|
E & Y TRANSPORT CBS BENEFIT PLAN
|
2022
|
272184760
|
2023-12-27
|
E & Y TRANSPORT
|
27
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-01-01
|
| Business code |
484120
|
| Sponsor’s telephone number |
2708643134
|
| Plan sponsor’s
address |
P. O. BOX 194, MARROWBONE, KY, 42759
|
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 |
|
|
|
E & Y TRANSPORT CBS BENEFIT PLAN
|
2021
|
272184760
|
2022-12-29
|
E & Y TRANSPORT
|
24
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-01-01
|
| Business code |
484120
|
| Sponsor’s telephone number |
2708643134
|
| Plan sponsor’s
address |
P. O. BOX 194, MARROWBONE, KY, 42759
|
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 |
|
|
|
E & Y TRANSPORT CBS BENEFIT PLAN
|
2020
|
272184760
|
2021-12-14
|
E & Y TRANSPORT
|
24
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-01-01
|
| Business code |
484120
|
| Sponsor’s telephone number |
2708643134
|
| Plan sponsor’s
address |
P. O. BOX 194, MARROWBONE, KY, 42759
|
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 |
|
|
|
E & Y TRANSPORT MEDOVA LIFESTYLE HEALTH PLAN
|
2020
|
272184760
|
2023-06-02
|
E & Y TRANSPORT
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2018-12-01
|
| Business code |
484120
|
| Sponsor’s telephone number |
2708643134
|
| Plan sponsor’s
address |
94 NEEDHAM RD, BURKESVILLE, KY, 427177757
|
Plan administrator’s name and address
| Administrator’s EIN |
200200514 |
| Plan administrator’s name |
RECEIVERSHIP MANAGEMENT INC |
| Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
| Administrator’s telephone number |
6153700051 |
Signature of
| Role |
Plan administrator |
| Date |
2023-06-01 |
| Name of individual signing |
ROBERT MOORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
E & Y TRANSPORT CBS BENEFIT PLAN
|
2019
|
272184760
|
2020-12-23
|
E & Y TRANSPORT
|
26
|
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-01-01
|
| Business code |
484120
|
| Sponsor’s telephone number |
2708643134
|
| Plan sponsor’s
address |
94 NEEDHAM RD, MARROWBONE, KY, 42759
|
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 |
|
|
