MAVERICK GROUP LLC CBS BENEFIT PLAN
|
2022
|
743054680
|
2023-12-27
|
MAVERICK GROUP LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-06-01
|
Business code |
532400
|
Sponsor’s telephone number |
5022254772
|
Plan sponsor’s
address |
2510 ALLEN LANE, LA GRANGE, KY, 40031
|
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 |
|
|
MAVERICK GROUP LLC CBS BENEFIT PLAN
|
2021
|
743054680
|
2022-12-29
|
MAVERICK GROUP LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-06-01
|
Business code |
532400
|
Sponsor’s telephone number |
5022254772
|
Plan sponsor’s
address |
2510 ALLEN LANE, LA GRANGE, KY, 40031
|
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 |
|
|
MAVERICK GROUP LLC CBS BENEFIT PLAN
|
2020
|
743054680
|
2021-12-14
|
MAVERICK GROUP LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-06-01
|
Business code |
532400
|
Sponsor’s telephone number |
5022254772
|
Plan sponsor’s
address |
2510 ALLEN LANE, LA GRANGE, KY, 40031
|
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 |
|
|