RITE-VALUE PHARMACY SAFE HARBOR 401(K) PLAN
|
2023
|
202579056
|
2024-09-18
|
RITE-VALUE PHARMACY
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
424210
|
Sponsor’s telephone number |
6066389627
|
Plan sponsor’s
address |
PO BOX 297, LOUISA, KY, 41230
|
Signature of
Role |
Plan administrator |
Date |
2024-09-18 |
Name of individual signing |
CLAYTON WELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RITE-VALUE PHARMACY SAFE HARBOR 401(K) PLAN
|
2022
|
202579056
|
2023-10-04
|
RITE-VALUE PHARMACY
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
424210
|
Sponsor’s telephone number |
6066389627
|
Plan sponsor’s
address |
PO BOX 297, LOUISA, KY, 41230
|
Signature of
Role |
Plan administrator |
Date |
2023-10-04 |
Name of individual signing |
CLAYTON WELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RITE VALUE PHARMACY LLC CBS BENEFIT PLAN
|
2022
|
202579056
|
2023-12-27
|
RITE VALUE PHARMACY LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6066384627
|
Plan sponsor’s
address |
2673 HWY 644, STE 1, LOUISA, KY, 41230
|
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 |
|
|
RITE VALUE PHARMACY LLC CBS BENEFIT PLAN
|
2021
|
202579056
|
2022-12-29
|
RITE VALUE PHARMACY LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6066384627
|
Plan sponsor’s
address |
2673 HWY 644, STE 1, LOUISA, KY, 41230
|
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 |
|
|
RITE-VALUE PHARMACY SAFE HARBOR 401(K) PLAN
|
2021
|
202579056
|
2022-07-08
|
RITE-VALUE PHARMACY
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
424210
|
Sponsor’s telephone number |
6066389627
|
Plan sponsor’s
address |
PO BOX 297, LOUISA, KY, 41230
|
Signature of
Role |
Plan administrator |
Date |
2022-07-08 |
Name of individual signing |
CLAYTON WELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RITE VALUE PHARMACY LLC CBS BENEFIT PLAN
|
2020
|
202579056
|
2021-12-14
|
RITE VALUE PHARMACY LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6066384627
|
Plan sponsor’s
address |
2673 HWY 644, STE 1, LOUISA, KY, 41230
|
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 |
|
|
RITE-VALUE PHARMACY SAFE HARBOR 401(K) PLAN
|
2020
|
202579056
|
2022-05-12
|
RITE-VALUE PHARMACY
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
424210
|
Sponsor’s telephone number |
6066389627
|
Plan sponsor’s
address |
2673 HIGHWAY 644, SUITE 1, LOUISA, KY, 41230
|
Signature of
Role |
Plan administrator |
Date |
2022-05-12 |
Name of individual signing |
CLAYTON WELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RITE VALUE PHARMACY LLC CBS BENEFIT PLAN
|
2019
|
202579056
|
2020-12-23
|
RITE VALUE PHARMACY LLC
|
7
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6066384627
|
Plan sponsor’s
address |
2673 HWY 644 STE 1, LOUISA, KY, 41230
|
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 |
|
|
RITE-VALUE PHARMACY SAFE HARBOR 401(K) PLAN
|
2019
|
202579056
|
2020-07-07
|
RITE-VALUE PHARMACY
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
424210
|
Sponsor’s telephone number |
6066389627
|
Plan sponsor’s
address |
2673 HIGHWAY 644, SUITE 1, LOUISA, KY, 41230
|
Signature of
Role |
Plan administrator |
Date |
2020-07-07 |
Name of individual signing |
CLAYTON WELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RITE-VALUE PHARMACY SAFE HARBOR 401(K) PLAN
|
2018
|
202579056
|
2019-10-11
|
RITE-VALUE PHARMACY
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
424210
|
Sponsor’s telephone number |
6066389627
|
Plan sponsor’s
address |
2673 HIGHWAY 644, SUITE 1, LOUISA, KY, 41230
|
Signature of
Role |
Plan administrator |
Date |
2019-10-11 |
Name of individual signing |
CLAYTON WELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RITE-VALUE PHARMACY SAFE HARBOR 401(K) PLAN
|
2017
|
202579056
|
2018-10-10
|
RITE-VALUE PHARMACY
|
5
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/10/20181010154916P040159860413001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
424210 |
Sponsor’s telephone number |
6066389627 |
Plan sponsor’s
address |
2673 HIGHWAY 644, SUITE 1, LOUISA, KY, 41230 |
Signature of
Role |
Plan administrator |
Date |
2018-10-10 |
Name of individual signing |
CLAYTON WELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RITE-VALUE PHARMACY SAFE HARBOR 401(K) PLAN
|
2016
|
202579056
|
2017-10-12
|
RITE-VALUE PHARMACY
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/10/12/20171012154116P040164780893001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
424210 |
Sponsor’s telephone number |
6066389627 |
Plan sponsor’s
address |
2673 HIGHWAY 644, SUITE 1, LOUISA, KY, 41230 |
Signature of
Role |
Plan administrator |
Date |
2017-10-12 |
Name of individual signing |
CLAYTON WELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RITE-VALUE PHARMACY SAFE HARBOR 401(K) PLAN
|
2015
|
202579056
|
2016-10-14
|
RITE-VALUE PHARMACY
|
7
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/14/20161014191648P030026931863001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
424210 |
Sponsor’s telephone number |
6066389627 |
Plan sponsor’s
address |
2673 HIGHWAY 644, SUITE 1, LOUISA, KY, 41230 |
Signature of
Role |
Plan administrator |
Date |
2016-10-14 |
Name of individual signing |
CLAYTON WELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RITE-VALUE PHARMACY SAFE HARBOR 401(K) PLAN
|
2014
|
202579056
|
2015-10-15
|
RITE-VALUE PHARMACY
|
7
