|
THE ARCHWAYS 401(K) PLAN
|
2011
|
610878922
|
2012-10-12
|
ARCHWAYS BLUEGRASS
|
120
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-08-01
|
| Business code |
445299
|
| Sponsor’s telephone number |
8593718614
|
| Plan sponsor’s mailing address |
10063 DIXIE HIGHWAY, FLORENCE, KY, 41042
|
| Plan sponsor’s
address |
10063 DIXIE HIGHWAY, FLORENCE, KY, 41042
|
Plan administrator’s name and address
| Administrator’s EIN |
610878922 |
| Plan administrator’s name |
ARCHWAYS BLUEGRASS |
| Plan administrator’s
address |
10063 DIXIE HIGHWAY, FLORENCE, KY, 41042 |
| Administrator’s telephone number |
8593718614 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| 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 |
0 |
| 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 |
2012-10-12 |
| Name of individual signing |
PAUL GROEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-10-12 |
| Name of individual signing |
PAUL GROEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THE ARCHWAYS 401(K) PLAN
|
2010
|
610878922
|
2011-10-01
|
ARCHWAYS BLUEGRASS
|
228
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-08-01
|
| Business code |
445299
|
| Sponsor’s telephone number |
8593718614
|
| Plan sponsor’s mailing address |
10063 DIXIE HIGHWAY, FLORENCE, KY, 41042
|
| Plan sponsor’s
address |
10063 DIXIE HIGHWAY, FLORENCE, KY, 41042
|
Plan administrator’s name and address
| Administrator’s EIN |
610878922 |
| Plan administrator’s name |
ARCHWAYS BLUEGRASS |
| Plan administrator’s
address |
10063 DIXIE HIGHWAY, FLORENCE, KY, 41042 |
| Administrator’s telephone number |
8593718614 |
Number of participants as of the end of the plan year
| Active participants |
214 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
5 |
| 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 |
29 |
| 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 |
2011-10-01 |
| Name of individual signing |
PAUL GROEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-10-01 |
| Name of individual signing |
PAUL GROEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THE ARCHWAYS 401(K) PLAN
|
2009
|
610878922
|
2010-10-06
|
ARCHWAYS BLUEGRASS
|
169
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-08-01
|
| Business code |
445299
|
| Sponsor’s telephone number |
8593718614
|
| Plan sponsor’s mailing address |
10063 DIXIE HIGHWAY, FLORENCE, KY, 41042
|
| Plan sponsor’s
address |
10063 DIXIE HIGHWAY, FLORENCE, KY, 41042
|
Plan administrator’s name and address
| Administrator’s EIN |
610878922 |
| Plan administrator’s name |
ARCHWAYS BLUEGRASS |
| Plan administrator’s
address |
10063 DIXIE HIGHWAY, FLORENCE, KY, 41042 |
| Administrator’s telephone number |
8593718614 |
Number of participants as of the end of the plan year
| Active participants |
224 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
4 |
| 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 |
65 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-06 |
| Name of individual signing |
PAUL GROEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-06 |
| Name of individual signing |
PAUL GROEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
