HEALTH & WELFARE
|
2014
|
610921718
|
2015-07-31
|
HOSPARUS INC.
|
344
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1992-03-01
|
Business code |
621610
|
Sponsor’s telephone number |
5024566200
|
Plan sponsor’s mailing address |
3532 EPHRAIM MCDOWELL DRIVE, LOUISVILLE, KY, 40205
|
Plan sponsor’s
address |
3532 EPHRAIM MCDOWELL DRIVE, LOUISVILLE, KY, 40205
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
KAREN HAMILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH & WELFARE
|
2013
|
610921718
|
2014-10-16
|
HOSPARUS INC.
|
343
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1992-03-01
|
Business code |
621610
|
Sponsor’s telephone number |
5024566200
|
Plan sponsor’s mailing address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205
|
Plan sponsor’s
address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-10-16 |
Name of individual signing |
KAREN HAMILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-16 |
Name of individual signing |
KAREN HAMILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE, AD&D AND LTD PLAN
|
2013
|
610921718
|
2014-10-16
|
HOSPARUS, INC.
|
459
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-02-01
|
Business code |
621610
|
Sponsor’s telephone number |
5027194112
|
Plan sponsor’s mailing address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205
|
Plan sponsor’s
address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-10-16 |
Name of individual signing |
KAREN HAMILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH & WELFARE
|
2012
|
610921718
|
2013-12-12
|
HOSPARUS INC.
|
363
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1992-03-01
|
Business code |
621610
|
Sponsor’s telephone number |
5024566200
|
Plan sponsor’s mailing address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205
|
Plan sponsor’s
address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-12-12 |
Name of individual signing |
KAREN HAMILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE, AD&D AND LTD PLAN
|
2012
|
610921718
|
2013-12-12
|
HOSPARUS, INC.
|
421
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-02-01
|
Business code |
621610
|
Sponsor’s telephone number |
5024566200
|
Plan sponsor’s mailing address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205
|
Plan sponsor’s
address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-12-12 |
Name of individual signing |
KAREN HAMILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH & WELFARE PLAN
|
2011
|
610921718
|
2013-12-12
|
HOSPARUS INC.
|
340
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1992-03-01
|
Business code |
621610
|
Sponsor’s telephone number |
5024566200
|
Plan sponsor’s mailing address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205
|
Plan sponsor’s
address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205
|
Plan administrator’s name and address
Administrator’s EIN |
610921718 |
Plan administrator’s name |
HOSPARUS INC. |
Plan administrator’s
address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205 |
Administrator’s telephone number |
5024566200 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-12-12 |
Name of individual signing |
KAREN HAMILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE, AD&D AND LTD PLAN
|
2011
|
610921718
|
2013-12-12
|
HOSPARUS INC
|
403
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-02-01
|
Business code |
621610
|
Sponsor’s telephone number |
5024566200
|
Plan sponsor’s mailing address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205
|
Plan sponsor’s
address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205
|
Plan administrator’s name and address
Administrator’s EIN |
610921718 |
Plan administrator’s name |
HOSPARUS INC |
Plan administrator’s
address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205 |
Administrator’s telephone number |
5024566200 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-12-12 |
Name of individual signing |
KAREN HAMILTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE, AD&D AND LTD PLAN
|
2010
|
610921718
|
2012-04-06
|
HOSPARUS INC
|
341
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-02-01
|
Business code |
621610
|
Sponsor’s telephone number |
5024566200
|
Plan sponsor’s mailing address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205
|
Plan sponsor’s
address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205
|
Plan administrator’s name and address
Administrator’s EIN |
610921718 |
Plan administrator’s name |
HOSPARUS INC |
Plan administrator’s
address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205 |
Administrator’s telephone number |
5024566200 |
Number of participants as of the end of the plan year
Active participants |
403 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-04-06 |
Name of individual signing |
SHARON ORMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH AND WELFARE BENEFIT PLAN
|
2009
|
610921718
|
2011-01-21
|
HOSPARUS INC
|
285
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1992-03-01
|
Business code |
621610
|
Sponsor’s telephone number |
5024566200
|
Plan sponsor’s mailing address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205
|
Plan sponsor’s
address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205
|
Plan administrator’s name and address
Administrator’s EIN |
610921718 |
Plan administrator’s name |
HOSPARUS INC |
Plan administrator’s
address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205 |
Administrator’s telephone number |
5024566200 |
Number of participants as of the end of the plan year
Active participants |
325 |
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 |
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 |
2011-01-21 |
Name of individual signing |
SHARON ORMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AD&D AND LTD PLAN
|
2009
|
610921718
|
2011-01-21
|
HOSPARUS INC
|
322
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-02-01
|
Business code |
621610
|
Sponsor’s telephone number |
5024566200
|
Plan sponsor’s mailing address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205
|
Plan sponsor’s
address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205
|
Plan administrator’s name and address
Administrator’s EIN |
610921718 |
Plan administrator’s name |
HOSPARUS INC |
Plan administrator’s
address |
3532 EPHRAIM MCDOWELL DR, LOUISVILLE, KY, 40205 |
Administrator’s telephone number |
5024566200 |
Number of participants as of the end of the plan year
Active participants |
341 |
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 |
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 |
2011-01-21 |
Name of individual signing |
SHARON ORMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|