|
LEAVING A LEGACY RETIREMENT PLAN
|
2016
|
454823751
|
2017-08-01
|
LEAVING A LEGACY, INC.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-03-18
|
| Business code |
561900
|
| Sponsor’s telephone number |
2709255723
|
| Plan sponsor’s mailing address |
1216 KELLY DR, ELIZABETHTOWN, KY, 427012617
|
| Plan sponsor’s
address |
1216 KELLY DR, ELIZABETHTOWN, KY, 427012617
|
Number of participants as of the end of the plan year
| Active participants |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2017-07-31 |
| Name of individual signing |
KELLY TIPPLE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEAVING A LEGACY RETIREMENT PLAN
|
2014
|
454823751
|
2015-07-27
|
LEAVING A LEGACY, INC.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-03-18
|
| Business code |
561900
|
| Sponsor’s telephone number |
2709255723
|
| Plan sponsor’s mailing address |
1216 KELLY DRIVE, ELIZABETHTOWN, KY, 42701
|
| Plan sponsor’s
address |
1216 KELLY DRIVE, ELIZABETHTOWN, KY, 42701
|
Number of participants as of the end of the plan year
| Active participants |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2015-07-27 |
| Name of individual signing |
KELLY TIPPLE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2015-07-27 |
| Name of individual signing |
KELLY TIPPLE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEAVING A LEGACY RETIREMENT PLAN
|
2013
|
454823751
|
2014-07-17
|
LEAVING A LEGACY, INC.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-03-18
|
| Business code |
561900
|
| Sponsor’s telephone number |
2709255723
|
| Plan sponsor’s mailing address |
1216 KELLY DRIVE, ELIZABETHTOWN, KY, 42701
|
| Plan sponsor’s
address |
1216 KELLY DRIVE, ELIZABETHTOWN, KY, 42701
|
Plan administrator’s name and address
| Administrator’s EIN |
454823751 |
| Plan administrator’s name |
LEAVING A LEGACY, INC. |
| Plan administrator’s
address |
1216 KELLY DRIVE, ELIZABETHTOWN, KY, 42701 |
| Administrator’s telephone number |
2709255723 |
Number of participants as of the end of the plan year
| Active participants |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2014-07-17 |
| Name of individual signing |
KELLY TIPPLE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-07-17 |
| Name of individual signing |
KELLY TIPPLE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
