HOPFED BANCORP, INC. 2015 EMPLOYEE STOCK OWNERSHIP PLAN
|
2018
|
611322555
|
2019-10-15
|
HERITAGE BANK
|
258
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2015-01-01
|
Business code |
523110
|
Sponsor’s telephone number |
2708878404
|
Plan sponsor’s mailing address |
P.O. BOX 357, HOPKINSVILLE, KY, 42241
|
Plan sponsor’s
address |
4155 LAFAYETTE ROAD, HOPKINSVILLE, KY, 42240
|
Number of participants as of the end of the plan year
Active participants |
193 |
Retired or separated participants receiving
benefits |
18 |
Other
retired or separated participants entitled to future benefits |
37 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
230 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
17 |
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
RODGER MCHARGUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOPFED BANCORP, INC. 2015 EMPLOYEE STOCK OWNERSHIP PLAN
|
2017
|
611322555
|
2018-10-15
|
HERITAGE BANK
|
234
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2015-01-01
|
Business code |
523110
|
Sponsor’s telephone number |
2708878404
|
Plan sponsor’s mailing address |
P.O. BOX 357, HOPKINSVILLE, KY, 42241
|
Plan sponsor’s
address |
4155 LAFAYETTE ROAD, HOPKINSVILLE, KY, 42240
|
Number of participants as of the end of the plan year
Active participants |
200 |
Retired or separated participants receiving
benefits |
21 |
Other
retired or separated participants entitled to future benefits |
26 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
231 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
11 |
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
BILLY DUVALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOPFED BANCORP, INC. 2015 EMPLOYEE STOCK OWNERSHIP PLAN
|
2016
|
611322555
|
2017-10-16
|
HERITAGE BANK
|
204
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2015-01-01
|
Business code |
523110
|
Sponsor’s telephone number |
2708878404
|
Plan sponsor’s mailing address |
P.O. BOX 357, HOPKINSVILLE, KY, 42241
|
Plan sponsor’s
address |
4155 LAFAYETTE ROAD, HOPKINSVILLE, KY, 42240
|
Number of participants as of the end of the plan year
Active participants |
202 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
26 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
229 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
16 |
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
BILLY DUVALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOPFED BANCORP, INC. 2015 EMPLOYEE STOCK OWNERSHIP PLAN
|
2015
|
611322555
|
2016-10-12
|
HERITAGE BANK
|
245
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2015-01-01
|
Business code |
523110
|
Sponsor’s telephone number |
2708878404
|
Plan sponsor’s mailing address |
P.O. BOX 357, HOPKINSVILLE, KY, 42241
|
Plan sponsor’s
address |
4155 LAFAYETTE ROAD, HOPKINSVILLE, KY, 42240
|
Number of participants as of the end of the plan year
Active participants |
198 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
200 |
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 |
2016-10-12 |
Name of individual signing |
BILLY DUVALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOPFED BANCORP, INC. 2015 EMPLOYEE STOCK OWNERSHIP PLAN
|
2015
|
611322555
|
2016-10-12
|
HERITAGE BANK
|
245
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2015-01-01
|
Business code |
523110
|
Sponsor’s telephone number |
2708878404
|
Plan sponsor’s mailing address |
P.O. BOX 357, HOPKINSVILLE, KY, 42241
|
Plan sponsor’s
address |
4155 LAFAYETTE ROAD, HOPKINSVILLE, KY, 42240
|
Number of participants as of the end of the plan year
Active participants |
198 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
200 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
DFE |
Date |
2016-10-12 |
Name of individual signing |
BILLY DUVALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK 401(K) PLAN
|
2014
|
611174806
|
2015-05-06
|
HERITAGE BANK
|
108
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
8595869200
|
Plan sponsor’s
address |
1818 FLORENCE PIKE, P.O. BOX 357, BURLINGTON, KY, 41005
|
Signature of
Role |
Plan administrator |
Date |
2015-04-30 |
Name of individual signing |
TIM WASHBURN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-30 |
Name of individual signing |
TIM WASHBURN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK 401(K) PLAN
|
2013
|
611174806
|
2014-05-20
|
HERITAGE BANK
|
103
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
8595869200
|
Plan sponsor’s mailing address |
1818 FLORENCE PIKE, P.O. BOX 357, BURLINGTON, KY, 41005
|
Plan sponsor’s
address |
1818 FLORENCE PIKE, BURLINGTON, KY, 41005
|
Number of participants as of the end of the plan year
Active participants |
97 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
9 |
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 |
96 |
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 |
2014-05-19 |
Name of individual signing |
PATRICIA RECKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-19 |
Name of individual signing |
PATRICIA RECKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK 401(K) PLAN
|
2012
|
611174806
|
2013-04-15
|
HERITAGE BANK
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
8595869200
|
Plan sponsor’s
address |
1818 FLORENCE PIKE, P.O. BOX 357, BURLINGTON, KY, 41005
|
Signature of
Role |
Plan administrator |
Date |
2013-04-09 |
Name of individual signing |
PATRICIA RECKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-09 |
