COLONIAL LIFE AND ACCIDENTAL INSURANCE
|
2015
|
273753678
|
2016-07-27
|
GO HIRE EMPLOYMENT AND DEVELOPMENT
|
231
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2013-01-01
|
Business code |
561300
|
Sponsor’s telephone number |
6066662736
|
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-27 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GO-HIRE DEVELOPMENT
|
2015
|
273753678
|
2016-07-28
|
GO HIRE EMPLOYMENT AND DEVELOPMENT
|
511
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2014-01-01
|
Business code |
561300
|
Sponsor’s telephone number |
6066662736
|
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-28 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GO HIRE EMPLOYMENT AND DEVELOPMENT, INC.
|
2015
|
273753678
|
2016-07-28
|
GO HIRE EMPLOYMENT AND DEVELOPMENT, INC.
|
512
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-01-01
|
Business code |
561300
|
Sponsor’s telephone number |
6066662736
|
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-28 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DELTA DENTAL
|
2015
|
273753678
|
2016-07-28
|
GO HIRE EMPLOYMENT AND DEVELOPMENT
|
406
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2014-01-01
|
Business code |
561300
|
Sponsor’s telephone number |
6066662736
|
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-28 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GO-HIRE DEVELOPMENT
|
2015
|
273753678
|
2016-09-20
|
GO HIRE EMPLOYMENT AND DEVELOPMENT
|
496
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2014-01-01
|
Business code |
561300
|
Sponsor’s telephone number |
6066662736
|
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-09-20 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLONIAL LIFE AND ACCIDENTAL INSURANCE
|
2014
|
273753678
|
2015-07-31
|
GO HIRE EMPLOYMENT AND DEVELOPMENT
|
203
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2013-01-01
|
Business code |
561300
|
Sponsor’s telephone number |
6066662736
|
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-21 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-21 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DELTA DENTAL
|
2014
|
273753678
|
2015-07-31
|
GO HIRE EMPLOYMENT AND DEVELOPMENT
|
434
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2014-01-01
|
Business code |
561300
|
Sponsor’s telephone number |
6066662736
|
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-21 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-21 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GO-HIRE DEVELOPMENT
|
2014
|
273753678
|
2015-07-31
|
GO HIRE EMPLOYMENT AND DEVELOPMENT
|
503
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2014-01-01
|
Business code |
561300
|
Sponsor’s telephone number |
6066662739
|
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-31 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GO-HIRE DEVELOPMENT
|
2014
|
273753678
|
2015-07-31
|
GO HIRE EMPLOYMENT AND DEVELOPMENT
|
510
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2014-01-01
|
Business code |
561300
|
Sponsor’s telephone number |
6066662736
|
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-31 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GO HIRE EMPLOYMENT AND DEVELOPMENT, INC.
|
2014
|
273753678
|
2015-07-31
|
GO HIRE EMPLOYMENT AND DEVELOPMENT, INC.
|
517
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-01-01
|
Business code |
561300
|
Sponsor’s telephone number |
6066662736
|
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-31 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GO HIRE EMPLOYMENT AND DEVELOPMENT, INC. 401K PLAN
|
2013
|
273753678
|
2014-10-15
|
GO HIRE EMPLOYMENT AND DEVELOPMENT, INC
|
578
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/15/20141015111614P040020938813001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2013-01-01 |
Business code |
561300 |
Sponsor’s telephone number |
6066662747 |
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Number of participants as of the end of the plan year
Active participants |
573 |
Other
retired or separated participants entitled to future benefits |
172 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
641 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
65 |
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-15 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VISION INSURANCE
|
2013
|
273753678
|
2014-08-04
|
GO HIRE EMPLOYMENT AND DEVELOPMENT, INC
|
505
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/08/04/20140804143745P040022874383001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2013-01-01 |
Business code |
561300 |
Sponsor’s telephone number |
6066662736 |
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-08-04 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-04 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH INSURANCE 2013
|
2013
|
273753678
|
2014-08-04
|
GO HIRE EMPLOYMENT AND DEVELOPMENT, INC
|
496
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/08/04/20140804143730P030024205807001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2013-01-01 |
Business code |
561300 |
Sponsor’s telephone number |
6066662736 |
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Plan administrator’s name and address
Administrator’s EIN |
273753678 |
Plan administrator’s name |
GO HIRE EMPLOYMENT AND DEVELOPMENT, INC |
Plan administrator’s
address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Administrator’s telephone number |
6066662736 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-08-04 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-04 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DELTA DENTAL
|
2013
|
273753678
|
2014-08-04
|
GO HIRE EMPLOYMENT AND DEVELOPMENT
|
527
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/08/04/20140804090208P040070741143001.pdf |
Three-digit plan number (PN) |
504 |
Effective date of plan |
2013-01-01 |
Business code |
561300 |
Sponsor’s telephone number |
6066662736 |
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Plan administrator’s name and address
Administrator’s EIN |
273753678 |
