|
BLAINE JACOB INC. CASH BALANCE PLAN
|
2023
|
205538042
|
2024-09-16
|
BLAINE JACOB INC.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2021-01-01
|
| Business code |
443142
|
| Sponsor’s telephone number |
9127151000
|
| Plan sponsor’s
address |
4450 OSCAR DR., LEXINGTON, KY, 40516
|
Signature of
| Role |
Plan administrator |
| Date |
2024-09-16 |
| Name of individual signing |
ANTHONY WARREN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BLAINE JACOB INC. 401K PLAN
|
2023
|
205538042
|
2024-07-26
|
BLAINE JACOB INC.
|
27
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
532210
|
| Sponsor’s telephone number |
9127151000
|
| Plan sponsor’s
address |
4450 OSCAR DR., LEXINGTON, KY, 40516
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-26 |
| Name of individual signing |
ANTHONY WARREN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BLAINE JACOB INC. 401K PLAN
|
2022
|
205538042
|
2023-06-15
|
BLAINE JACOB INC.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
532210
|
| Sponsor’s telephone number |
9127151000
|
| Plan sponsor’s
address |
4450 OSCAR DR., LEXINGTON, KY, 40516
|
Signature of
| Role |
Plan administrator |
| Date |
2023-06-15 |
| Name of individual signing |
ANTHONY WARREN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BLAINE JACOB INC. CASH BALANCE PLAN
|
2022
|
205538042
|
2023-09-26
|
BLAINE JACOB INC.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2021-01-01
|
| Business code |
443142
|
| Sponsor’s telephone number |
9127151000
|
| Plan sponsor’s
address |
4450 OSCAR DR., LEXINGTON, KY, 40516
|
Signature of
| Role |
Plan administrator |
| Date |
2023-09-26 |
| Name of individual signing |
ANTHONY WARREN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BLAINE JACOB INC. 401K PLAN
|
2021
|
205538042
|
2022-08-03
|
BLAINE JACOB INC.
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
532210
|
| Sponsor’s telephone number |
9127151000
|
| Plan sponsor’s
address |
4450 OSCAR DR., LEXINGTON, KY, 40516
|
Signature of
| Role |
Plan administrator |
| Date |
2022-08-03 |
| Name of individual signing |
ANTHONY WARREN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BLAINE JACOB INC. CASH BALANCE PLAN
|
2021
|
205538042
|
2022-09-30
|
BLAINE JACOB INC.
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2021-01-01
|
| Business code |
443142
|
| Sponsor’s telephone number |
9127151000
|
| Plan sponsor’s
address |
4450 OSCAR DR., LEXINGTON, KY, 40516
|
Signature of
| Role |
Plan administrator |
| Date |
2022-09-30 |
| Name of individual signing |
ANTHONY WARREN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
