CITIZENS BANK OF KENTUCKY
|
2023
|
610335030
|
2024-06-12
|
CITIZENS BANK OF KENTUCKY
|
76
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2023-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6062643031
|
Plan
sponsor’s DBA name |
CITIZENS BANK OF KENTUCKY
|
Plan sponsor’s mailing address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366
|
Plan sponsor’s
address |
620 BROADWAY, PAINTSVILLE, KY, 41240
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-06-12 |
Name of individual signing |
DONNA CASSELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-06-12 |
Name of individual signing |
DONNA CASSELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITIZENS BANK OF KENTUCKY-LIFE
|
2023
|
610335030
|
2024-06-12
|
CITIZENS BANK OF KENTUCKY
|
133
|
|
File |
View Page
|
Three-digit plan number (PN) |
602
|
Effective date of plan |
2023-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6062643031
|
Plan
sponsor’s DBA name |
CITIZENS BANK OF KENTUCKY
|
Plan sponsor’s mailing address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366
|
Plan sponsor’s
address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-06-12 |
Name of individual signing |
DONNA CASSELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITIZENS BANK OF KENTUCKY-LIFE
|
2022
|
610335030
|
2023-07-07
|
CITIZENS BANK OF KENTUCKY
|
130
|
|
File |
View Page
|
Three-digit plan number (PN) |
602
|
Effective date of plan |
2022-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6067894001
|
Plan
sponsor’s DBA name |
CITIZENS BANK OF KENTUCKY
|
Plan sponsor’s mailing address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366
|
Plan sponsor’s
address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-07 |
Name of individual signing |
DONNA CASSELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITIZENS BANK OF KENTUCKY
|
2022
|
610335030
|
2023-07-07
|
CITIZENS BANK OF KENTUCKY
|
83
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2022-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6067894001
|
Plan
sponsor’s DBA name |
CITIZENS BANK OF KENTUCKY
|
Plan sponsor’s mailing address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366
|
Plan sponsor’s
address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-07 |
Name of individual signing |
DONNA CASSELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITIZENS BANK OF KENTUCKY - VISION
|
2021
|
610335030
|
2022-07-18
|
CITIZENS BANK OF KENTUCKY
|
84
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2021-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6067894001
|
Plan
sponsor’s DBA name |
CITIZENS BANK OF KENTUCKY
|
Plan sponsor’s mailing address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366
|
Plan sponsor’s
address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-18 |
Name of individual signing |
KATHY KINNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITIZENS BANK OF KENTUCKY - LIFE
|
2021
|
610335030
|
2022-07-18
|
CITIZENS BANK OF KENTUCKY
|
127
|
|
File |
View Page
|
Three-digit plan number (PN) |
602
|
Effective date of plan |
2021-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6067894001
|
Plan
sponsor’s DBA name |
CITIZENS BANK OF KENTUCKY
|
Plan sponsor’s mailing address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366
|
Plan sponsor’s
address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-18 |
Name of individual signing |
KATHY KINNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITIZENS BANK OF KENTUCKY
|
2020
|
610335030
|
2021-06-03
|
CITIZENS BANK OF KENTUCKY
|
136
|
|
File |
View Page
|
Three-digit plan number (PN) |
602
|
Effective date of plan |
2020-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6067894001
|
Plan
sponsor’s DBA name |
CITIZENS BANK OF KENTUCKY
|
Plan sponsor’s mailing address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366
|
Plan sponsor’s
address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366
|
Number of participants as of the end of the plan year
Active participants |
130 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-06-03 |
Name of individual signing |
KATHY KINNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITIZENS BANK OF KENTUCKY
|
2020
|
610335030
|
2021-06-03
|
CITIZENS BANK OF KENTUCKY
|
92
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2020-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6067894001
|
Plan
sponsor’s DBA name |
CITIZENS BANK OF KENTUCKY
|
Plan sponsor’s mailing address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366
|
Plan sponsor’s
address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366
|
Number of participants as of the end of the plan year
Active participants |
147 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2021-06-03 |
Name of individual signing |
KATHY KINNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITIZENS BANK OF KENTUCKY
|
2019
|
610335030
|
2020-07-20
|
CITIZENS BANK OF KENTUCKY
|
133
|
|
File |
View Page
|
Three-digit plan number (PN) |
602
|
Effective date of plan |
2019-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6067894001
|
Plan sponsor’s mailing address |
620 BROADWAY ST, PAINTSVILLE, KY, 41240
|
Plan sponsor’s
address |
620 BROADWAY ST, PAINTSVILLE, KY, 41240
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-20 |
Name of individual signing |
KATHY KINNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITIZENS BANK OF KENTUCKY
|
2019
|
610335030
|
2020-07-20
|
CITIZENS BANK OF KENTUCKY
|
93