Name of individual signing |
PATRICIA RECKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK HEALTH INSURANCE PLAN
|
2012
|
610229082
|
2013-07-29
|
HERITAGE BANK
|
299
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-01-01
|
Business code |
522120
|
Sponsor’s telephone number |
2708851171
|
Plan sponsor’s mailing address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241
|
Plan sponsor’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
MIKE WOOLFOLK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK LIFE INSURANCE PLAN
|
2012
|
610229082
|
2013-07-29
|
HERITAGE BANK
|
250
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2007-01-01
|
Business code |
522120
|
Sponsor’s telephone number |
2708851171
|
Plan sponsor’s mailing address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241
|
Plan sponsor’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
MIKE WOOLFOLK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK VISION INSURANCE PLAN
|
2012
|
610229082
|
2013-07-29
|
HERITAGE BANK
|
138
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/29/20130729133701P040327017619004.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2007-01-01 |
Business code |
522120 |
Sponsor’s telephone number |
2708851171 |
Plan sponsor’s mailing address |
4155 LAFAYETTE ROAD P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan sponsor’s
address |
4155 LAFAYETTE ROAD P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
MIKE WOOLFOLK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK PREPAID DENTAL CARE PLAN
|
2012
|
610229082
|
2013-07-29
|
HERITAGE BANK
|
239
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/29/20130729133701P040327017619003.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2007-01-01 |
Business code |
522120 |
Sponsor’s telephone number |
2708851171 |
Plan sponsor’s mailing address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan sponsor’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
MIKE WOOLFOLK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK 401(K) PLAN
|
2011
|
611174806
|
2012-04-24
|
HERITAGE BANK
|
81
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/24/20120424112732P040001059511001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1993-01-01 |
Business code |
522110 |
Sponsor’s telephone number |
8595869200 |
Plan sponsor’s
address |
1818 FLORENCE PIKE, P.O. BOX 357, BURLINGTON, KY, 41005 |
Plan administrator’s name and address
Administrator’s EIN |
611174806 |
Plan administrator’s name |
HERITAGE BANK |
Plan administrator’s
address |
1818 FLORENCE PIKE, P.O. BOX 357, BURLINGTON, KY, 41005 |
Administrator’s telephone number |
8595869200 |
Signature of
Role |
Plan administrator |
Date |
2012-04-24 |
Name of individual signing |
ARNOLD CADDELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-24 |
Name of individual signing |
ARNOLD CADDELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK VISION INSURANCE PLAN
|
2011
|
610229082
|
2012-07-26
|
HERITAGE BANK
|
116
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/26/20120726160259P030001345732004.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2007-01-01 |
Business code |
522120 |
Sponsor’s telephone number |
2708851171 |
Plan sponsor’s mailing address |
4155 LAFAYETTE ROAD P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan sponsor’s
address |
4155 LAFAYETTE ROAD P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan administrator’s name and address
Administrator’s EIN |
610229082 |
Plan administrator’s name |
HERITAGE BANK |
Plan administrator’s
address |
4155 LAFAYETTE ROAD P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Administrator’s telephone number |
2708851171 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
MIKE WOOLFOLK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK LIFE INSURANCE PLAN
|
2011
|
610229082
|
2012-07-26
|
HERITAGE BANK
|
238
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/26/20120726155708P030000872677004.pdf |
Three-digit plan number (PN) |
504 |
Effective date of plan |
2007-01-01 |
Business code |
522120 |
Sponsor’s telephone number |
2708851171 |
Plan sponsor’s mailing address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan sponsor’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan administrator’s name and address
Administrator’s EIN |
610229082 |
Plan administrator’s name |
HERITAGE BANK |
Plan administrator’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Administrator’s telephone number |
2708851171 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
MIKE WOOLFOLK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK HEALTH INSURANCE PLAN
|
2011
|
610229082
|
2012-07-26
|
HERITAGE BANK
|
294
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/26/20120726155708P030000872677002.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2007-01-01 |
Business code |
522120 |
Sponsor’s telephone number |
2708851171 |
Plan sponsor’s mailing address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan sponsor’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan administrator’s name and address
Administrator’s EIN |
610229082 |
Plan administrator’s name |
HERITAGE BANK |
Plan administrator’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Administrator’s telephone number |
2708851171 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
MIKE WOOLFOLK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK PREPAID DENTAL CARE PLAN
