K S CAUFIELD PREMIUM ONLY CAFETERIA PLAN
|
2023
|
610152899
|
2024-07-24
|
K S CAUFIELD INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-07-01
|
Business code |
453220
|
Sponsor’s telephone number |
5025830636
|
Plan sponsor’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202
|
Signature of
Role |
Plan administrator |
Date |
2024-07-23 |
Name of individual signing |
TRACY JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
K S CAUFIELD PREMIUM ONLY CAFETERIA PLAN
|
2022
|
610152899
|
2023-07-13
|
K S CAUFIELD INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-07-01
|
Business code |
453220
|
Sponsor’s telephone number |
5025830636
|
Plan sponsor’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202
|
Signature of
Role |
Plan administrator |
Date |
2023-07-13 |
Name of individual signing |
TRACY JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
K S CAUFIELD PREMIUM ONLY CAFETERIA PLAN
|
2021
|
610152899
|
2022-07-27
|
K S CAUFIELD INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-07-01
|
Business code |
453220
|
Sponsor’s telephone number |
5025830636
|
Plan sponsor’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202
|
Signature of
Role |
Plan administrator |
Date |
2022-07-27 |
Name of individual signing |
TRACY JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
K S CAUFIELD PREMIUM ONLY CAFETERIA PLAN
|
2020
|
610152899
|
2021-07-29
|
K S CAUFIELD INC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-07-01
|
Business code |
453220
|
Sponsor’s telephone number |
5025830636
|
Plan sponsor’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202
|
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
TRACY JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
K S CAUFIELD PREMIUM ONLY CAFETERIA PLAN
|
2019
|
610152899
|
2020-07-24
|
K S CAUFIELD INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-07-01
|
Business code |
453220
|
Sponsor’s telephone number |
5025830636
|
Plan sponsor’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202
|
Signature of
Role |
Plan administrator |
Date |
2020-07-24 |
Name of individual signing |
TRACY JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
K S CAUFIELD PREMIUM ONLY CAFETERIA PLAN
|
2018
|
610152899
|
2019-09-19
|
K S CAUFIELD INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-07-01
|
Business code |
453220
|
Sponsor’s telephone number |
5025830636
|
Plan sponsor’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202
|
Signature of
Role |
Plan administrator |
Date |
2019-09-18 |
Name of individual signing |
STACY JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-18 |
Name of individual signing |
STACY JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
K S CAUFIELD PREMIUM ONLY CAFETERIA PLAN
|
2017
|
610152899
|
2018-07-10
|
K S CAUFIELD INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-07-01
|
Business code |
453220
|
Sponsor’s telephone number |
5025830636
|
Plan sponsor’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202
|
Signature of
Role |
Plan administrator |
Date |
2018-07-10 |
Name of individual signing |
STACY JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
K S CAUFIELD PREMIUM ONLY CAFETERIA PLAN
|
2016
|
610152899
|
2017-10-10
|
K S CAUFIELD INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-07-01
|
Business code |
453220
|
Sponsor’s telephone number |
5025830636
|
Plan sponsor’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202
|
Signature of
Role |
Plan administrator |
Date |
2017-10-06 |
Name of individual signing |
STACY JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
K S CAUFIELD PREMIUM ONLY CAFETERIA PLAN
|
2015
|
610152899
|
2016-08-15
|
K S CAUFIELD INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-07-01
|
Business code |
453220
|
Sponsor’s telephone number |
5025830636
|
Plan sponsor’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202
|
Plan administrator’s name and address
Administrator’s EIN |
610152899 |
Plan administrator’s name |
K S CAUFIELD INC |
Plan administrator’s
address |
1006 W MAIN ST, LOUISVILLE, KY, 402022624 |
Administrator’s telephone number |
5025830636 |
Signature of
Role |
Plan administrator |
Date |
2016-08-12 |
Name of individual signing |
KERRY CAUFIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
K S CAUFIELD PREMIUM ONLY CAFETERIA PLAN
|
2014
|
610152899
|
2015-07-30
|
K S CAUFIELD INC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-07-01
|
Business code |
453220
|
Sponsor’s telephone number |
5025830636
|
Plan sponsor’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202
|
Plan administrator’s name and address
Administrator’s EIN |
610152899 |
Plan administrator’s name |
K S CAUFIELD INC |
Plan administrator’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202 |
