|
KIW INSURANCE, LLC 401(K) PLAN
|
2023
|
474062378
|
2024-07-23
|
KIW INSURANCE, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2022-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
5022901089
|
| Plan sponsor’s
address |
10610 WATTERSON CENTER CT SUITE 102, LOUISVILLE, KY, 40299
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-23 |
| Name of individual signing |
CHRIS HORNE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KIW INSURANCE LLC CBS BENEFIT PLAN
|
2023
|
474062378
|
2024-04-29
|
KIW INSURANCE LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2022-07-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
5022901089
|
| Plan sponsor’s
address |
10610 WATTERSON CENTER CT, LOUISVILLE, KY, 40299
|
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 |
2024-04-29 |
| Name of individual signing |
SHAWNA BURTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KIW INSURANCE, LLC 401(K) PLAN
|
2022
|
474062378
|
2023-07-18
|
KIW INSURANCE, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2022-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
5022901089
|
| Plan sponsor’s
address |
10610 WATTERSON CENTER CT SUITE 102, LOUISVILLE, KY, 40299
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-18 |
| Name of individual signing |
CHRIS HORNE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KIW INSURANCE LLC CBS BENEFIT PLAN
|
2022
|
474062378
|
2023-12-27
|
KIW INSURANCE LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2022-07-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
5022901089
|
| Plan sponsor’s
address |
10610 WATTERSON CENTER CT, LOUISVILLE, KY, 40299
|
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 |
|
|
