HUMANA HEALTH, LIFE, LTD & VISION PLAN
|
2014
|
611166173
|
2015-10-15
|
KABA MAS LLC
|
254
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-01-01
|
Business code |
423990
|
Sponsor’s telephone number |
8599773490
|
Plan sponsor’s mailing address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Plan sponsor’s
address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
PEARLENE HAYDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HUMANA HEALTH, LIFE & LTD PLAN
|
2013
|
611166173
|
2014-07-29
|
KABA MAS LLC
|
254
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-01-01
|
Business code |
423990
|
Sponsor’s telephone number |
8592534744
|
Plan sponsor’s mailing address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Plan sponsor’s
address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-29 |
Name of individual signing |
PEARLENE HAYDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUN LIFE FINANCIAL LIFE & LTD PLAN
|
2012
|
611166173
|
2013-10-09
|
KABA MAS LLC
|
155
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2002-05-01
|
Business code |
423990
|
Sponsor’s telephone number |
8592534744
|
Plan sponsor’s mailing address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Plan sponsor’s
address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
PEARLENE HAYDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-09 |
Name of individual signing |
MARK DUNCAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HUMANA HEALTH, LIFE & LTD PLAN
|
2012
|
611166173
|
2013-10-09
|
KABA MAS LLC
|
260
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-01-01
|
Business code |
423990
|
Sponsor’s telephone number |
8592534744
|
Plan sponsor’s mailing address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Plan sponsor’s
address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
PEARLENE HAYDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-09 |
Name of individual signing |
MARK DUNCAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUN LIFE ASSURANCE LIFE/LTD PLAN
|
2011
|
611166173
|
2012-07-26
|
KABA MAS LLC
|
147
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2002-05-01
|
Business code |
423990
|
Sponsor’s telephone number |
8592534744
|
Plan sponsor’s mailing address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Plan sponsor’s
address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Plan administrator’s name and address
Administrator’s EIN |
611166173 |
Plan administrator’s name |
KABA MAS LLC |
Plan administrator’s
address |
749 W. SHORT STREET, LEXINGTON, KY, 40508 |
Administrator’s telephone number |
8592534744 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
PEARLENE HAYDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-26 |
Name of individual signing |
MARK DUNCAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HUMANA HEALTH PLAN
|
2011
|
611166173
|
2012-07-26
|
KABA MAS LLC
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-01-01
|
Business code |
423990
|
Sponsor’s telephone number |
8592534744
|
Plan sponsor’s mailing address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Plan sponsor’s
address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Plan administrator’s name and address
Administrator’s EIN |
611166173 |
Plan administrator’s name |
KABA MAS LLC |
Plan administrator’s
address |
749 W. SHORT STREET, LEXINGTON, KY, 40508 |
Administrator’s telephone number |
8592534744 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-25 |
Name of individual signing |
PEARLENE HAYDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-26 |
Name of individual signing |
MARK DUNCAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HUMANA HEALTH PLAN
|
2010
|
611166173
|
2011-09-26
|
KABA MAS LLC
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-01-01
|
Business code |
423990
|
Sponsor’s telephone number |
8592534744
|
Plan sponsor’s mailing address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Plan sponsor’s
address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Plan administrator’s name and address
Administrator’s EIN |
611166173 |
Plan administrator’s name |
KABA MAS LLC |
Plan administrator’s
address |
749 W. SHOT STREET, LEXINGTON, KY, 40508 |
Administrator’s telephone number |
8592534744 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-09-26 |
Name of individual signing |
PEARLENE HAYDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-26 |
Name of individual signing |
MARK DUNCAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUN LIFE ASSURANC LIFE/LTD PLAN
|
2010
|
611166173
|
2011-09-26
|
KABA MAS LLC
|
146
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2002-05-01
|
Business code |
423990
|
Sponsor’s telephone number |
8592534744
|
Plan sponsor’s mailing address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Plan sponsor’s
address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Plan administrator’s name and address
Administrator’s EIN |
611166173 |
Plan administrator’s name |
KABA MAS LLC |
Plan administrator’s
address |
749 W. SHORT STREET, LEXINGTON, KY, 40508 |
Administrator’s telephone number |
8592534744 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-09-26 |
Name of individual signing |
PEARLENE HAYDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
DFE |
Date |
2011-09-26 |
Name of individual signing |
MARK DUNCAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SUN LIFE ASSURANCE LIFE/LTD PLAN
|
2009
|
611166173
|
2010-10-08
|
KABA MAS LLC
|
138
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2002-05-01
|
Business code |
423990
|
Sponsor’s telephone number |
8592534744
|
Plan sponsor’s mailing address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Plan sponsor’s
address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Plan administrator’s name and address
Administrator’s EIN |
611166173 |
Plan administrator’s name |
KABA MAS LLC |
Plan administrator’s
address |
749 W. SHORT STREET, LEXINGTON, KY, 40508 |
Administrator’s telephone number |
8592534744 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
PEARLENE HAYDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-08 |
Name of individual signing |
MARK DUNCAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HUMANA HEALTH CARE PLAN
|
2009
|
611166173
|
2010-10-07
|
KABA MAS LLC
|
113
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-01-01
|
Business code |
423990
|
Sponsor’s telephone number |
8592534744
|
Plan sponsor’s mailing address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Plan sponsor’s
address |
749 W. SHORT STREET, LEXINGTON, KY, 40508
|
Plan administrator’s name and address
Administrator’s EIN |
611166173 |
Plan administrator’s name |
KABA MAS LLC |
Plan administrator’s
address |
749 W. SHORT STREET, LEXINGTON, KY, 40508 |
Administrator’s telephone number |
8592534744 |
Number of participants as of the end of the plan year
Active participants |
112 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
PEARLENE HAYDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-07 |
Name of individual signing |
MARK DUNCAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|