TRI-STATE HEALTHCARE LAUNDRY, INC. 401(K) PLAN
|
2023
|
611161146
|
2024-06-04
|
TRI-STATE HEALTHCARE LAUNDRY, INC.
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-09-01
|
Business code |
812320
|
Sponsor’s telephone number |
8593410040
|
Plan sponsor’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017
|
Signature of
Role |
Plan administrator |
Date |
2024-06-04 |
Name of individual signing |
DEBBIE HAMM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-STATE HEALTHCARE LAUNDRY, INC. 401(K) PLAN
|
2022
|
611161146
|
2023-07-06
|
TRI-STATE HEALTHCARE LAUNDRY, INC.
|
73
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-09-01
|
Business code |
812320
|
Sponsor’s telephone number |
8593410040
|
Plan sponsor’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017
|
Signature of
Role |
Plan administrator |
Date |
2023-07-06 |
Name of individual signing |
DEBBIE HAMM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-STATE HEALTHCARE LAUNDRY, INC. 401(K) PLAN
|
2021
|
611161146
|
2022-08-05
|
TRI-STATE HEALTHCARE LAUNDRY, INC.
|
84
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-09-01
|
Business code |
812320
|
Sponsor’s telephone number |
8593410040
|
Plan sponsor’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017
|
Signature of
Role |
Plan administrator |
Date |
2022-08-05 |
Name of individual signing |
DEBBIE HAMM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-STATE HEALTHCARE LAUNDRY, INC. 401(K) PLAN
|
2020
|
611161146
|
2021-07-26
|
TRI-STATE HEALTHCARE LAUNDRY, INC.
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-09-01
|
Business code |
812320
|
Sponsor’s telephone number |
8593410040
|
Plan sponsor’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017
|
Signature of
Role |
Plan administrator |
Date |
2021-07-26 |
Name of individual signing |
DEBBIE HAMM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-STATE HEALTHCARE LAUNDRY, INC. 401(K) PLAN
|
2019
|
611161146
|
2020-07-09
|
TRI-STATE HEALTHCARE LAUNDRY, INC.
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-09-01
|
Business code |
812320
|
Sponsor’s telephone number |
8593410040
|
Plan sponsor’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017
|
Signature of
Role |
Plan administrator |
Date |
2020-07-09 |
Name of individual signing |
SUE SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-STATE HEALTHCARE LAUNDRY, INC. 401(K) PLAN
|
2018
|
611161146
|
2019-08-20
|
TRI-STATE HEALTHCARE LAUNDRY, INC.
|
71
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-09-01
|
Business code |
812320
|
Sponsor’s telephone number |
8593410040
|
Plan sponsor’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017
|
Signature of
Role |
Plan administrator |
Date |
2019-08-20 |
Name of individual signing |
SUE SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-STATE HEALTHCARE LAUNDRY, INC. 401(K) PLAN
|
2017
|
611161146
|
2018-07-18
|
TRI-STATE HEALTHCARE LAUNDRY, INC.
|
73
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-09-01
|
Business code |
812320
|
Sponsor’s telephone number |
8593410040
|
Plan sponsor’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017
|
Signature of
Role |
Plan administrator |
Date |
2018-07-18 |
Name of individual signing |
SUE SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-STATE HEALTHCARE LAUNDRY, INC. 401(K) PLAN
|
2016
|
611161146
|
2017-09-14
|
TRI-STATE HEALTHCARE LAUNDRY,INC.
|
66
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-09-01
|
Business code |
812320
|
Sponsor’s telephone number |
8593410040
|
Plan sponsor’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017
|
Signature of
Role |
Plan administrator |
Date |
2017-09-14 |
Name of individual signing |
SUE SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-STATE HEALTHCARE LAUNDRY, INC. 401(K) PLAN
|
2015
|
611161146
|
2016-09-23
|
TRI-STATE HEALTHCARE LAUNDRY, INC.
