JSB INDUSTRIAL SOLUTIONS CBS BENEFIT PLAN
|
2023
|
463919837
|
2024-12-30
|
JSB INDUSTRIAL SOLUTIONS
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-04-01
|
Business code |
332900
|
Sponsor’s telephone number |
6067985724
|
Plan sponsor’s
address |
P. O. BOX 237, TOLLESBORO, KY, 41189
|
Plan administrator’s name and address
Administrator’s EIN |
846429706 |
Plan administrator’s name |
JOSEPH HSU |
Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
Administrator’s telephone number |
5026954700 |
Signature of
Role |
Plan administrator |
Date |
2024-12-30 |
Name of individual signing |
JOSEPH HSU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JSB INDUSTRIAL SOLUTIONS CBS BENEFIT PLAN
|
2022
|
463919837
|
2023-12-27
|
JSB INDUSTRIAL SOLUTIONS
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-04-01
|
Business code |
332900
|
Sponsor’s telephone number |
6067985724
|
Plan sponsor’s
address |
P. O. BOX 237, TOLLESBORO, KY, 41189
|
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 |
|
|
JSB INDUSTRIAL SOLUTIONS CBS BENEFIT PLAN
|
2021
|
463919837
|
2022-12-29
|
JSB INDUSTRIAL SOLUTIONS
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-04-01
|
Business code |
332900
|
Sponsor’s telephone number |
6067985724
|
Plan sponsor’s
address |
P. O. BOX 237, TOLLESBORO, KY, 41189
|
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 |
|
|
JSB INDUSTRIAL SOLUTIONS CBS BENEFIT PLAN
|
2020
|
463919837
|
2021-12-14
|
JSB INDUSTRIAL SOLUTIONS
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-04-01
|
Business code |
332900
|
Sponsor’s telephone number |
6067985724
|
Plan sponsor’s
address |
P. O. BOX 237, TOLLESBORO, KY, 41189
|
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 |
|
|
JSB INDUSTRIAL SOLUTIONS CBS BENEFIT PLAN
|
2019
|
463919837
|
2020-12-23
|
JSB INDUSTRIAL SOLUTIONS
|
4
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-04-01
|
Business code |
332900
|
Sponsor’s telephone number |
6067985724
|
Plan sponsor’s
address |
14651 KY 57, TOLLESBORO, KY, 41189
|
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 |
|
|