|
2011
|
610229082
|
2012-07-26
|
HERITAGE BANK
|
231
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/26/20120726155708P030000872677003.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2007-01-01 |
Business code |
522120 |
Sponsor’s telephone number |
2708851171 |
Plan sponsor’s mailing address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan sponsor’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan administrator’s name and address
Administrator’s EIN |
610229082 |
Plan administrator’s name |
HERITAGE BANK |
Plan administrator’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Administrator’s telephone number |
2708851171 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
MIKE WOOLFOLK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK 401(K) PLAN
|
2011
|
610229082
|
2012-07-26
|
HERITAGE BANK
|
244
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/26/20120726145055P040006951569001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2002-10-01 |
Business code |
522110 |
Sponsor’s telephone number |
2708851171 |
Plan sponsor’s mailing address |
4155 LAFAYETTE ROAD, HOPKINSVILLE, KY, 42241 |
Plan sponsor’s
address |
4155 LAFAYETTE ROAD, HOPKINSVILLE, KY, 42241 |
Plan administrator’s name and address
Administrator’s EIN |
610229082 |
Plan administrator’s name |
HERITAGE BANK |
Plan administrator’s
address |
4155 LAFAYETTE ROAD, HOPKINSVILLE, KY, 42241 |
Administrator’s telephone number |
2708851171 |
Number of participants as of the end of the plan year
Active participants |
189 |
Other
retired or separated participants entitled to future benefits |
50 |
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 |
239 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
46 |
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
MICHAEL WOOLFOLK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK 401(K) PLAN
|
2010
|
611174806
|
2011-05-24
|
HERITAGE BANK
|
81
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/05/24/20110524084030P030019844183001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1993-01-01 |
Business code |
522110 |
Sponsor’s telephone number |
8595869200 |
Plan sponsor’s
address |
1818 FLORENCE PIKE, P.O. BOX 357, BURLINGTON, KY, 41005 |
Plan administrator’s name and address
Administrator’s EIN |
611174806 |
Plan administrator’s name |
HERITAGE BANK |
Plan administrator’s
address |
1818 FLORENCE PIKE, P.O. BOX 357, BURLINGTON, KY, 41005 |
Administrator’s telephone number |
8595869200 |
Signature of
Role |
Plan administrator |
Date |
2011-05-20 |
Name of individual signing |
PATRICIA RECKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-20 |
Name of individual signing |
PATRICIA RECKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK HEALTH INSURANCE PLAN
|
2010
|
610229082
|
2011-07-27
|
HERITAGE BANK
|
289
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/27/20110727135509P030101646977007.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2007-01-01 |
Business code |
522120 |
Sponsor’s telephone number |
2708851171 |
Plan sponsor’s mailing address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan sponsor’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan administrator’s name and address
Administrator’s EIN |
610229082 |
Plan administrator’s name |
HERITAGE BANK |
Plan administrator’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Administrator’s telephone number |
2708851171 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-27 |
Name of individual signing |
MIKE WOOLFOLK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK LIFE INSURANCE PLAN
|
2010
|
610229082
|
2011-07-27
|
HERITAGE BANK
|
226
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/27/20110727135509P030101646977010.pdf |
Three-digit plan number (PN) |
504 |
Effective date of plan |
2007-01-01 |
Business code |
522120 |
Sponsor’s telephone number |
2708851171 |
Plan sponsor’s mailing address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan sponsor’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan administrator’s name and address
Administrator’s EIN |
610229082 |
Plan administrator’s name |
HERITAGE BANK |
Plan administrator’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Administrator’s telephone number |
2708851171 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-27 |
Name of individual signing |
MIKE WOOLFOLK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK VISION INSURANCE PLAN
|
2010
|
610229082
|
2011-07-27
|
HERITAGE BANK
|
110
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/27/20110727135509P030101646977009.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2007-01-01 |
Business code |
522120 |
Sponsor’s telephone number |
2708851171 |
Plan sponsor’s mailing address |
4155 LAFAYETTE ROAD P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan sponsor’s
address |
4155 LAFAYETTE ROAD P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan administrator’s name and address
Administrator’s EIN |
610229082 |
Plan administrator’s name |
HERITAGE BANK |
Plan administrator’s
address |
4155 LAFAYETTE ROAD P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Administrator’s telephone number |
2708851171 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-27 |
Name of individual signing |
MIKE WOOLFOLK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK DENTAL INSURANCE PLAN
|
2010
|
610229082
|
2011-07-27
|
HERITAGE BANK
|
220
