GOODWILL INDUSTRIES OF KENTUCKY, INC. EMPLOYEE HEALTH CARE PLAN
|
2022
|
610475284
|
2024-08-27
|
GOODWILL INDUSTRIES OF KENTUCKY, INC.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2014-12-01
|
Business code |
561720
|
Sponsor’s telephone number |
5022721700
|
Plan sponsor’s
address |
2820 W. BROADWAY, LOUISVILLE, KY, 40211
|
Signature of
Role |
Plan administrator |
Date |
2024-08-27 |
Name of individual signing |
JASON AUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOODWILL INDUSTRIES OF KENTUCKY, INC. EMPLOYEE HEALTH CARE PLAN
|
2021
|
610475284
|
2023-06-23
|
GOODWILL INDUSTRIES OF KENTUCKY, INC.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2014-12-01
|
Business code |
561720
|
Sponsor’s telephone number |
5022721700
|
Plan sponsor’s
address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208
|
Signature of
Role |
Plan administrator |
Date |
2023-06-23 |
Name of individual signing |
JASON AUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOODWILL INDUSTRIES OF KENTUCKY, INC. EMPLOYEE HEALTH CARE PLAN
|
2020
|
610475284
|
2022-06-24
|
GOODWILL INDUSTRIES OF KENTUCKY, INC.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2014-12-01
|
Business code |
561720
|
Sponsor’s telephone number |
5022721700
|
Plan sponsor’s
address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208
|
Signature of
Role |
Plan administrator |
Date |
2022-06-24 |
Name of individual signing |
JASON AUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOODWILL INDUSTRIES OF KENTUCKY, INC. EMPLOYEE HEALTH CARE PLAN
|
2019
|
610475284
|
2021-06-29
|
GOODWILL INDUSTRIES OF KENTUCKY, INC.
|
44
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2014-12-01
|
Business code |
561720
|
Sponsor’s telephone number |
5022721700
|
Plan sponsor’s
address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208
|
Signature of
Role |
Plan administrator |
Date |
2021-06-29 |
Name of individual signing |
JASON AUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOODWILL INDUSTRIES OF KENTUCKY, INC. EMPLOYEE HEALTH CARE PLAN
|
2018
|
610475284
|
2020-06-17
|
GOODWILL INDUSTRIES OF KENTUCKY, INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2014-12-01
|
Business code |
561720
|
Sponsor’s telephone number |
5022721700
|
Plan sponsor’s
address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208
|
Signature of
Role |
Plan administrator |
Date |
2020-06-17 |
Name of individual signing |
JASON AUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOODWILL INDUSTRIES OF KENTUCKY, INC. EMPLOYEE HEALTH CARE PLAN
|
2017
|
610475284
|
2019-07-01
|
GOODWILL INDUSTRIES OF KENTUCKY, INC.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2014-12-01
|
Business code |
561720
|
Sponsor’s telephone number |
5022721700
|
Plan sponsor’s
address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208
|
Signature of
Role |
Plan administrator |
Date |
2019-07-01 |
Name of individual signing |
CHERI WALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOODWILL INDUSTRIES OF KENTUCKY BENEFITS PLAN
|
2017
|
610475284
|
2019-02-28
|
GOODWILL INDUSTRIES OF KENTUCKY INC
|
1018
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1983-01-01
|
Business code |
453310
|
Sponsor’s telephone number |
5022721700
|
Plan sponsor’s mailing address |
1325 S 4TH ST, LOUISVILLE, KY, 402082313
|
Plan sponsor’s
address |
1325 S 4TH ST, LOUISVILLE, KY, 402082313
|
Number of participants as of the end of the plan year
Active participants |
935 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2019-02-28 |
Name of individual signing |
CHERI WALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOODWILL INDUSTRIES OF KENTUCKY, INC. EMPLOYEE HEALTH CARE PLAN
|
2016
|
610475284
|
2018-06-29
|
GOODWILL INDUSTRIES OF KENTUCKY, INC.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2014-12-01
|
Business code |
561720
|
Sponsor’s telephone number |
5022721700
|
Plan sponsor’s
address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208
|
Signature of
Role |
Plan administrator |
Date |
2018-06-29 |
Name of individual signing |
CHERI WALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOODWILL INDUSTRIES OF KENTUCKY FLEXIBLE BENEFITS PLAN
|
2016
|
610475284
|
2018-07-23
|
GOODWILL INDUSTRIES OF KENTUCKY, INC.