Plan administrator’s name |
GO HIRE EMPLOYMENT AND DEVELOPMENT |
Plan administrator’s
address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Administrator’s telephone number |
6066662736 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-08-04 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-04 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLONIAL LIFE AND ACCIDENT INSURANCE
|
2013
|
273753678
|
2014-08-01
|
GO HIRE EMPLOYMENT AND DEVELOPMENT
|
191
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/08/01/20140801101918P030023007647001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
2013-01-01 |
Business code |
561300 |
Sponsor’s telephone number |
6066662736 |
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Plan administrator’s name and address
Administrator’s EIN |
273753678 |
Plan administrator’s name |
GO HIRE EMPLOYMENT AND DEVELOPMENT |
Plan administrator’s
address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Administrator’s telephone number |
6066662736 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-08-01 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-01 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE PLAN
|
2013
|
273753678
|
2014-08-01
|
GO HIRE EMPLOYMENT AND DEVELOPMENT INC
|
529
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/08/01/20140801065710P040028426925001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2013-01-01 |
Business code |
561300 |
Sponsor’s telephone number |
6066662736 |
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Plan administrator’s name and address
Administrator’s EIN |
273753678 |
Plan administrator’s name |
GO HIRE EMPLOYMENT AND DEVELOPMENT INC |
Plan administrator’s
address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Administrator’s telephone number |
6066662736 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-31 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DELTA DENTAL
|
2012
|
273753678
|
2013-07-31
|
GO HIRE EMPLOYMENT AND DEVELOPMENT, INC.
|
368
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/31/20130731114453P030321579763001.pdf |
Three-digit plan number (PN) |
504 |
Effective date of plan |
2012-01-01 |
Business code |
561300 |
Sponsor’s telephone number |
6066662736 |
Plan sponsor’s mailing address |
116 MAIN STREET, JACKSON, KY, 41339 |
Plan sponsor’s
address |
116 MAIN STREET, JACKSON, KY, 41339 |
Plan administrator’s name and address
Administrator’s EIN |
273753678 |
Plan administrator’s name |
GO HIRE EMPLOYMENT AND DEVELOPMENT, INC. |
Plan administrator’s
address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Administrator’s telephone number |
6066662736 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-31 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VISION INSURANCE
|
2012
|
273753678
|
2013-07-11
|
GO HIRE EMPLOYMENT AND DEVELOPMENT, INC.
|
456
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/11/20130711140838P030107546437001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2012-01-01 |
Business code |
561300 |
Sponsor’s telephone number |
6066662736 |
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Plan administrator’s name and address
Administrator’s EIN |
273753678 |
Plan administrator’s name |
GO HIRE EMPLOYMENT AND DEVELOPMENT, INC. |
Plan administrator’s
address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Administrator’s telephone number |
6066662736 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-11 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-11 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH INSURANCE 2012
|
2012
|
273753678
|
2013-07-11
|
GO HIRE EMPLOYMENT AND DEVELOPMENT, INC.
|
451
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/11/20130711140712P040038916007001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
2012-01-01 |
Business code |
561300 |
Sponsor’s telephone number |
6066662736 |
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Plan administrator’s name and address
Administrator’s EIN |
273753678 |
Plan administrator’s name |
GO HIRE EMPLOYMENT AND DEVELOPMENT, INC. |
Plan administrator’s
address |
1116 MAIN STREE, JACKSON, KY, 41301 |
Administrator’s telephone number |
6066662736 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-11 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-11 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE INSURANCE PLAN
|
2012
|
273753678
|
2013-07-02
|
GO HIRE EMPLOYMENT AND DEVELOPMENT, INC.
|
481
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/02/20130702073820P030278902531001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2012-01-01 |
Business code |
561300 |
Sponsor’s telephone number |
6066662736 |
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Plan administrator’s name and address
Administrator’s EIN |
273753678 |
Plan administrator’s name |
GO HIRE EMPLOYMENT AND DEVELOPMENT, INC. |
Plan administrator’s
address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Administrator’s telephone number |
6066662736 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-06-28 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-28 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLONIAL LIFE AND ACCIDENT INSURANCE
|
2012
|
273753678
|
2013-07-03
|
GO HIRE EMPLOYMENT AND DEVELOPMENT INC
|
120
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/03/20130703105539P040364849089001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
2012-01-01 |
Business code |
561300 |
Sponsor’s telephone number |
6066662736 |
Plan sponsor’s mailing address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Plan sponsor’s
address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Plan administrator’s name and address
Administrator’s EIN |
273753678 |
Plan administrator’s name |
GO HIRE AND DEVELOPMENT INC |
Plan administrator’s
address |
1116 MAIN STREET, JACKSON, KY, 41339 |
Administrator’s telephone number |
6066662736 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-03 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-03 |
Name of individual signing |
CHRISTA WHITE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|