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/27/20110727135509P030101646977008.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2007-01-01 |
Business code |
522120 |
Sponsor’s telephone number |
2708851171 |
Plan sponsor’s mailing address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan sponsor’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan administrator’s name and address
Administrator’s EIN |
610229082 |
Plan administrator’s name |
HERITAGE BANK |
Plan administrator’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Administrator’s telephone number |
2708851171 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-27 |
Name of individual signing |
MIKE WOOLFOLK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK LIFE INSURANCE PLAN
|
2009
|
610229082
|
2010-07-28
|
HERITAGE BANK
|
226
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/28/20100728100755P070006922791036.pdf |
Three-digit plan number (PN) |
504 |
Effective date of plan |
2007-01-01 |
Business code |
522120 |
Sponsor’s telephone number |
2708851171 |
Plan sponsor’s mailing address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan sponsor’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan administrator’s name and address
Administrator’s EIN |
610229082 |
Plan administrator’s name |
HERITAGE BANK |
Plan administrator’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Administrator’s telephone number |
2708851171 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-07-29 |
Name of individual signing |
MIKE WOOLFOLK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK VISION INSURANCE PLAN
|
2009
|
610229082
|
2010-07-28
|
HERITAGE BANK
|
103
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/28/20100728100755P070006922791035.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2007-01-01 |
Business code |
522120 |
Sponsor’s telephone number |
2708851171 |
Plan sponsor’s mailing address |
4155 LAFAYETTE ROAD P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan sponsor’s
address |
4155 LAFAYETTE ROAD P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan administrator’s name and address
Administrator’s EIN |
610229082 |
Plan administrator’s name |
HERITAGE BANK |
Plan administrator’s
address |
4155 LAFAYETTE ROAD P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Administrator’s telephone number |
2708851171 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-07-29 |
Name of individual signing |
MIKE WOOLFOLK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK DENTAL INSURANCE PLAN
|
2009
|
610229082
|
2010-07-28
|
HERITAGE BANK
|
215
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/28/20100728100755P070006922791034.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2007-01-01 |
Business code |
522120 |
Sponsor’s telephone number |
2708851171 |
Plan sponsor’s mailing address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan sponsor’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan administrator’s name and address
Administrator’s EIN |
610229082 |
Plan administrator’s name |
HERITAGE BANK |
Plan administrator’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Administrator’s telephone number |
2708851171 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-07-29 |
Name of individual signing |
MIKE WOOLFOLK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK HEALTH INSURANCE PLAN
|
2009
|
610229082
|
2010-07-28
|
HERITAGE BANK
|
277
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/28/20100728100755P070006922791033.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2007-01-01 |
Business code |
522120 |
Sponsor’s telephone number |
2708851171 |
Plan sponsor’s mailing address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan sponsor’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Plan administrator’s name and address
Administrator’s EIN |
610229082 |
Plan administrator’s name |
HERITAGE BANK |
Plan administrator’s
address |
4155 LAFAYETTE ROAD, P.O. BOX 537, HOPKINSVILLE, KY, 42241 |
Administrator’s telephone number |
2708851171 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-07-29 |
Name of individual signing |
MIKE WOOLFOLK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HERITAGE BANK 401(K) PLAN
|
2009
|
611174806
|
2010-07-08
|
HERITAGE BANK
|
76
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/08/20100708201203P070035237553001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1993-01-01 |
Business code |
522110 |
Sponsor’s telephone number |
8595869200 |
Plan sponsor’s mailing address |
1818 FLORENCE PIKE, P.O. BOX 357, BURLINGTON, KY, 41005 |
Plan sponsor’s
address |
1818 FLORENCE PIKE, BURLINGTON, KY, 41005 |
Plan administrator’s name and address
Administrator’s EIN |
611174806 |
Plan administrator’s name |
HERITAGE BANK |
Plan administrator’s
address |
1818 FLORENCE PIKE, P.O. BOX 357, BURLINGTON, KY, 41005 |
Administrator’s telephone number |
8595869200 |
Number of participants as of the end of the plan year
Active participants |
69 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
12 |
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 |
71 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
Role |
Plan administrator |
Date |
2010-07-07 |
Name of individual signing |
PATRICIA RECKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-07 |
Name of individual signing |
PATRICIA RECKERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|