ACCULAB LLC CBS BENEFIT PLAN
|
2022
|
474010579
|
2023-12-27
|
ACCULAB LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-02-01
|
Business code |
621900
|
Sponsor’s telephone number |
2709045097
|
Plan sponsor’s
address |
1051 BRYANT WAY, STE 207, BOWLING GREEN, KY, 42103
|
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 |
|
|
ACCULAB LLC CBS BENEFIT PLAN
|
2021
|
474010579
|
2022-12-29
|
ACCULAB LLC
|
12
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-02-01
|
Business code |
621900
|
Sponsor’s telephone number |
2709045097
|
Plan sponsor’s
address |
1051 BRYANT WAY, STE 207, BOWLING GREEN, KY, 42103
|
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 |
|
|
ACCULAB LLC CBS BENEFIT PLAN
|
2021
|
474010579
|
2022-12-29
|
ACCULAB LLC
|
12
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-02-01
|
Business code |
621900
|
Sponsor’s telephone number |
2709045097
|
Plan sponsor’s
address |
1051 BRYANT WAY, STE 207, BOWLING GREEN, KY, 42103
|
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 |
|
|
ACCULAB LLC CBS BENEFIT PLAN
|
2021
|
474010579
|
2022-12-29
|
ACCULAB LLC
|
12
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-02-01
|
Business code |
621900
|
Sponsor’s telephone number |
2709045097
|
Plan sponsor’s
address |
1051 BRYANT WAY, STE 207, BOWLING GREEN, KY, 42103
|
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 |
|
|
ACCULAB LLC CBS BENEFIT PLAN
|
2021
|
474010579
|
2022-12-29
|
ACCULAB LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-02-01
|
Business code |
621900
|
Sponsor’s telephone number |
2709045097
|
Plan sponsor’s
address |
1051 BRYANT WAY, STE 207, BOWLING GREEN, KY, 42103
|
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 |
|
|
ACCULAB LLC CBS BENEFIT PLAN
|
2020
|
474010579
|
2021-12-14
|
ACCULAB LLC
|
12
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-02-01
|
Business code |
621900
|
Sponsor’s telephone number |
2709045097
|
Plan sponsor’s
address |
1043 PEDIGO WAY, STE 15, BOWLING GREEN, KY, 42103
|
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 |
|
|