|
BALIS-CAMPBELL, INC.
|
2012
|
610667353
|
2013-06-21
|
BALIS-CAMPBELL, INC.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-07-01
|
| Business code |
236110
|
| Sponsor’s telephone number |
6064364663
|
| Plan sponsor’s
address |
182 SWARTZ DRIVE, HAZARD, KY, 41701
|
Signature of
| Role |
Plan administrator |
| Date |
2013-06-21 |
| Name of individual signing |
HELEN FUGATE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BALIS-CAMPBELL, INC.
|
2012
|
610667353
|
2013-06-21
|
BALIS-CAMPBELL, INC.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-07-01
|
| Business code |
236110
|
| Sponsor’s telephone number |
6064364663
|
| Plan sponsor’s
address |
182 SWARTZ DRIVE, HAZARD, KY, 41701
|
Signature of
| Role |
Plan administrator |
| Date |
2013-06-21 |
| Name of individual signing |
HELEN FUGATE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BALIS-CAMPBELL, INC.
|
2011
|
610667353
|
2012-07-23
|
BALIS-CAMPBELL, INC.
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-07-01
|
| Business code |
236110
|
| Sponsor’s telephone number |
6064364663
|
| Plan sponsor’s
address |
182 SWARTZ DRIVE, HAZARD, KY, 41701
|
Plan administrator’s name and address
| Administrator’s EIN |
610667353 |
| Plan administrator’s name |
BALIS-CAMPBELL, INC. |
| Plan administrator’s
address |
182 SWARTZ DRIVE, HAZARD, KY, 41701 |
| Administrator’s telephone number |
6064364663 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-20 |
| Name of individual signing |
HELEN FUGATE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BALIS-CAMPBELL, INC.
|
2010
|
610667353
|
2011-07-22
|
BALIS-CAMPBELL, INC.
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-07-01
|
| Business code |
236110
|
| Sponsor’s telephone number |
6064364663
|
| Plan sponsor’s
address |
182 SWARTZ DRIVE, HAZARD, KY, 41701
|
Plan administrator’s name and address
| Administrator’s EIN |
610667353 |
| Plan administrator’s name |
BALIS-CAMPBELL, INC. |
| Plan administrator’s
address |
182 SWARTZ DRIVE, HAZARD, KY, 41701 |
| Administrator’s telephone number |
6064364663 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-22 |
| Name of individual signing |
HELEN FUGATE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BALIS-CAMPBELL, INC. RETIREMENT SAVINGS PLAN
|
2009
|
610667353
|
2010-08-02
|
BALIS-CAMPBELL, INC.
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-07-01
|
| Business code |
236110
|
| Sponsor’s telephone number |
6064364663
|
| Plan sponsor’s
address |
182 SWARTZ DRIVE, HAZARD, KY, 41701
|
Plan administrator’s name and address
| Administrator’s EIN |
610667353 |
| Plan administrator’s name |
BALIS-CAMPBELL, INC. |
| Plan administrator’s
address |
182 SWARTZ DRIVE, HAZARD, KY, 41701 |
| Administrator’s telephone number |
6064364663 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-02 |
| Name of individual signing |
HELEN FUGATE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
