |
8407 AUSTIN TRACY ROAD, FOUNTAIN RUN, KY, 42133
|
Plan administrator’s name and address
Administrator’s EIN |
300068277 |
Plan administrator’s name |
FOUNTAIN HOLDING LLC |
Plan administrator’s
address |
8407 AUSTIN TRACY ROAD, FOUNTAIN RUN, KY, 42133 |
Administrator’s telephone number |
8006260208 |
Signature of
Role |
Plan administrator |
Date |
2011-07-08 |
Name of individual signing |
MARK BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-08 |
Name of individual signing |
MARK BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUNTAIN HOLDING 401(K) PLAN
|
2009
|
300068277
|
2010-06-25
|
FOUNTAIN HOLDING LLC
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
424210
|
Sponsor’s telephone number |
8006260208
|
Plan sponsor’s
address |
8407 AUSTIN TRACY ROAD, FOUNTAIN RUN, KY, 42133
|
Plan administrator’s name and address
Administrator’s EIN |
300068277 |
Plan administrator’s name |
FOUNTAIN HOLDING LLC |
Plan administrator’s
address |
8407 AUSTIN TRACY ROAD, FOUNTAIN RUN, KY, 42133 |
Administrator’s telephone number |
8006260208 |
Signature of
Role |
Plan administrator |
Date |
2010-06-25 |
Name of individual signing |
MARK BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|