|
916
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1983-01-01
|
Business code |
453310
|
Sponsor’s telephone number |
5022721700
|
Plan sponsor’s mailing address |
1325 S 4TH ST, LOUISVILLE, KY, 402082313
|
Plan sponsor’s
address |
1325 S 4TH ST, LOUISVILLE, KY, 402082313
|
Number of participants as of the end of the plan year
Active participants |
1015 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2018-07-23 |
Name of individual signing |
CHERI WALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOODWILL INDUSTRIES OF KENTUCKY, INC. EMPLOYEE HEALTH CARE PLAN
|
2015
|
610475284
|
2017-06-29
|
GOODWILL INDUSTRIES OF KENTUCKY, INC.
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2014-12-01
|
Business code |
561720
|
Sponsor’s telephone number |
5022721700
|
Plan sponsor’s
address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208
|
Signature of
Role |
Plan administrator |
Date |
2017-06-29 |
Name of individual signing |
CHERI WALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOODWILL INDUSTRIES OF KENTUCKY FLEXIBLE BENEFITS PLAN
|
2015
|
610475284
|
2017-02-27
|
GOODWILL INDUSTRIES OF KENTUCKY, INC.
|
845
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/02/27/20170227114421P030031651213001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1983-01-01 |
Business code |
453310 |
Sponsor’s telephone number |
5022721700 |
Plan sponsor’s mailing address |
1325 SOUTH FOURTH ST, LOUISVILLE, KY, 40208 |
Plan sponsor’s
address |
1325 SOUTH FOURTH ST, LOUISVILLE, KY, 40208 |
Number of participants as of the end of the plan year
Active participants |
916 |
Retired or separated participants receiving
benefits |
7 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-02-27 |
Name of individual signing |
CHERI WALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-27 |
Name of individual signing |
CHERI WALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOODWILL INDUSTRIES OF KENTUCKY, INC. EMPLOYEE HEALTH CARE PLAN
|
2014
|
610475284
|
2016-09-01
|
GOODWILL INDUSTRIES OF KENTUCKY, INC.
|
48
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/09/01/20160901163105P040008056813001.pdf |
Three-digit plan number (PN) |
506 |
Effective date of plan |
2014-12-01 |
Business code |
561720 |
Sponsor’s telephone number |
5022721700 |
Plan sponsor’s
address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208 |
Signature of
Role |
Plan administrator |
Date |
2016-09-01 |
Name of individual signing |
CHERI WALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOODWILL INDUSTRIES OF KENTUCKY FLEXIBLE BENEFITS PLAN
|
2014
|
610475284
|
2016-07-15
|
GOODWILL INDUSTRIES OF KENTUCKY, INC.
|
837
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/15/20160715143322P040034850407001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1983-01-01 |
Business code |
453310 |
Sponsor’s telephone number |
5022721700 |
Plan sponsor’s mailing address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208 |
Plan sponsor’s
address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208 |
Number of participants as of the end of the plan year
Active participants |
845 |
Retired or separated participants receiving
benefits |
6 |
Signature of
Role |
Plan administrator |
Date |
2016-07-15 |
Name of individual signing |
CHERI WALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
DFE |
Date |
2016-07-15 |
Name of individual signing |
CHERI WALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOODWILL INDUSTRIES OF KENTUCKY FLEXIBLE BENEFITS PLAN
|
2013
|
610475284
|
2015-03-18
|
GOODWILL INDUSTRIES OF KENTUCKY, INC.
