MARK A. POWELL INSURANCE, LLC D.B.A. UNION COUNTY FARM BUREAU INSURANCE 401(K) PROFIT SHARING PLAN
|
2023
|
461651621
|
2024-07-22
|
MARK A. POWELL INSURANCE, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-09-01
|
Business code |
524210
|
Sponsor’s telephone number |
2703891911
|
Plan
sponsor’s DBA name |
UNION COUNTY FARM BUREAU INSURANCE
|
Plan sponsor’s
address |
P.O. BOX 529, MORGANFIELD, KY, 42437
|
Signature of
Role |
Plan administrator |
Date |
2024-07-20 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-20 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK A. POWELL INSURANCE, LLC D.B.A. UNION COUNTY FARM BUREAU INSURANCE 401(K) PROFIT SHARING PLAN
|
2022
|
461651621
|
2023-07-25
|
MARK A. POWELL INSURANCE, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-09-01
|
Business code |
524210
|
Sponsor’s telephone number |
2703891911
|
Plan
sponsor’s DBA name |
UNION COUNTY FARM BUREAU INSURANCE
|
Plan sponsor’s
address |
P.O. BOX 529, MORGANFIELD, KY, 42437
|
Signature of
Role |
Plan administrator |
Date |
2023-07-25 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-25 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK A. POWELL INSURANCE, LLC D.B.A. UNION COUNTY FARM BUREAU INSURANCE 401(K) PROFIT SHARING PLAN
|
2021
|
461651621
|
2022-07-29
|
MARK A. POWELL INSURANCE, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-09-01
|
Business code |
524210
|
Sponsor’s telephone number |
2703891911
|
Plan
sponsor’s DBA name |
UNION COUNTY FARM BUREAU INSURANCE
|
Plan sponsor’s
address |
P.O. BOX 529, MORGANFIELD, KY, 42437
|
Signature of
Role |
Plan administrator |
Date |
2022-07-23 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK A. POWELL INSURANCE, LLC D.B.A. UNION COUNTY FARM BUREAU INSURANCE 401(K) PROFIT SHARING PLAN
|
2020
|
461651621
|
2021-07-29
|
MARK A. POWELL INSURANCE, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-09-01
|
Business code |
524210
|
Sponsor’s telephone number |
2703891911
|
Plan
sponsor’s DBA name |
UNION COUNTY FARM BUREAU INSURANCE
|
Plan sponsor’s
address |
P.O. BOX 529, MORGANFIELD, KY, 42437
|
Signature of
Role |
Plan administrator |
Date |
2021-07-28 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-28 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK A. POWELL INSURANCE, LLC D.B.A. UNION COUNTY
|
2019
|
461651621
|
2020-07-29
|
MARK A. POWELL INSURANCE, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-09-01
|
Business code |
524210
|
Sponsor’s telephone number |
2703891911
|
Plan
sponsor’s DBA name |
UNION COUNTY FARM BUREAU INSURANCE
|
Plan sponsor’s
address |
P.O. BOX 529, MORGANFIELD, KY, 42437
|
Signature of
Role |
Plan administrator |
Date |
2020-07-29 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-29 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK A. POWELL INSURANCE, LLC D.B.A. UNION COUNTY
|
2018
|
461651621
|
2019-07-29
|
MARK A. POWELL INSURANCE, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-09-01
|
Business code |
524210
|
Sponsor’s telephone number |
2703891911
|
Plan
sponsor’s DBA name |
UNION COUNTY FARM BUREAU INSURANCE
|
Plan sponsor’s
address |
P.O. BOX 529, MORGANFIELD, KY, 42437
|
Signature of
Role |
Plan administrator |
Date |
2019-07-26 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-26 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK A. POWELL INSURANCE, LLC D.B.A. UNION COUNTY FARM BUREAU INSURANCE PROFIT SHARING PLAN
|
2017
|
461651621
|
2018-07-31
|
MARK A. POWELL INSURANCE, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-09-01
|
Business code |
524210
|
Sponsor’s telephone number |
2703891911
|
Plan
sponsor’s DBA name |
UNION COUNTY FARM BUREAU INSURANCE
|
Plan sponsor’s mailing address |
P.O. BOX 529, MORGANFIELD, KY, 42437
|
Plan sponsor’s
address |
1185 U.S. HIGHWAY 60 WEST, MORGANFIELD, KY, 42437
|
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
4 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-07-21 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-21 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK A. POWELL INSURANCE, LLC D.B.A. UNION COUNTY FARM BUREAU INSURANCE PROFIT SHARING PLAN
|
2016
|
461651621
|
2017-07-26
|
MARK A. POWELL INSURANCE, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-09-01
|
Business code |
524210
|
Sponsor’s telephone number |
2703891911
|
Plan
sponsor’s DBA name |
UNION COUNTY FARM BUREAU INSURANCE
|
Plan sponsor’s mailing address |
P.O. BOX 529, MORGANFIELD, KY, 42437
|
Plan sponsor’s
address |
1185 U.S. HIGHWAY 60 WEST, MORGANFIELD, KY, 42437
|
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
4 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-25 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK A. POWELL INSURANCE, LLC D.B.A. UNION COUNTY FARM BUREAU INSURANCE PROFIT SHARING PLAN
|
2015
|
461651621
|
2016-07-27
|
MARK A. POWELL INSURANCE, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-09-01
|
Business code |
524210
|
Sponsor’s telephone number |
2703891911
|
Plan
sponsor’s DBA name |
UNION COUNTY FARM BUREAU INSURANCE
|
Plan sponsor’s mailing address |
P.O. BOX 529, MORGANFIELD, KY, 42437
|
Plan sponsor’s
address |
1185 U.S. HIGHWAY 60 WEST, MORGANFIELD, KY, 42437
|
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
4 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-16 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-16 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK A. POWELL INSURANCE, LLC D.B.A. UNION COUNTY FARM BUREAU INSURANCE PROFIT SHARING PLAN
|
2014
|
461651621
|
2015-07-27
|
MARK A. POWELL INSURANCE, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-09-01
|
Business code |
524210
|
Sponsor’s telephone number |
2703891911
|
Plan
sponsor’s DBA name |
UNION COUNTY FARM BUREAU INSURANCE
|
Plan sponsor’s mailing address |
P.O. BOX 529, MORGANFIELD, KY, 42437
|
Plan sponsor’s
address |
1185 U.S. HIGHWAY 60 WEST, MORGANFIELD, KY, 42437
|
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
4 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-06-15 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-15 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK A. POWELL INSURANCE, LLC D.B.A. UNION COUNTY FARM BUREAU INSURANCE PROFIT SHARING PLAN
|
2013
|
461651621
|
2014-07-29
|
MARK A. POWELL INSURANCE, LLC
|
4
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/29/20140729100006P030020098015011.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1998-09-01 |
Business code |
524210 |
Sponsor’s telephone number |
2703891911 |
Plan
sponsor’s DBA name |
UNION COUNTY FARM BUREAU INSURANCE |
Plan sponsor’s mailing address |
P.O. BOX 529, MORGANGFIELD, KY, 42437 |
Plan sponsor’s
address |
1185 U.S. HIGHWAY 60 WEST, MORGANFIELD, KY, 42437 |
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
4 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-21 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-21 |
Name of individual signing |
MARK A. POWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|