|
WORLEY INSURANCE SERVICES 401(K) PROFIT SHARING PLAN
|
2023
|
822607666
|
2024-08-14
|
WORLEY INSURANCE SERVICES, LLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
5123136644
|
| Plan sponsor’s
address |
2039 S. HURSTBOURNE PARKWAY, LOIUSVULLE, KY, 40220
|
Signature of
| Role |
Plan administrator |
| Date |
2024-08-14 |
| Name of individual signing |
MATTHEW WORLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-08-14 |
| Name of individual signing |
MATTHEW WORLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WORLEY INSURANCE SERVICES 401(K) PROFIT SHARING PLAN
|
2022
|
822607666
|
2023-08-14
|
WORLEY INSURANCE SERVICES, LLC
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
5123136644
|
| Plan sponsor’s
address |
2039 S. HURSTBOURNE PARKWAY, LOIUSVULLE, KY, 40220
|
Signature of
| Role |
Plan administrator |
| Date |
2023-08-14 |
| Name of individual signing |
MATTHEW WORLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2023-08-14 |
| Name of individual signing |
MATTHEW WORLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WORLEY INSURANCE SERVICES 401(K) PROFIT SHARING PLAN
|
2021
|
822607666
|
2022-08-31
|
WORLEY INSURANCE SERVICES, LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
5023136644
|
| Plan sponsor’s
address |
2039 S. HURSTBOURNE PARKWAY, LOIUSVULLE, KY, 40220
|
Signature of
| Role |
Plan administrator |
| Date |
2022-08-31 |
| Name of individual signing |
MATTHEW WORLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-08-31 |
| Name of individual signing |
MATTHEW WORLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WORLEY INSURANCE SERVICES 401(K) PROFIT SHARING PLAN
|
2020
|
822607666
|
2021-09-03
|
WORLEY INSURANCE SERVICES, LLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
5023136644
|
| Plan sponsor’s
address |
2039 S. HURSTBOURNE PARKWAY, LOIUSVULLE, KY, 40220
|
Signature of
| Role |
Plan administrator |
| Date |
2021-09-03 |
| Name of individual signing |
MATTHEW WORLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-09-03 |
| Name of individual signing |
MATTHEW WORLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WORLEY INSURANCE SERVICES 401(K) PROFIT SHARING PLAN
|
2019
|
822607666
|
2020-09-24
|
WORLEY INSURANCE SERVICES, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
5123136644
|
| Plan sponsor’s
address |
2039 S. HURSTBOURNE PARKWAY, LOIUSVULLE, KY, 40220
|
Signature of
| Role |
Plan administrator |
| Date |
2020-09-24 |
| Name of individual signing |
MATTHEW WORLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-09-24 |
| Name of individual signing |
MATTHEW WORLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