|
671
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/03/18/20150318105933P040137545639001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1983-01-01 |
Business code |
453310 |
Sponsor’s telephone number |
5022721700 |
Plan sponsor’s mailing address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208 |
Plan sponsor’s
address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208 |
Number of participants as of the end of the plan year
Active participants |
832 |
Retired or separated participants receiving
benefits |
5 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-03-18 |
Name of individual signing |
KIM BURSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-03-18 |
Name of individual signing |
KIM BURSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOODWILL INDUSTRIES OF KENTUCKY FLEXIBLE BENEFITS PLAN
|
2012
|
610475284
|
2014-04-29
|
GOODWILL INDUSTRIES OF KENTUCKY, INC.
|
545
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/04/29/20140429080839P030105402149001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1983-01-01 |
Business code |
453310 |
Sponsor’s telephone number |
5022721700 |
Plan sponsor’s mailing address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208 |
Plan sponsor’s
address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208 |
Number of participants as of the end of the plan year
Active participants |
666 |
Retired or separated participants receiving
benefits |
5 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-04-28 |
Name of individual signing |
KIM BURSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-28 |
Name of individual signing |
KIM BURSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOODWILL INDUSTRIES OF KENTUCKY FLEXIBLE BENEFITS PLAN
|
2011
|
610475284
|
2013-04-30
|
GOODWILL INDUSTRIES OF KENTUCKY, INC.
|
540
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/30/20130430065534P030010570114001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1983-01-01 |
Business code |
453310 |
Sponsor’s telephone number |
5022721700 |
Plan sponsor’s mailing address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208 |
Plan sponsor’s
address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208 |
Plan administrator’s name and address
Administrator’s EIN |
610475284 |
Plan administrator’s name |
GOODWILL INDUSTRIES OF KENTUCKY, INC. |
Plan administrator’s
address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208 |
Administrator’s telephone number |
5022721700 |
Number of participants as of the end of the plan year
Active participants |
539 |
Retired or separated participants receiving
benefits |
5 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2013-04-29 |
Name of individual signing |
KIM BURSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-29 |
Name of individual signing |
KIM BURSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOODWILL INDUSTRIES OF KENTUCKY FLEXIBLE BENEFITS PLAN
|
2009
|
610475284
|
2011-04-29
|
GOODWILL INDUSTRIES OF KENTUCKY, INC.
|
344
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/04/29/20110429112356P030237198480001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1983-01-01 |
Business code |
453310 |
Sponsor’s telephone number |
5022721700 |
Plan sponsor’s mailing address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208 |
Plan sponsor’s
address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208 |
Plan administrator’s name and address
Administrator’s EIN |
610475284 |
Plan administrator’s name |
GOODWILL INDUSTRIES OF KENTUCKY, INC. |
Plan administrator’s
address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208 |
Administrator’s telephone number |
5022721700 |
Number of participants as of the end of the plan year
Active participants |
450 |
Retired or separated participants receiving
benefits |
4 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2011-04-29 |
Name of individual signing |
KIM BURSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOODWILL INDUSTRIES OF KENTUCKY FLEXIBLE BENEFITS PLAN
|
2009
|
610475284
|
2011-04-29
|
GOODWILL INDUSTRIES OF KENTUCKY, INC.
|
344
|
|
Three-digit plan number (PN) |
501 |
Effective date of plan |
1983-01-01 |
Business code |
453310 |
Sponsor’s telephone number |
5022721700 |
Plan sponsor’s mailing address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208 |
Plan sponsor’s
address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208 |
Plan administrator’s name and address
Administrator’s EIN |
610475284 |
Plan administrator’s name |
GOODWILL INDUSTRIES OF KENTUCKY, INC. |
Plan administrator’s
address |
1325 SOUTH FOURTH STREET, LOUISVILLE, KY, 40208 |
Administrator’s telephone number |
5022721700 |
Number of participants as of the end of the plan year
Active participants |
450 |
Retired or separated participants receiving
benefits |
4 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-04-29 |
Name of individual signing |
KIM BURSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|