BLUE HERON CONSULTING II LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2023
|
831721339
|
2024-09-24
|
BLUE HERON CONSULTING II LLC
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2020-01-01
|
Business code |
541600
|
Sponsor’s telephone number |
5122252132
|
Plan sponsor’s
address |
615 SPEARS LANE, DANVILLE, KY, 40422
|
Signature of
Role |
Plan administrator |
Date |
2024-09-24 |
Name of individual signing |
SUSAN BRADSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE HERON CONSULTING II, LLC CBS BENEFIT PLAN
|
2022
|
843857860
|
2023-12-27
|
BLUE HERON CONSULTING II, LLC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-02-01
|
Business code |
512200
|
Sponsor’s telephone number |
5617227893
|
Plan sponsor’s
address |
615 SPEARS LANE, DANVILLE, KY, 40422
|
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 |
|
|
BLUE HERON CONSULTING II LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2022
|
831721339
|
2023-09-21
|
BLUE HERON CONSULTING II LLC
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2020-01-01
|
Business code |
541600
|
Sponsor’s telephone number |
5122252132
|
Plan sponsor’s
address |
615 SPEARS LANE, DANVILLE, KY, 40422
|
Signature of
Role |
Plan administrator |
Date |
2023-09-21 |
Name of individual signing |
SUSAN BRADSHAW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE HERON CONSULTING II, LLC CBS BENEFIT PLAN
|
2021
|
843857860
|
2022-12-29
|
BLUE HERON CONSULTING II, LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-02-01
|
Business code |
512200
|
Sponsor’s telephone number |
5617227893
|
Plan sponsor’s
address |
615 SPEARS LANE, DANVILLE, KY, 40422
|
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 |
|
|
BLUE HERON CONSULTING II LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
831721339
|
2022-07-01
|
BLUE HERON CONSULTING II LLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2020-01-01
|
Business code |
541600
|
Sponsor’s telephone number |
8593245462
|
Plan sponsor’s
address |
615 SPEARS LN, DANVILLE, KY, 40422
|
Signature of
Role |
Plan administrator |
Date |
2022-07-01 |
Name of individual signing |
EDWARD ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE HERON CONSULTING II, LLC CBS BENEFIT PLAN
|
2020
|
843857860
|
2021-12-14
|
BLUE HERON CONSULTING II, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-02-01
|
Business code |
512200
|
Sponsor’s telephone number |
5617227893
|
Plan sponsor’s
address |
615 SPEARS LANE, DANVILLE, KY, 40422
|
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 |
|
|
BLUE HERON CONSULTING II LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
831721339
|
2021-06-08
|
BLUE HERON CONSULTING II LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2020-01-01
|
Business code |
541600
|
Sponsor’s telephone number |
8593245462
|
Plan sponsor’s
address |
615 SPEARS LN, DANVILLE, KY, 40422
|
Signature of
Role |
Plan administrator |
Date |
2021-06-08 |
Name of individual signing |
EDWARD ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE HERON CONSULTING II, LLC CBS BENEFIT PLAN
|
2019
|
843857860
|
2020-12-23
|
BLUE HERON CONSULTING II, LLC
|
11
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-02-01
|
Business code |
512200
|
Sponsor’s telephone number |
5617227893
|
Plan sponsor’s
address |
615 SPEARS LANE, DANVILLE, KY, 40422
|
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 |
|
|