DAIRY QUEEN OF STANFORD

Company Details

Name:	DAIRY QUEEN OF STANFORD
Jurisdiction:	Kentucky
Legal type:	General Partnership Assumed Name
Status:	Inactive
File Date:	02 Jul 2003 (21 years ago)
Organization Number:	0563238
Primary County:	Lincoln
Place of Formation:	KENTUCKY
Authority Date:	02 Jul 2003 (21 years ago)
Principal Office:	1002 LANCASTER ST, STANFORD, KY 40484
Principal Office ZIP code:	40484

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

DAIRY QUEEN OF STANFORD CBS BENEFIT PLAN

2022

201609452

2023-12-27

DAIRY QUEEN OF STANFORD

2

File	View Page
Three-digit plan number (PN)	501
Effective date of plan	2020-01-01
Business code	722300
Sponsor’s telephone number	6063659760
Plan sponsor’s address	1002 LANCASTER ST, STANFORD, KY, 40484

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

DAIRY QUEEN OF STANFORD CBS BENEFIT PLAN

2021

201609452

2022-12-29

DAIRY QUEEN OF STANFORD

3

File	View Page
Three-digit plan number (PN)	501
Effective date of plan	2020-01-01
Business code	722300
Sponsor’s telephone number	6063659760
Plan sponsor’s address	1002 LANCASTER ST, STANFORD, KY, 40484

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

DAIRY QUEEN OF STANFORD CBS BENEFIT PLAN

2020

201609452

2021-12-14

DAIRY QUEEN OF STANFORD

3

File	View Page
Three-digit plan number (PN)	501
Effective date of plan	2020-01-01
Business code	722300
Sponsor’s telephone number	6063659760
Plan sponsor’s address	1002 LANCASTER ST, STANFORD, KY, 40484

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	2021-12-14
Name of individual signing	SHAWNA BURTON
Valid signature	Filed with authorized/valid electronic signature

DAIRY QUEEN OF STANFORD CBS BENEFIT PLAN

2019

201609452

2020-12-23

DAIRY QUEEN OF STANFORD

3

Three-digit plan number (PN)	501
Effective date of plan	2020-01-01
Business code	722300
Sponsor’s telephone number	6063659760
Plan sponsor’s address	1002 LANCASTER ST, STANFORD, KY, 40484

Plan administrator’s name and address

Administrator’s EIN	846429706
Plan administrator’s name	KELLY WOLF
Plan administrator’s address	464 CHENAULT RD, FRANKFORT, KY, 40601
Administrator’s telephone number	5026954700

Signature of

Role	Plan administrator
Date	2020-12-23
Name of individual signing	KELLY WOLF
Valid signature	Filed with authorized/valid electronic signature

President

Name	Role
BBG DEVELOPMENT, INC	President
CHARLES M. BRAWNER	President

Filings

Name	File Date
Name Renewal	2013-01-14
Name Renewal	2008-02-19
Certificate of Assumed Name	2003-07-02

Date of last update: 10 Nov 2024

Sources: Kentucky Secretary of State