ATOMIC COWGIRL INC CBS BENEFIT PLAN
|
2022
|
743093390
|
2023-12-27
|
ATOMIC COWGIRL INC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2021-09-01
|
Business code |
339900
|
Sponsor’s telephone number |
5025854099
|
Plan sponsor’s
address |
1430 MELLWOOD AVE, 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 |
|
|
ATOMIC COWGIRL INC CBS BENEFIT PLAN
|
2021
|
743093390
|
2022-12-29
|
ATOMIC COWGIRL INC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2021-09-01
|
Business code |
339900
|
Sponsor’s telephone number |
5025854099
|
Plan sponsor’s
address |
1430 MELLWOOD AVE, 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 |
|
|
ATOMIC COWGIRL INC DBA SIGNARAMA DOWNTOWN MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
743093390
|
2023-03-04
|
ATOMIC COWGIRL INC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-09-01
|
Business code |
453990
|
Sponsor’s telephone number |
5025854099
|
Plan
sponsor’s DBA name |
SIGNARAMA DOWNTOWN
|
Plan sponsor’s
address |
1430 MELLWOOD AVE, LOUISVILLE, KY, 402061748
|
Plan administrator’s name and address
Administrator’s EIN |
200200514 |
Plan administrator’s name |
RECEIVERSHIP MANAGEMENT INC |
Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
Administrator’s telephone number |
6153700051 |
Signature of
Role |
Plan administrator |
Date |
2023-03-04 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ATOMIC COWGIRL INC DBA SIGNARAMA DOWNTOW MEDOVA LIFESTYLE HEALTH PLAN
|
2020
|
743093390
|
2022-05-15
|
ATOMIC COWGIRL INC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-09-01
|
Business code |
453990
|
Sponsor’s telephone number |
5025854099
|
Plan
sponsor’s DBA name |
SIGNARAMA DOWNTOWN
|
Plan sponsor’s
address |
1430 MELLWOOD AVE, LOUISVILLE, KY, 402061748
|
Plan administrator’s name and address
Administrator’s EIN |
200200514 |
Plan administrator’s name |
RECEIVERSHIP MANAGEMENT INC |
Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
Administrator’s telephone number |
6153700051 |
Signature of
Role |
Plan administrator |
Date |
2022-05-15 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|