|
SOURCE INTERNATIONAL CBS BENEFIT PLAN
|
2022
|
271065494
|
2023-12-27
|
SOURCE INTERNATIONAL
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2021-06-01
|
| Business code |
423800
|
| Sponsor’s telephone number |
5025897900
|
| Plan sponsor’s
address |
2201 RIVER ROAD, LOUISVILLE, KY, 40206
|
Plan administrator’s name and address
| Administrator’s EIN |
846429706 |
| Plan administrator’s name |
SHAWNA BURTON |
| Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number |
5026954700 |
Signature of
| Role |
Plan administrator |
| Date |
2023-12-27 |
| Name of individual signing |
SHAWNA BURTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SOURCE INTERNATIONAL CBS BENEFIT PLAN
|
2021
|
271065494
|
2022-12-29
|
SOURCE INTERNATIONAL
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2021-06-01
|
| Business code |
423800
|
| Sponsor’s telephone number |
5025897900
|
| Plan sponsor’s
address |
2201 RIVER ROAD, LOUISVILLE, KY, 40206
|
Plan administrator’s name and address
| Administrator’s EIN |
846429706 |
| Plan administrator’s name |
SHAWNA BURTON |
| Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number |
5026954700 |
Signature of
| Role |
Plan administrator |
| Date |
2022-12-29 |
| Name of individual signing |
SHAWNA BURTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SOURCE INTERNATIONAL, INC. 401(K) RETIREMENT PLAN
|
2015
|
271065494
|
2016-10-05
|
SOURCE INTERNATIONAL, INC.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1998-01-01
|
| Business code |
423940
|
| Sponsor’s telephone number |
5025897900
|
| Plan sponsor’s
address |
2201 RIVER ROAD, LOUISVILLE, KY, 40206
|
|
|
SOURCE INTERNATIONAL, INC. 401(K) RETIREMENT PLAN
|
2010
|
611319373
|
2011-10-10
|
SOURCE INTERNATIONAL, INC.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1998-01-01
|
| Business code |
423940
|
| Sponsor’s telephone number |
5025897900
|
| Plan sponsor’s
address |
2201 RIVER ROAD, LOUISVILLE, KY, 40206
|
Plan administrator’s name and address
| Administrator’s EIN |
611319373 |
| Plan administrator’s name |
SOURCE INTERNATIONAL, INC. |
| Plan administrator’s
address |
2201 RIVER ROAD, LOUISVILLE, KY, 40206 |
| Administrator’s telephone number |
5025897900 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-10 |
| Name of individual signing |
JOSEPH SIMON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SOURCE INTERNATIONAL, INC. 401(K) RETIREMENT PLAN
|
2009
|
611319373
|
2010-02-25
|
SOURCE INTERNATIONAL, INC.
|
24
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1998-01-01
|
| Business code |
423940
|
| Sponsor’s telephone number |
5025897900
|
| Plan sponsor’s
address |
2201 RIVER ROAD, LOUISVILLE, KY, 40206
|
Plan administrator’s name and address
| Administrator’s EIN |
611319373 |
| Plan administrator’s name |
SOURCE INTERNATIONAL, INC. |
| Plan administrator’s
address |
2201 RIVER ROAD, LOUISVILLE, KY, 40206 |
| Administrator’s telephone number |
5025897900 |
Signature of
| Role |
Plan administrator |
| Date |
2010-02-25 |
| Name of individual signing |
JOE SIMON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-02-25 |
| Name of individual signing |
JOE SIMON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