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-09-01
|
Business code |
812320
|
Sponsor’s telephone number |
8593410040
|
Plan sponsor’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017
|
Signature of
Role |
Plan administrator |
Date |
2016-09-23 |
Name of individual signing |
SUE SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-STATE HEALTHCARE LAUNDRY, INC. 401(K) PLAN
|
2014
|
611161146
|
2015-09-23
|
TRI-STATE HEALTHCARE LAUNDRY, INC.
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-09-01
|
Business code |
812320
|
Sponsor’s telephone number |
8593410040
|
Plan sponsor’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017
|
Signature of
Role |
Plan administrator |
Date |
2015-09-23 |
Name of individual signing |
SUE SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-STATE HEALTHCARE LAUNDRY, INC. 401(K) PLAN
|
2013
|
611161146
|
2014-10-02
|
TRI-STATE HEALTHCARE LAUNDRY, INC.
|
68
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/02/20141002105414P040010782431001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1991-09-01 |
Business code |
812320 |
Sponsor’s telephone number |
8593410040 |
Plan sponsor’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017 |
Signature of
Role |
Plan administrator |
Date |
2014-10-02 |
Name of individual signing |
SUE SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-STATE HEALTHCARE LAUNDRY, INC. 401(K) PLAN
|
2012
|
611161146
|
2013-09-05
|
TRI-STATE HEALTHCARE LAUNDRY, INC.
|
64
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/05/20130905135643P040140736693001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1991-09-01 |
Business code |
812320 |
Sponsor’s telephone number |
8593410040 |
Plan sponsor’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017 |
Signature of
Role |
Plan administrator |
Date |
2013-09-05 |
Name of individual signing |
SUE SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-STATE HEALTHCARE LAUNDRY, INC. 401(K) PLAN
|
2011
|
611161146
|
2012-09-13
|
TRI-STATE HEALTHCARE LAUNDRY, INC.
|
62
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/09/13/20120913094721P040004026996001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1991-09-01 |
Business code |
812320 |
Sponsor’s telephone number |
8593410040 |
Plan sponsor’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017 |
Plan administrator’s name and address
Administrator’s EIN |
611161146 |
Plan administrator’s name |
TRI-STATE HEALTHCARE LAUNDRY, INC. |
Plan administrator’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017 |
Administrator’s telephone number |
8593410040 |
Signature of
Role |
Plan administrator |
Date |
2012-09-13 |
Name of individual signing |
LAURI WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-13 |
Name of individual signing |
SUE SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-STATE HEALTHCARE LAUNDRY, INC. 401(K) PLAN
|
2010
|
611161146
|
2011-10-05
|
TRI-STATE HEALTHCARE LAUNDRY, INC.
|
60
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
1991-09-01 |
Business code |
812320 |
Sponsor’s telephone number |
8593410040 |
Plan sponsor’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017 |
Plan administrator’s name and address
Administrator’s EIN |
611161146 |
Plan administrator’s name |
TRI-STATE HEALTHCARE LAUNDRY, INC. |
Plan administrator’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017 |
Administrator’s telephone number |
8593410040 |
Signature of
Role |
Plan administrator |
Date |
2011-08-12 |
Name of individual signing |
LAURI WATKINS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
TRI-STATE HEALTHCARE LAUNDRY, INC. 401(K) PLAN
|
2010
|
611161146
|
2011-10-05
|
TRI-STATE HEALTHCARE LAUNDRY, INC.
|
60
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
1991-09-01 |
Business code |
812320 |
Sponsor’s telephone number |
8593410040 |
Plan sponsor’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017 |
Plan administrator’s name and address
Administrator’s EIN |
611161146 |
Plan administrator’s name |
TRI-STATE HEALTHCARE LAUNDRY, INC. |
Plan administrator’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017 |
Administrator’s telephone number |
8593410040 |
Signature of
Role |
Plan administrator |
Date |
2011-08-12 |
Name of individual signing |
LAURI WATKINS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-05 |
Name of individual signing |
SUE SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-STATE HEALTHCARE LAUNDRY, INC. 401(K) PLAN
|
2010
|
611161146
|
2011-10-05
|
TRI-STATE HEALTHCARE LAUNDRY, INC.