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2019-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
6067894001
|
Plan sponsor’s mailing address |
620 BROADWAY ST, PAINTSVILLE, KY, 41240
|
Plan sponsor’s
address |
620 BROADWAY ST, PAINTSVILLE, KY, 41240
|
Number of participants as of the end of the plan year
Active participants |
145 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-20 |
Name of individual signing |
KATHY KINNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITIZENS BANK OF KENTUCKY
|
2018
|
610335030
|
2019-06-20
|
CITIZENS BANK OF KENTUCKY
|
92
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/06/20/20190620122211P030014450453001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2018-01-01 |
Business code |
522110 |
Sponsor’s telephone number |
6067894001 |
Plan sponsor’s mailing address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366 |
Plan sponsor’s
address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366 |
Number of participants as of the end of the plan year
Active participants |
142 |
Retired or separated participants receiving
benefits |
2 |
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 |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-06-20 |
Name of individual signing |
KATHY KINNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITIZENS BANK OF KENTUCKY
|
2018
|
610335030
|
2019-06-20
|
CITIZENS BANK OF KENTUCKY
|
144
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/06/20/20190620135830P030300338183001.pdf |
Three-digit plan number (PN) |
602 |
Effective date of plan |
2018-01-01 |
Business code |
522110 |
Sponsor’s telephone number |
6067894001 |
Plan sponsor’s mailing address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366 |
Plan sponsor’s
address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-06-20 |
Name of individual signing |
KATHY KINNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITIZENS BANK OF KENTUCKY DEDUCTIBLE REIMBURSEMENT PLAN
|
2017
|
610335030
|
2018-07-26
|
CITIZENS BANK OF KENTUCKY
|
95
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/26/20180726162102P030087853169001.pdf |
Three-digit plan number (PN) |
702 |
Effective date of plan |
2017-01-01 |
Business code |
522110 |
Sponsor’s telephone number |
6067894001 |
Plan sponsor’s mailing address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366 |
Plan sponsor’s
address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-26 |
Name of individual signing |
KATHY KINNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITIZENS BANK OF KENTUCKY
|
2017
|
610335030
|
2018-07-26
|
CITIZENS BANK OF KENTUCKY
|
96
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/26/20180726154648P040083827383001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2017-01-01 |
Business code |
522110 |
Sponsor’s telephone number |
6067894001 |
Plan sponsor’s mailing address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366 |
Plan sponsor’s
address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366 |
Number of participants as of the end of the plan year
Active participants |
158 |
Retired or separated participants receiving
benefits |
5 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-07-26 |
Name of individual signing |
KATHY KINNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITIZENS BANK OF KENTUCKY
|
2016
|
610335030
|
2017-07-17
|
CITIZENS BANK OF KENTUCKY
|
142
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/17/20170717095331P040042748957001.pdf |
Three-digit plan number (PN) |
602 |
Effective date of plan |
2016-01-01 |
Business code |
522110 |
Sponsor’s telephone number |
6067894001 |
Plan sponsor’s mailing address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366 |
Plan sponsor’s
address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-17 |
Name of individual signing |
KATHY KINNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-17 |
Name of individual signing |
KATHY KINNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITIZENS BANK OF KENTUCKY
|
2016
|
610335030
|
2017-07-17
|
CITIZENS BANK OF KENTUCKY
|
100
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/17/20170717081939P040056053057001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2016-01-01 |
Business code |
522110 |
Sponsor’s telephone number |
6067894001 |
Plan sponsor’s mailing address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366 |
Plan sponsor’s
address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366 |
Number of participants as of the end of the plan year
Active participants |
161 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2017-07-17 |
Name of individual signing |
KATHY KINNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-17 |
Name of individual signing |
KATHY KINNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITIZENS BANK OF KENTUCKY DEDUCTIBLE REIMBURSEMENT PLAN
|
2016
|
610335030
|
2017-07-18
|
CITIZENS BANK OF KENTUCKY
|
101
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/18/20170718150450P030002547365001.pdf |
Three-digit plan number (PN) |
702 |
Effective date of plan |
2016-01-01 |
Business code |
522110 |
Sponsor’s telephone number |
6067894001 |
Plan sponsor’s mailing address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366 |
Plan sponsor’s
address |
620 BROADWAY ST, PAINTSVILLE, KY, 412401366 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
KATHY KINNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-18 |
Name of individual signing |
KATHY KINNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|