TRIPLE OAKS FARMS

Company Details

Name:	TRIPLE OAKS FARMS
Jurisdiction:	Kentucky
Legal type:	General Partnership Assumed Name
Status:	Active
File Date:	11 Dec 2020 (4 years ago)
Authority Date:	11 Dec 2020 (4 years ago)
Organization Number:	1123908
Principal Office:	<font face="Book Antiqua">7114 THREE SPRINGS ROAD, BOWLING GREEN, KY 42101</font>
Place of Formation:	KENTUCKY

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

TRIPLE OAKS FARMS CBS BENEFIT PLAN

2022

611098385

2023-12-27

TRIPLE OAKS FARMS

14

File	View Page
Three-digit plan number (PN)	501
Effective date of plan	2020-01-01
Business code	115110
Sponsor’s telephone number	2705299012
Plan sponsor’s address	7114 THREE SPRINGS RD, BOWLING GREEN, KY, 42104

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

TRIPLE OAKS FARMS CBS BENEFIT PLAN

2021

611098385

2022-12-29

TRIPLE OAKS FARMS

16

File	View Page
Three-digit plan number (PN)	501
Effective date of plan	2020-01-01
Business code	115110
Sponsor’s telephone number	2705299012
Plan sponsor’s address	7114 THREE SPRINGS RD, BOWLING GREEN, KY, 42104

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

TRIPLE OAKS FARMS CBS BENEFIT PLAN

2020

611098385

2021-12-14

TRIPLE OAKS FARMS

18

File	View Page
Three-digit plan number (PN)	501
Effective date of plan	2020-01-01
Business code	115110
Sponsor’s telephone number	2705299012
Plan sponsor’s address	7114 THREE SPRINGS RD, BOWLING GREEN, KY, 42104

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

TRIPLE OAKS FARMS CBS BENEFIT PLAN

2019

611098385

2020-12-23

TRIPLE OAKS FARMS

18

Three-digit plan number (PN)	501
Effective date of plan	2020-01-01
Business code	115110
Sponsor’s telephone number	2705299012
Plan sponsor’s address	7114 THREE SPRINGS RD, BOWLING GREEN, KY, 42104

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

Partner

Name	Role
NEAL WINSTON BALLANCE	Partner
ELIZABETH BALLANCE JAMES	Partner
SARAH LYNN RENICK	Partner
JOE NEAL BALLANCE	Partner
PATRICIA S BALLANCE	Partner

Filings

Name	File Date
Application for Certificate of Authority	2020-12-10

Date of last update: 07 Jan 2025

Sources: Kentucky Secretary of State