|
KENTUCKY MASSAGE CLINICS LLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
020789554
|
2017-07-20
|
KENTUCKY MASSAGE CLINICS LLC
|
84
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
812190
|
| Sponsor’s telephone number |
5028952007
|
| Plan sponsor’s
address |
4600 SHELBYVILLE RD SUITE 208, LOUISVILLE, KY, 40207
|
Signature of
| Role |
Plan administrator |
| Date |
2017-07-20 |
| Name of individual signing |
LARRY LEVINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KENTUCKY MASSAGE CLINICS LLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
020789554
|
2016-05-16
|
KENTUCKY MASSAGE CLINICS LLC
|
53
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
812190
|
| Sponsor’s telephone number |
5028952007
|
| Plan sponsor’s
address |
4600 SHELBYVILLE RD SUITE 208, LOUISVILLE, KY, 40207
|
Signature of
| Role |
Plan administrator |
| Date |
2016-05-16 |
| Name of individual signing |
LAURANCE LEVINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KENTUCKY MASSAGE CLINICS LLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
020789554
|
2015-07-07
|
KENTUCKY MASSAGE CLINICS LLC
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
812190
|
| Sponsor’s telephone number |
5028952007
|
| Plan sponsor’s
address |
4600 SHELBYVILLE RD SUITE 208, LOUISVILLE, KY, 40207
|
Signature of
| Role |
Plan administrator |
| Date |
2015-07-07 |
| Name of individual signing |
LAURANCE LEVINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KENTUCKY MASSAGE CLINICS, LLC 401(K) SAVINGS PLAN
|
2012
|
020789554
|
2013-10-15
|
KENTUCKY MASSAGE CLINICS, LLC
|
40
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
812190
|
| Sponsor’s telephone number |
5028952007
|
| Plan sponsor’s
address |
4600 SHELBYVILLE RD, SUITE 208, LOUISVILLE, KY, 40207
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-15 |
| Name of individual signing |
LAURANCE DONNELLY LEVINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KENTUCKY MASSAGE CLINICS, LLC 401(K) SAVINGS PLAN
|
2012
|
020789554
|
2013-10-15
|
KENTUCKY MASSAGE CLINICS, LLC
|
40
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
812190
|
| Sponsor’s telephone number |
5028952007
|
| Plan sponsor’s
address |
4600 SHELBYVILLE RD, SUITE 208, LOUISVILLE, KY, 40207
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-15 |
| Name of individual signing |
LAURANCE DONNELLY LEVINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-10-15 |
| Name of individual signing |
LAURANCE LEVINE |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
KENTUCKY MASSAGE CLINICS, LLC 401(K) SAVINGS PLAN
|
2011
|
020789554
|
2012-10-12
|
KENTUCKY MASSAGE CLINICS, LLC
|
34
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
812190
|
| Sponsor’s telephone number |
5028952007
|
| Plan sponsor’s
address |
4600 SHELBYVILLE RD, SUITE 208, LOUISVILLE, KY, 40207
|
Plan administrator’s name and address
| Administrator’s EIN |
020789554 |
| Plan administrator’s name |
KENTUCKY MASSAGE CLINICS, LLC |
| Plan administrator’s
address |
4600 SHELBYVILLE RD, SUITE 208, LOUISVILLE, KY, 40207 |
| Administrator’s telephone number |
5028952007 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-12 |
| Name of individual signing |
LAURANCE DONNELLY LEVINE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
