HARRISON COUNTY COMMISSION ON AGING, INC. 403
|
2012
|
610881515
|
2013-02-12
|
HARRISON COUNTY COMMISSION ON AGING, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
403
|
Effective date of plan |
2012-01-01
|
Business code |
624100
|
Plan sponsor’s mailing address |
216 OLD LAIR ROAD, CYNTHIANA, KY, 41031
|
Plan sponsor’s
address |
216 OLD LAIR ROAD, CYNTHIANA, KY, 41031
|
Number of participants as of the end of the plan year
Active participants |
3 |
Retired or separated participants receiving
benefits |
0 |
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 |
2013-02-12 |
Name of individual signing |
TRACY WHITAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARRISON COUNTY COMMISSION ON AGING, INC. 403
|
2011
|
610881515
|
2012-03-08
|
HARRISON COUNTY COMMISSION ON AGING, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
403
|
Effective date of plan |
2011-07-01
|
Business code |
624100
|
Plan sponsor’s mailing address |
216 OLD LAIR RD., CYNTHIANA, KY, 41031
|
Plan sponsor’s
address |
216 OLD LAIR RD., CYNTHIANA, KY, 41031
|
Plan administrator’s name and address
Administrator’s EIN |
610881515 |
Plan administrator’s name |
HARRISON COUNTY COMMISSION ON AGING, INC. |
Plan administrator’s
address |
216 OLD LAIR RD., CYNTHIANA, KY, 41031 |
Administrator’s telephone number |
8592345801 |
Number of participants as of the end of the plan year
Active participants |
4 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-03-08 |
Name of individual signing |
TRACY WHITAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARRISON COUNTY COMMISSION ON AGING INC 403
|
2010
|
610881515
|
2011-09-29
|
HARRISON COUNTY COMMISSION ON AGING, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
403
|
Effective date of plan |
2010-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8592345801
|
Plan sponsor’s mailing address |
216 OLD LAIR RD, CYNTHIANA, KY, 41031
|
Plan sponsor’s
address |
216 OLD LAIR RD, CYNTHIANA, KY, 41031
|
Plan administrator’s name and address
Administrator’s EIN |
610881515 |
Plan administrator’s name |
HARRISON COUNTY COMMISSION ON AGING, INC. |
Plan administrator’s
address |
216 OLD LAIR RD, CYNTHIANA, KY, 41031 |
Administrator’s telephone number |
8592345801 |
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
1 |
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 |
2011-09-29 |
Name of individual signing |
TRACY WHITAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARRISON COUNTY COMMISSION ON AGING INC 403
|
2009
|
610881515
|
2011-09-29
|
HARRISON COUNTY COMMISSION ON AGING, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
403
|
Effective date of plan |
2009-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8592345801
|
Plan sponsor’s mailing address |
216 OLD LAIR RD., CYNTHIANA, KY, 41031
|
Plan sponsor’s
address |
216 OLD LAIR RD., CYNTHIANA, KY, 41031
|
Plan administrator’s name and address
Administrator’s EIN |
610881515 |
Plan administrator’s name |
HARRISON COUNTY COMMISSION ON AGING, INC. |
Plan administrator’s
address |
216 OLD LAIR RD., CYNTHIANA, KY, 41031 |
Administrator’s telephone number |
8592345801 |
Number of participants as of the end of the plan year
Active participants |
5 |
Retired or separated participants receiving
benefits |
0 |
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 |
2011-09-29 |
Name of individual signing |
TRACY WHITAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARRISON COUNTY COMMISSION ON AGING INC 403
|
2009
|
610881515
|
2011-09-29
|
HARRISON COUNTY COMMISSION ON AGING, INC.
|
5
|
|
Three-digit plan number (PN) |
403
|
Effective date of plan |
2009-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8592345801
|
Plan sponsor’s mailing address |
216 OLD LAIR RD., CYNTHIANA, KY, 41031
|
Plan sponsor’s
address |
216 OLD LAIR RD., CYNTHIANA, KY, 41031
|
Plan administrator’s name and address
Administrator’s EIN |
610881515 |
Plan administrator’s name |
HARRISON COUNTY COMMISSION ON AGING, INC. |
Plan administrator’s
address |
216 OLD LAIR RD., CYNTHIANA, KY, 41031 |
Administrator’s telephone number |
8592345801 |
Number of participants as of the end of the plan year
Active participants |
5 |
Retired or separated participants receiving
benefits |
0 |
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 |
Employer/plan sponsor |
Date |
2011-09-29 |
Name of individual signing |
TRACY WHITAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARRISON COUNTY COMMISSION ON AGING INC 403
|
2009
|
610881515
|
2011-09-29
|
HARRISON COUNTY COMMISSION ON AGING, INC.
|
5
|
|
Three-digit plan number (PN) |
403
|
Effective date of plan |
2009-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8592345801
|
Plan sponsor’s mailing address |
216 OLD LAIR RD., CYNTHIANA, KY, 41031
|
Plan sponsor’s
address |
216 OLD LAIR RD., CYNTHIANA, KY, 41031
|
Plan administrator’s name and address
Administrator’s EIN |
610881515 |
Plan administrator’s name |
HARRISON COUNTY COMMISSION ON AGING, INC. |
Plan administrator’s
address |
216 OLD LAIR RD., CYNTHIANA, KY, 41031 |
Administrator’s telephone number |
8592345801 |
Number of participants as of the end of the plan year
Active participants |
5 |
Retired or separated participants receiving
benefits |
0 |
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 |
Employer/plan sponsor |
Date |
2011-09-29 |
Name of individual signing |
TRACY WHITAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|