|
SOUTHEASTERN MEDICAL SUPPLY 401K PLAN
|
2023
|
830506651
|
2024-10-08
|
SOUTHEASTERN MEDICAL SUPPLY, LLC
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-02-01
|
| Business code |
446190
|
| Sponsor’s telephone number |
6062580001
|
| Plan sponsor’s
address |
120 NORTH LAUREL AVENUE, CORBIN, KY, 40701
|
|
|
SOUTHEASTERN MEDICAL SUPPLY LLC CBS BENEFIT PLAN
|
2022
|
830506651
|
2023-12-27
|
SOUTHEASTERN MEDICAL SUPPLY LLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2021-07-01
|
| Business code |
423800
|
| Sponsor’s telephone number |
6062580001
|
| Plan sponsor’s
address |
120 NORTH LAUREL AVE, CORBIN, KY, 40701
|
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 |
|
|
|
SOUTHEASTERN MEDICAL SUPPLY 401K PLAN
|
2022
|
830506651
|
2023-10-10
|
SOUTHEASTERN MEDICAL SUPPLY, LLC
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-02-01
|
| Business code |
446190
|
| Sponsor’s telephone number |
6062580001
|
| Plan sponsor’s
address |
120 NORTH LAUREL AVENUE, CORBIN, KY, 40701
|
|
|
SOUTHEASTERN MEDICAL SUPPLY 401K PLAN
|
2021
|
830506651
|
2022-10-12
|
SOUTHEASTERN MEDICAL SUPPLY, LLC
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-02-01
|
| Business code |
446190
|
| Sponsor’s telephone number |
6062580001
|
| Plan sponsor’s
address |
120 NORTH LAUREL AVENUE, CORBIN, KY, 40701
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-12 |
| Name of individual signing |
BARRY MAHAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SOUTHEASTERN MEDICAL SUPPLY LLC CBS BENEFIT PLAN
|
2021
|
830506651
|
2022-12-29
|
SOUTHEASTERN MEDICAL SUPPLY LLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2021-07-01
|
| Business code |
423800
|
| Sponsor’s telephone number |
6062580001
|
| Plan sponsor’s
address |
120 NORTH LAUREL AVE, CORBIN, KY, 40701
|
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 |
|
|
