BLUEGRASS HEARING CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2023
|
311503268
|
2024-07-12
|
BLUEGRASS HEARING CLINIC, LLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8599873272
|
Plan sponsor’s
address |
20 EAST 5TH STREET, PARIS, KY, 40361
|
Signature of
Role |
Plan administrator |
Date |
2024-07-12 |
Name of individual signing |
SHERRY LANTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEGRASS HEARING CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2022
|
311503268
|
2023-08-09
|
BLUEGRASS HEARING CLINIC, LLC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8599873272
|
Plan sponsor’s
address |
20 EAST 5TH STREET, PARIS, KY, 40361
|
Signature of
Role |
Plan administrator |
Date |
2023-08-09 |
Name of individual signing |
SHERRY LANTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEGRASS HEARING CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
311503268
|
2022-07-05
|
BLUEGRASS HEARING CLINIC, LLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8599873272
|
Plan sponsor’s
address |
20 EAST 5TH STREET, PARIS, KY, 40361
|
Signature of
Role |
Plan administrator |
Date |
2022-07-05 |
Name of individual signing |
SHERRY LANTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEGRASS HEARING CLINIC CBS BENEFIT PLAN
|
2020
|
311503268
|
2021-12-14
|
BLUEGRASS HEARING CLINIC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-12-01
|
Business code |
621399
|
Sponsor’s telephone number |
8599873272
|
Plan sponsor’s
address |
20 E. 5TH STREET, PARIS, KY, 40361
|
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 |
|
|
BLUEGRASS HEARING CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
311503268
|
2021-07-22
|
BLUEGRASS HEARING CLINIC, LLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8599873272
|
Plan sponsor’s
address |
20 EAST 5TH STREET, PARIS, KY, 40361
|
Signature of
Role |
Plan administrator |
Date |
2021-07-22 |
Name of individual signing |
SHERRY LANTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEGRASS HEARING CLINIC CBS BENEFIT PLAN
|
2019
|
311503268
|
2020-12-23
|
BLUEGRASS HEARING CLINIC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-12-01
|
Business code |
621399
|
Sponsor’s telephone number |
8599873272
|
Plan sponsor’s
address |
20 E. 5TH STREET, PARIS, KY, 40361
|
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 |
|
|
BLUEGRASS HEARING CLINIC, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
311503268
|
2020-08-26
|
BLUEGRASS HEARING CLINIC, LLC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8599873272
|
Plan sponsor’s
address |
20 EAST 5TH STREET, PARIS, KY, 40361
|
Signature of
Role |
Plan administrator |
Date |
2020-08-26 |
Name of individual signing |
SHERRY LANTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEGRASS HEARING CLINIC LLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
311503268
|
2019-05-13
|
BLUEGRASS HEARING CLINIC LLC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8599873273
|
Plan sponsor’s
address |
20 EAST 5TH STREET, PARIS, KY, 40361
|
Signature of
Role |
Plan administrator |
Date |
2019-05-13 |
Name of individual signing |
SHERRY LANTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEGRASS HEARING CLINIC 401(K) PLAN
|
2016
|
311503268
|
2017-09-18
|
BLUEGRASS HEARING CLINIC LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8596234458
|
Plan sponsor’s
address |
116 MERIDAN WAY, SUITE 1, RICHMOND, KY, 40475
|
Signature of
Role |
Plan administrator |
Date |
2017-09-18 |
Name of individual signing |
SHERRY LANTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|