|
60
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/05/20111005111107P040658706560001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1991-09-01 |
Business code |
812320 |
Sponsor’s telephone number |
8593410040 |
Plan sponsor’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017 |
Plan administrator’s name and address
Administrator’s EIN |
611161146 |
Plan administrator’s name |
TRI-STATE HEALTHCARE LAUNDRY, INC. |
Plan administrator’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017 |
Administrator’s telephone number |
8593410040 |
Signature of
Role |
Plan administrator |
Date |
2011-10-05 |
Name of individual signing |
SUE SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-STATE HEALTHCARE LAUNDRY, INC. 401(K) PLAN
|
2010
|
611161146
|
2011-10-05
|
TRI-STATE HEALTHCARE LAUNDRY, INC.
|
60
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
1991-09-01 |
Business code |
812320 |
Sponsor’s telephone number |
8593410040 |
Plan sponsor’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017 |
Plan administrator’s name and address
Administrator’s EIN |
611161146 |
Plan administrator’s name |
TRI-STATE HEALTHCARE LAUNDRY, INC. |
Plan administrator’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017 |
Administrator’s telephone number |
8593410040 |
Signature of
Role |
Plan administrator |
Date |
2011-08-12 |
Name of individual signing |
LAURI WATKINS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-05 |
Name of individual signing |
SUE SCHWARTZ |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
TRI-STATE HEALTHCARE LAUNDRY, INC. 401 (K) PLAN
|
2009
|
611161146
|
2010-09-24
|
TRI-STATE HEALTHCARE LAUNDRY, INC.
|
45
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/24/20100924125433P040001972040001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1991-09-01 |
Business code |
812320 |
Sponsor’s telephone number |
8593410040 |
Plan
sponsor’s DBA name |
TRI-STATE HEALTHCARE LAUNDRY, INC |
Plan sponsor’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017 |
Plan administrator’s name and address
Administrator’s EIN |
611161146 |
Plan administrator’s name |
TRI-STATE HEALTHCARE LAUNDRY, INC. |
Plan administrator’s
address |
551 SOUTH LOOP ROAD, EDGEWOOD, KY, 41017 |
Administrator’s telephone number |
8593410040 |
Signature of
Role |
Plan administrator |
Date |
2010-09-22 |
Name of individual signing |
SUE SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-STATE HEALTHCARE LAUNDRY, INC.
|
2009
|
611161146
|
2010-09-16
|
TRI-STATE HEALTHCARE LAUNDRY, INC.
|
50
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/09/16/20100916123643P030502752705001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1991-09-01 |
Business code |
812320 |
Sponsor’s telephone number |
8593410040 |
Plan
sponsor’s DBA name |
TRI-STATE HEALTHCARE LAUNDRY, INC. |
Plan sponsor’s mailing address |
551 SOUTH LOOP RD, EDGEWOOD, KY, 41017 |
Plan sponsor’s
address |
551 SOUTH LOOP RD, EDGEWOOD, KY, 41017 |
Plan administrator’s name and address
Administrator’s EIN |
611161146 |
Plan administrator’s name |
TRI-STATE HEALTHCARE LAUNDRY, INC. |
Plan administrator’s
address |
551 SOUTH LOOP RD, EDGEWOOD, KY, 41017 |
Administrator’s telephone number |
8593410040 |
Number of participants as of the end of the plan year
Active participants |
50 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
7 |
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 |
32 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
4 |
Signature of
Role |
Plan administrator |
Date |
2010-09-16 |
Name of individual signing |
SUE SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|