HALSTRUM/RE-BORNE 401(K) PLAN
|
2023
|
260096694
|
2024-10-14
|
HALSTRUM, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
311900
|
Sponsor’s telephone number |
5027229583
|
Plan sponsor’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067
|
Signature of
Role |
Plan administrator |
Date |
2024-10-14 |
Name of individual signing |
KIM ALLDAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HALSTRUM/RE-BORNE 401(K) PLAN
|
2022
|
260096694
|
2023-10-09
|
HALSTRUM, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
311900
|
Sponsor’s telephone number |
5027229583
|
Plan sponsor’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067
|
Signature of
Role |
Plan administrator |
Date |
2023-10-09 |
Name of individual signing |
KIMBERLY ALLDAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HALSTRUM/RE-BORNE 401(K) PLAN
|
2021
|
260096694
|
2022-10-13
|
HALSTRUM, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
311900
|
Sponsor’s telephone number |
5027229583
|
Plan sponsor’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067
|
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
KIMBERLY ALLDAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-13 |
Name of individual signing |
KIMBERLY ALLDAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HALSTRUM/RE-BORNE 401(K) PLAN
|
2020
|
260096694
|
2021-10-15
|
HALSTRUM, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
311900
|
Sponsor’s telephone number |
5027229583
|
Plan sponsor’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067
|
Signature of
Role |
Plan administrator |
Date |
2021-10-15 |
Name of individual signing |
KIMBERLY ALLDAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HALSTRUM/RE-BORNE 401(K) PLAN
|
2019
|
260096694
|
2020-10-13
|
HALSTRUM, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
311900
|
Sponsor’s telephone number |
5027229583
|
Plan sponsor’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067
|
Plan administrator’s name and address
Administrator’s EIN |
260096694 |
Plan administrator’s name |
HALSTRUM, LLC |
Plan administrator’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067 |
Administrator’s telephone number |
5027229583 |
Signature of
Role |
Plan administrator |
Date |
2020-10-13 |
Name of individual signing |
KIMBERLY ALLDAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HALSTRUM/RE-BORNE 401(K) PLAN
|
2018
|
260096694
|
2019-10-10
|
HALSTRUM, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
311900
|
Sponsor’s telephone number |
5027229583
|
Plan sponsor’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067
|
Plan administrator’s name and address
Administrator’s EIN |
260096694 |
Plan administrator’s name |
HALSTRUM, LLC |
Plan administrator’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067 |
Administrator’s telephone number |
5027229583 |
Signature of
Role |
Plan administrator |
Date |
2019-10-10 |
Name of individual signing |
KIMBERLY ALLDAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HALSTRUM/RE-BORNE 401(K) PLAN
|
2017
|
260096694
|
2018-10-03
|
HALSTRUM, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
311900
|
Sponsor’s telephone number |
5027229583
|
Plan sponsor’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067
|
Plan administrator’s name and address
Administrator’s EIN |
260096694 |
Plan administrator’s name |
HALSTRUM, LLC |
Plan administrator’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067 |
Administrator’s telephone number |
5027229583 |
Signature of
Role |
Plan administrator |
Date |
2018-10-03 |
Name of individual signing |
KIMBERLY ALLDAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HALSTRUM/RE-BORNE 401(K) PLAN
|
2016
|
260096694
|
2017-12-19
|
HALSTRUM, LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
311900
|
Sponsor’s telephone number |
5027229583
|
Plan sponsor’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067
|
Plan administrator’s name and address
Administrator’s EIN |
260096694 |
Plan administrator’s name |
HALSTRUM, LLC |
Plan administrator’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067 |
Administrator’s telephone number |
5027229583 |
Signature of
Role |
Plan administrator |
Date |
2017-12-19 |
Name of individual signing |
KIMBERLY ALLDAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HALSTRUM/RE-BORNE 401(K) PLAN
|
2015
|
260096694
|
2016-09-20
|
HALSTRUM, LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
311900
|
Sponsor’s telephone number |
5027229583
|
Plan sponsor’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067
|
Plan administrator’s name and address
Administrator’s EIN |
260096694 |
Plan administrator’s name |
HALSTRUM, LLC |
Plan administrator’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067 |
Administrator’s telephone number |
5027229583 |
Signature of
Role |
Plan administrator |
Date |
2016-09-20 |
Name of individual signing |
KIMBERLY ALLDAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HALSTRUM/RE-BORNE 401(K) PLAN
|
2014
|
260096694
|
2015-10-15
|
HALSTRUM, LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
311900
|
Sponsor’s telephone number |
5027229583
|
Plan sponsor’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067
|
Plan administrator’s name and address
Administrator’s EIN |
260096694 |
Plan administrator’s name |
HALSTRUM, LLC |
Plan administrator’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067 |
Administrator’s telephone number |
5027229583 |
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
KIMBERLY ALLDAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HALSTRUM/RE-BORNE 401(K) PLAN
|
2013
|
260096694
|
2014-12-01
|
HALSTRUM, LLC
|
13
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/12/01/20141201142501P040041216623001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2010-01-01 |
Business code |
311900 |
Sponsor’s telephone number |
5027229583 |
Plan sponsor’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067 |
Plan administrator’s name and address
Administrator’s EIN |
260096694 |
Plan administrator’s name |
HALSTRUM, LLC |
Plan administrator’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067 |
Administrator’s telephone number |
5027229583 |
Signature of
Role |
Plan administrator |
Date |
2014-12-01 |
Name of individual signing |
KIMBERLY ALLDAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HALSTRUM/RE-BORNE 401(K) PLAN
|
2013
|
260096694
|
2014-10-13
|
HALSTRUM, LLC
|
13
|
|
Three-digit plan number (PN) |
001 |
Effective date of plan |
2010-01-01 |
Business code |
311900 |
Sponsor’s telephone number |
5027229583 |
Plan sponsor’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067 |
Plan administrator’s name and address
Administrator’s EIN |
260096694 |
Plan administrator’s name |
HALSTRUM, LLC |
Plan administrator’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067 |
Administrator’s telephone number |
5027229583 |
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
KIMBERLY ALLDAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HALSTRUM/RE-BORNE 401(K) PLAN
|
2012
|
260096694
|
2013-10-10
|
HALSTRUM, LLC
|
12
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/10/10/20131010111723P030029120499001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2010-01-01 |
Business code |
311900 |
Sponsor’s telephone number |
5027229583 |
Plan sponsor’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067 |
Plan administrator’s name and address
Administrator’s EIN |
260096694 |
Plan administrator’s name |
HALSTRUM, LLC |
Plan administrator’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067 |
Administrator’s telephone number |
5027229583 |
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
KIMBERLY ALLDAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HALSTRUM/RE-BORNE 401(K) PLAN
|
2011
|
260096694
|
2012-05-09
|
HALSTRUM, LLC
|
0
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/09/20120509153657P040011009794001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2010-01-01 |
Business code |
311900 |
Sponsor’s telephone number |
5027229583 |
Plan sponsor’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067 |
Plan administrator’s name and address
Administrator’s EIN |
260096694 |
Plan administrator’s name |
HALSTRUM, LLC |
Plan administrator’s
address |
133 CITIZENS BLVD., SIMPSONVILLE, KY, 40067 |
Administrator’s telephone number |
5027229583 |
Signature of
Role |
Plan administrator |
Date |
2012-05-09 |
Name of individual signing |
KIMBERLY ALLDAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|