A CUP OF COMMON WEALTH
|
2023
|
462105283
|
2024-08-12
|
A CUP OF COMMON WEALTH
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2021-01-01
|
Business code |
722513
|
Sponsor’s telephone number |
8598258253
|
Plan sponsor’s
address |
105 EASTERN AVE, LEXINGTON, KY, 40508
|
Signature of
Role |
Plan administrator |
Date |
2024-08-12 |
Name of individual signing |
NICK RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
A CUP OF COMMON WEALTH
|
2022
|
462105283
|
2023-09-19
|
A CUP OF COMMON WEALTH
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2021-01-01
|
Business code |
722513
|
Sponsor’s telephone number |
8598258253
|
Plan sponsor’s
address |
105 EASTERN AVE, LEXINGTON, KY, 40508
|
Signature of
Role |
Plan administrator |
Date |
2023-09-19 |
Name of individual signing |
NICK RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
A CUP OF COMMON WEALTH CBS BENEFIT PLAN
|
2022
|
462105283
|
2023-12-27
|
A CUP OF COMMON WEALTH
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-11-01
|
Business code |
722300
|
Sponsor’s telephone number |
8592550270
|
Plan sponsor’s
address |
105 EASTERN AVENUE, LEXINGTON, KY, 40508
|
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 |
|
|
A CUP OF COMMON WEALTH CBS BENEFIT PLAN
|
2021
|
462105283
|
2022-12-29
|
A CUP OF COMMON WEALTH
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-11-01
|
Business code |
722300
|
Sponsor’s telephone number |
8592550270
|
Plan sponsor’s
address |
105 EASTERN AVENUE, LEXINGTON, KY, 40508
|
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 |
|
|
A CUP OF COMMON WEALTH CBS BENEFIT PLAN
|
2021
|
462105283
|
2022-12-29
|
A CUP OF COMMON WEALTH
|
3
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-11-01
|
Business code |
722300
|
Sponsor’s telephone number |
8592550270
|
Plan sponsor’s
address |
105 EASTERN AVENUE, LEXINGTON, KY, 40508
|
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 |
|
|
A CUP OF COMMON WEALTH CBS BENEFIT PLAN
|
2021
|
462105283
|
2022-12-29
|
A CUP OF COMMON WEALTH
|
3
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-11-01
|
Business code |
722300
|
Sponsor’s telephone number |
8592550270
|
Plan sponsor’s
address |
105 EASTERN AVENUE, LEXINGTON, KY, 40508
|
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 |
|
|
A CUP OF COMMON WEALTH
|
2021
|
462105283
|
2022-08-01
|
A CUP OF COMMON WEALTH
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2021-01-01
|
Business code |
722513
|
Sponsor’s telephone number |
8598258253
|
Plan sponsor’s
address |
105 EASTERN AVE, LEXINGTON, KY, 40508
|
Signature of
Role |
Plan administrator |
Date |
2022-08-01 |
Name of individual signing |
SALVADOR SANCHEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
A CUP OF COMMON WEALTH CBS BENEFIT PLAN
|
2021
|
462105283
|
2022-12-29
|
A CUP OF COMMON WEALTH
|
3
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-11-01
|
Business code |
722300
|
Sponsor’s telephone number |
8592550270
|
Plan sponsor’s
address |
105 EASTERN AVENUE, LEXINGTON, KY, 40508
|
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 |
|
|
A CUP OF COMMON WEALTH CBS BENEFIT PLAN
|
2021
|
462105283
|
2022-12-29
|
A CUP OF COMMON WEALTH
|
3
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-11-01
|
Business code |
722300
|
Sponsor’s telephone number |
8592550270
|
Plan sponsor’s
address |
105 EASTERN AVENUE, LEXINGTON, KY, 40508
|
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 |
|
|
A CUP OF COMMON WEALTH CBS BENEFIT PLAN
|
2020
|
462105283
|
2021-12-14
|
A CUP OF COMMON WEALTH
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-11-01
|
Business code |
722300
|
Sponsor’s telephone number |
8592550270
|
Plan sponsor’s
address |
105 EASTERN AVENUE, LEXINGTON, KY, 40508
|
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 |
|
|
A CUP OF COMMON WEALTH CBS BENEFIT PLAN
|
2020
|
462105283
|
2021-12-14
|
A CUP OF COMMON WEALTH
|
2
|
|
Three-digit plan number (PN) |
501 |
Effective date of plan |
2019-11-01 |
Business code |
722300 |
Sponsor’s telephone number |
8592550270 |
Plan sponsor’s
address |
105 EASTERN AVENUE, LEXINGTON, KY, 40508 |
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 |
|
|
A CUP OF COMMON WEALTH CBS BENEFIT PLAN
|
2019
|
462105283
|
2020-12-23
|
A CUP OF COMMON WEALTH
|
2
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2020/12/23/20201223100824NAL0004393025001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2019-11-01 |
Business code |
722300 |
Sponsor’s telephone number |
8592550270 |
Plan sponsor’s
address |
105 EASTERN AVENUE, LEXINGTON, KY, 40508 |
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 |
|
|