KERRICK BACHERT PSC 401(K) PLAN
|
2023
|
271392446
|
2024-08-13
|
KERRICK BACHERT PSC
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
2707828160
|
Plan sponsor’s
address |
2445 NASHVILLE ROAD, BOWLING GREEN, KY, 42101
|
Signature of
Role |
Plan administrator |
Date |
2024-08-13 |
Name of individual signing |
THOMAS N KERRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KERRICK BACHERT PSC 401(K) PLAN
|
2022
|
271392446
|
2023-09-26
|
KERRICK BACHERT PSC
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
2707828160
|
Plan sponsor’s
address |
1025 STATE STREET, BOWLING GREEN, KY, 42101
|
Signature of
Role |
Plan administrator |
Date |
2023-09-26 |
Name of individual signing |
THOMAS N KERRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KERRICK BACHERT PSC 401(K) PLAN
|
2021
|
271392446
|
2022-06-21
|
KERRICK BACHERT PSC
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
2707828160
|
Plan sponsor’s
address |
1025 STATE STREET, BOWLING GREEN, KY, 42101
|
Signature of
Role |
Plan administrator |
Date |
2022-06-21 |
Name of individual signing |
THOMAS N KERRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KERRICK BACHERT PSC 401(K) PLAN
|
2020
|
271392446
|
2021-06-15
|
KERRICK BACHERT PSC
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-07-01
|
Business code |
541110
|
Sponsor’s telephone number |
2707828160
|
Plan sponsor’s
address |
1025 STATE STREET, BOWLING GREEN, KY, 42101
|
Signature of
Role |
Plan administrator |
Date |
2021-06-15 |
Name of individual signing |
THOMAS N KERRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KERRICK BACHERT PSC CBS BENEFIT PLAN
|
2020
|
271392446
|
2021-12-14
|
KERRICK BACHERT PSC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-02-01
|
Business code |
541110
|
Sponsor’s telephone number |
2707828160
|
Plan sponsor’s
address |
1025 STATE STREET, BOWLING GREEN, KY, 42101
|
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 |
|
|
KERRICK BACHERT PSC CBS BENEFIT PLAN
|
2019
|
271392446
|
2020-12-23
|
KERRICK BACHERT PSC
|
20
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-02-01
|
Business code |
541110
|
Sponsor’s telephone number |
2707828160
|
Plan sponsor’s
address |
1025 STATE STREET, BOWLING GREEN, KY, 42101
|
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 |
|
|
KERRICK BACHERT PSC 401(K) PLAN
|
2019
|
271392446
|
2020-08-13
|
KERRICK BACHERT PSC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-07-01
|
Business code |
541110
|
Sponsor’s telephone number |
2707828160
|
Plan sponsor’s
address |
1025 STATE STREET, BOWLING GREEN, KY, 42101
|
Signature of
Role |
Plan administrator |
Date |
2020-08-13 |
Name of individual signing |
THOMAS N KERRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KERRICK BACHERT PSC 401(K) PLAN
|
2018
|
271392446
|
2019-07-09
|
KERRICK BACHERT PSC
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-07-01
|
Business code |
541110
|
Sponsor’s telephone number |
2707828160
|
Plan sponsor’s
address |
1025 STATE STREET, BOWLING GREEN, KY, 42101
|
Signature of
Role |
Plan administrator |
Date |
2019-07-09 |
Name of individual signing |
THOMAS N KERRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KERRICK BACHERT PSC 401(K) PLAN
|
2017
|
271392446
|
2018-07-06
|
KERRICK BACHERT PSC
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-07-01
|
Business code |
541110
|
Sponsor’s telephone number |
2707828160
|
Plan sponsor’s
address |
1025 STATE STREET, BOWLING GREEN, KY, 42101
|
Signature of
Role |
Plan administrator |
Date |
2018-07-06 |
Name of individual signing |
THOMAS N KERRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KERRICK BACHERT PSC 401(K) PLAN
|
2016
|
271392446
|
2017-10-03
|
KERRICK BACHERT PSC
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-07-01
|
Business code |
541110
|
Sponsor’s telephone number |
2707828160
|
Plan sponsor’s
address |
1025 STATE STREET, BOWLING GREEN, KY, 42101
|
Signature of
Role |
Plan administrator |
Date |
2017-10-03 |
Name of individual signing |
THOMAS N KERRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KERRICK BACHERT PSC 401(K) PLAN
|
2015
|
275155825
|
2016-09-28
|
KERRICK BACHERT PSC
|
29
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/09/28/20160928105305P040015486023001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1996-01-01 |
Business code |
541110 |
Sponsor’s telephone number |
2707828160 |
Plan sponsor’s
address |
1025 STATE STREET, BOWLING GREEN, KY, 42101 |
Signature of
Role |
Plan administrator |
Date |
2016-09-28 |
Name of individual signing |
THOMAS N KERRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KERRICK BACHERT PSC 401(K) PLAN
|
2015
|
271392446
|
2017-10-03
|
KERRICK BACHERT PSC
|
29
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/10/03/20171003083642P040198840129001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2011-07-01 |
Business code |
541110 |
Sponsor’s telephone number |
2707828160 |
Plan sponsor’s
address |
1025 STATE STREET, BOWLING GREEN, KY, 42101 |
Signature of
Role |
Plan administrator |
Date |
2017-10-03 |
Name of individual signing |
THOMAS N KERRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|