TRI-CITY INSURANCE SERVICE, INC. 401(K) PLAN
|
2020
|
610702598
|
2021-03-25
|
TRI-CITY INSURANCE SERVICE, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
524140
|
Sponsor’s telephone number |
8593717006
|
Plan sponsor’s
address |
234 MAIN ST., FLORENCE, KY, 41042
|
Signature of
Role |
Plan administrator |
Date |
2021-03-25 |
Name of individual signing |
DONNA MCCARTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-CITY INSURANCE SERVICE, INC. 401(K) PLAN
|
2020
|
610702598
|
2021-03-24
|
TRI-CITY INSURANCE SERVICE, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
524140
|
Sponsor’s telephone number |
8593717006
|
Plan sponsor’s
address |
234 MAIN ST., FLORENCE, KY, 41042
|
Signature of
Role |
Plan administrator |
Date |
2021-03-24 |
Name of individual signing |
DONNA MCCARTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-CITY INSURANCE SERVICE, INC. 401(K) PLAN
|
2019
|
610702598
|
2020-03-29
|
TRI-CITY INSURANCE SERVICE, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
524140
|
Sponsor’s telephone number |
8593717006
|
Plan sponsor’s
address |
234 MAIN ST., FLORENCE, KY, 41042
|
Signature of
Role |
Plan administrator |
Date |
2020-03-29 |
Name of individual signing |
DONNA MCCARTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-CITY INSURANCE SERVICE, INC. 401(K) PLAN
|
2018
|
610702598
|
2019-05-08
|
TRI-CITY INSURANCE SERVICE, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
524140
|
Sponsor’s telephone number |
8593717006
|
Plan sponsor’s
address |
234 MAIN ST., FLORENCE, KY, 41042
|
Signature of
Role |
Plan administrator |
Date |
2019-05-08 |
Name of individual signing |
DONNA MCCARTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-CITY INSURANCE SERVICE, INC. 401(K) PLAN
|
2017
|
610702598
|
2018-03-27
|
TRI-CITY INSURANCE SERVICE, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
524140
|
Sponsor’s telephone number |
8593717006
|
Plan sponsor’s
address |
234 MAIN ST., FLORENCE, KY, 41042
|
Signature of
Role |
Plan administrator |
Date |
2018-03-27 |
Name of individual signing |
DONNA MCCARTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-CITY INSURANCE SERVICE, INC. 401(K) PLAN
|
2016
|
610702598
|
2017-03-31
|
TRI-CITY INSURANCE SERVICE, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
524140
|
Sponsor’s telephone number |
8593717006
|
Plan sponsor’s
address |
234 MAIN ST., FLORENCE, KY, 41042
|
Signature of
Role |
Plan administrator |
Date |
2017-03-31 |
Name of individual signing |
DONNA MCCARTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-CITY INSURANCE SERVICE, INC. 401(K) PLAN
|
2015
|
610702598
|
2016-05-11
|
TRI-CITY INSURANCE SERVICE, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
524140
|
Sponsor’s telephone number |
8593717006
|
Plan sponsor’s
address |
234 MAIN ST., FLORENCE, KY, 41042
|
Signature of
Role |
Plan administrator |
Date |
2016-05-11 |
Name of individual signing |
DONNA MCCARTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-CITY INSURANCE SERVICE, INC. 401(K) PLAN
|
2014
|
610702598
|
2015-07-15
|
TRI-CITY INSURANCE SERVICE, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
524140
|
Sponsor’s telephone number |
8593717006
|
Plan sponsor’s
address |
234 MAIN ST., FLORENCE, KY, 41042
|
Plan administrator’s name and address
Administrator’s EIN |
610702598 |
Plan administrator’s name |
TRI-CITY INSURANCE SERVICE, INC. |
Plan administrator’s
address |
234 MAIN ST., FLORENCE, KY, 41042 |
Administrator’s telephone number |
8593717006 |
Signature of
Role |
Plan administrator |
Date |
2015-07-15 |
Name of individual signing |
DONNA MCCARTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-CITY INSURANCE SERVICE, INC. 401(K) PLAN
|
2013
|
610702598
|
2014-07-08
|
TRI-CITY INSURANCE SERVICE, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
524140
|
Sponsor’s telephone number |
8593717006
|
Plan sponsor’s
address |
234 MAIN ST., FLORENCE, KY, 41042
|
Plan administrator’s name and address
Administrator’s EIN |
610702598 |
Plan administrator’s name |
TRI-CITY INSURANCE SERVICE, INC. |
Plan administrator’s
address |
234 MAIN ST., FLORENCE, KY, 41042 |
Administrator’s telephone number |
8593717006 |
Signature of
Role |
Plan administrator |
Date |
2014-07-08 |
Name of individual signing |
DONNA MCCARTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-CITY INSURANCE SERVICE, INC. 401(K) PLAN
|
2012
|
610702598
|
2013-06-07
|
TRI-CITY INSURANCE SERVICE, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
524140
|
Sponsor’s telephone number |
8593717006
|
Plan sponsor’s
address |
234 MAIN ST., FLORENCE, KY, 41042
|
Plan administrator’s name and address
Administrator’s EIN |
610702598 |
Plan administrator’s name |
TRI-CITY INSURANCE SERVICE, INC. |
Plan administrator’s
address |
234 MAIN ST., FLORENCE, KY, 41042 |
Administrator’s telephone number |
8593717006 |
Signature of
Role |
Plan administrator |
Date |
2013-06-07 |
Name of individual signing |
DONNA MCCARTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-CITY INSURANCE SERVICE, INC. 401(K) PLAN
|
2011
|
610702598
|
2012-07-25
|
TRI-CITY INSURANCE SERVICE, INC.
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/25/20120725125023P040035554272001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2011-10-01 |
Business code |
524140 |
Sponsor’s telephone number |
8593717006 |
Plan sponsor’s
address |
234 MAIN ST., FLORENCE, KY, 41042 |
Plan administrator’s name and address
Administrator’s EIN |
610702598 |
Plan administrator’s name |
TRI-CITY INSURANCE SERVICE, INC. |
Plan administrator’s
address |
234 MAIN ST., FLORENCE, KY, 41042 |
Administrator’s telephone number |
8593717006 |
Signature of
Role |
Plan administrator |
Date |
2012-07-25 |
Name of individual signing |
DONNA MCCARTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|