Administrator’s telephone number |
5025830636 |
Signature of
Role |
Plan administrator |
Date |
2015-07-30 |
Name of individual signing |
SE JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
K S CAUFIELD PREMIUM ONLY CAFETERIA PLAN
|
2013
|
610152899
|
2014-07-17
|
K S CAUFIELD INC
|
8
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/17/20140717124812P030017162269001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1995-07-01 |
Business code |
453220 |
Sponsor’s telephone number |
5025830636 |
Plan sponsor’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202 |
Plan administrator’s name and address
Administrator’s EIN |
610152899 |
Plan administrator’s name |
K S CAUFIELD INC |
Plan administrator’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202 |
Administrator’s telephone number |
5025830636 |
Signature of
Role |
Plan administrator |
Date |
2014-07-17 |
Name of individual signing |
SE JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
K S CAUFIELD PREMIUM ONLY CAFETERIA PLAN
|
2012
|
610152899
|
2013-07-16
|
K S CAUFIELD INC
|
8
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/16/20130716112525P030109820341001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1995-07-01 |
Business code |
453220 |
Sponsor’s telephone number |
5025830636 |
Plan sponsor’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202 |
Plan administrator’s name and address
Administrator’s EIN |
610152899 |
Plan administrator’s name |
K S CAUFIELD INC |
Plan administrator’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202 |
Administrator’s telephone number |
5025830636 |
Signature of
Role |
Plan administrator |
Date |
2013-07-16 |
Name of individual signing |
SE JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
K S CAUFIELD PREMIUM ONLY CAFETERIA PLAN
|
2011
|
610152899
|
2012-07-13
|
K S CAUFIELD INC
|
10
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/13/20120713122957P040001366145001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1995-07-01 |
Business code |
453220 |
Sponsor’s telephone number |
5025830636 |
Plan sponsor’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202 |
Plan administrator’s name and address
Administrator’s EIN |
610152899 |
Plan administrator’s name |
K S CAUFIELD INC |
Plan administrator’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202 |
Administrator’s telephone number |
5025830636 |
Signature of
Role |
Plan administrator |
Date |
2012-07-13 |
Name of individual signing |
SE JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
K S CAUFIELD PREMIUM ONLY CAFETERIA PLAN
|
2010
|
610152899
|
2011-07-15
|
K S CAUFIELD INC
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/15/20110715122154P040096742433001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1995-07-01 |
Business code |
453220 |
Sponsor’s telephone number |
5025830636 |
Plan sponsor’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202 |
Plan administrator’s name and address
Administrator’s EIN |
610152899 |
Plan administrator’s name |
K S CAUFIELD INC |
Plan administrator’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202 |
Administrator’s telephone number |
5025830636 |
Signature of
Role |
Plan administrator |
Date |
2011-07-15 |
Name of individual signing |
SE JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
K S CAUFIELD PREMIUM ONLY CAFETERIA PLAN
|
2009
|
610152899
|
2010-10-11
|
K S CAUFIELD INC
|
12
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/11/20101011091930P040007596242001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1995-07-01 |
Business code |
453220 |
Sponsor’s telephone number |
5025830636 |
Plan sponsor’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202 |
Plan administrator’s name and address
Administrator’s EIN |
610152899 |
Plan administrator’s name |
K S CAUFIELD INC |
Plan administrator’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202 |
Administrator’s telephone number |
5025830636 |
Signature of
Role |
Plan administrator |
Date |
2010-10-11 |
Name of individual signing |
SE JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
K S CAUFIELD PREMIUM ONLY CAFETERIA PLAN
|
2009
|
610152899
|
2010-10-08
|
K S CAUFIELD INC
|
12
|
|
Three-digit plan number (PN) |
501 |
Effective date of plan |
1995-07-01 |
Business code |
453220 |
Sponsor’s telephone number |
5025830636 |
Plan sponsor’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202 |
Plan administrator’s name and address
Administrator’s EIN |
610152899 |
Plan administrator’s name |
K S CAUFIELD INC |
Plan administrator’s
address |
1006 W MAIN STREET, LOUISVILLE, KY, 40202 |
Administrator’s telephone number |
5025830636 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-10-08 |
Name of individual signing |
SE JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|