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/15/20151015161101P040051761825001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
424210 |
Sponsor’s telephone number |
6066389627 |
Plan sponsor’s
address |
2673 HIGHWAY 644, SUITE 1, LOUISA, KY, 41230 |
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
CLAYTON WELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RITE-VALUE PHARMACY SAFE HARBOR 401(K) PLAN
|
2013
|
202579056
|
2014-10-15
|
RITE-VALUE PHARMACY
|
10
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/15/20141015225210P030019527103001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
424210 |
Sponsor’s telephone number |
6066389627 |
Plan sponsor’s
address |
2673 HIGHWAY 644, SUITE 1, LOUISA, KY, 41230 |
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
CLAYTON WELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RITE-VALUE PHARMACY SAFE HARBOR 401(K) PLAN
|
2012
|
430345811
|
2013-10-31
|
RITE-VALUE PHARMACY
|
7
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/31/20131031110437P030008333719001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
424210 |
Sponsor’s telephone number |
6066389627 |
Plan sponsor’s
address |
2673 HIGHWAY 644, SUITE 1, LOUISA, KY, 41230 |
Signature of
Role |
Plan administrator |
Date |
2013-10-31 |
Name of individual signing |
CLAYTON WELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RITE-VALUE PHARMACY SAFE HARBOR 401(K) PLAN
|
2012
|
202579056
|
2013-12-23
|
RITE-VALUE PHARMACY
|
7
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/12/23/20131223153348P040159686881001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
424210 |
Sponsor’s telephone number |
6066389627 |
Plan sponsor’s
address |
2673 HIGHWAY 644, SUITE 1, LOUISA, KY, 41230 |
Signature of
Role |
Plan administrator |
Date |
2013-12-23 |
Name of individual signing |
CLAYTON WELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RITE-VALUE PHARMACY SAFE HARBOR 401(K) PLAN
|
2011
|
430345811
|
2012-07-31
|
RITE-VALUE PHARMACY
|
7
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/31/20120731134427P040020039730001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
446110 |
Sponsor’s telephone number |
6066389627 |
Plan sponsor’s
address |
2673 HIGHWAY 644 #1, LOUISA, KY, 41230 |
Plan administrator’s name and address
Administrator’s EIN |
430345811 |
Plan administrator’s name |
RITE-VALUE PHARMACY |
Plan administrator’s
address |
2673 HIGHWAY 644 #1, LOUISA, KY, 41230 |
Administrator’s telephone number |
6066389627 |
Signature of
Role |
Plan administrator |
Date |
2012-07-31 |
Name of individual signing |
CLAYTON WELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RITE-VALUE PHARMACY SAFE HARBOR 401K PLAN
|
2010
|
430345811
|
2011-09-15
|
RITE-VALUE PHARMACY
|
7
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/09/15/20110915132820P030019179458001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
446110 |
Sponsor’s telephone number |
6066389627 |
Plan sponsor’s
address |
2583 HWY 644 #3, LOUISA, KY, 41230 |
Plan administrator’s name and address
Administrator’s EIN |
430345811 |
Plan administrator’s name |
RITE-VALUE PHARMACY |
Plan administrator’s
address |
2583 HWY 644 #3, LOUISA, KY, 41230 |
Administrator’s telephone number |
6066389627 |
Signature of
Role |
Plan administrator |
Date |
2011-09-15 |
Name of individual signing |
CLAYTON WELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RITE-VALUE PHARMACY SAFE HARBOR 401K PLAN
|
2009
|
430345811
|
2010-07-28
|
RITE-VALUE PHARMACY
|
7
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/28/20100728100141P030021976934001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
446110 |
Sponsor’s telephone number |
6066389627 |
Plan sponsor’s
address |
2583 HWY 644 #3, LOUISA, KY, 41230 |
Plan administrator’s name and address
Administrator’s EIN |
430345811 |
Plan administrator’s name |
RITE-VALUE PHARMACY |
Plan administrator’s
address |
2583 HWY 644 #3, LOUISA, KY, 41230 |
Administrator’s telephone number |
6066389627 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
CLAYTON WELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RITE-VALUE PHARMACY SAFE HARBOR 401K PLAN
|
2009
|
430345811
|
2010-07-28
|
RITE-VALUE PHARMACY
|
7
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
446110 |
Sponsor’s telephone number |
6066389627 |
Plan sponsor’s
address |
2583 HWY 644 #3, LOUISA, KY, 41230 |
Plan administrator’s name and address
Administrator’s EIN |
430345811 |
Plan administrator’s name |
RITE-VALUE PHARMACY |
Plan administrator’s
address |
2583 HWY 644 #3, LOUISA, KY, 41230 |
Administrator’s telephone number |
6066389627 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
CLAYTON WELLS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
RITE-VALUE PHARMACY SAFE HARBOR 401K PLAN
|
2009
|
430345811
|
2010-07-28
|
RITE-VALUE PHARMACY
|
7
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2008-01-01 |
Business code |
446110 |
Sponsor’s telephone number |
6066389627 |
Plan sponsor’s
address |
2583 HWY 644 #3, LOUISA, KY, 41230 |
Plan administrator’s name and address
Administrator’s EIN |
430345811 |
Plan administrator’s name |
RITE-VALUE PHARMACY |
Plan administrator’s
address |
2583 HWY 644 #3, LOUISA, KY, 41230 |
Administrator’s telephone number |
6066389627 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
CLAYTON WELLS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|