OHIO VALLEY INSURANCE CBS BENEFIT PLAN
|
2023
|
200819964
|
2024-04-29
|
OHIO VALLEY INSURANCE
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-11-01
|
Business code |
524210
|
Sponsor’s telephone number |
2706833336
|
Plan sponsor’s
address |
5010 BACK SQUARE DR, OWENSBORO, KY, 423017413
|
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 |
2024-04-29 |
Name of individual signing |
SHAWNA BURTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY INSURANCE, LLC 401(K) PROFIT SHARING PLAN
|
2023
|
200819964
|
2024-06-11
|
OHIO VALLEY INSURANCE, LLC
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
2706833336
|
Plan sponsor’s
address |
5010 BACK SQUARE DRIVE, OWENSBORO, KY, 42301
|
Signature of
Role |
Plan administrator |
Date |
2024-06-11 |
Name of individual signing |
MS. LINDSEY HAGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY INSURANCE, LLC 401(K) PROFIT SHARING PLAN
|
2022
|
200819964
|
2023-10-04
|
OHIO VALLEY INSURANCE, LLC
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
2706833336
|
Plan sponsor’s
address |
P.O. BOX 23199, OWENSBORO, KY, 42304
|
Signature of
Role |
Plan administrator |
Date |
2023-10-04 |
Name of individual signing |
MS. LINDSEY HAGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY INSURANCE CBS BENEFIT PLAN
|
2022
|
200819964
|
2023-12-27
|
OHIO VALLEY INSURANCE
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-11-01
|
Business code |
524210
|
Sponsor’s telephone number |
2706833336
|
Plan sponsor’s
address |
5010 BACK SQUARE DR, OWENSBORO, KY, 423017413
|
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 |
|
|
OHIO VALLEY INSURANCE CBS BENEFIT PLAN
|
2021
|
200819964
|
2022-12-29
|
OHIO VALLEY INSURANCE
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-11-01
|
Business code |
524210
|
Sponsor’s telephone number |
2706833336
|
Plan sponsor’s
address |
5010 BACK SQUARE DR, OWENSBORO, KY, 423017413
|
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 |
|
|
OHIO VALLEY INSURANCE, LLC 401(K) PROFIT SHARING PLAN
|
2021
|
200819964
|
2022-09-30
|
OHIO VALLEY INSURANCE, LLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
2706833336
|
Plan sponsor’s
address |
5010 BACK SQUARE DRIVE, OWENSBORO, KY, 42301
|
Signature of
Role |
Plan administrator |
Date |
2022-09-30 |
Name of individual signing |
MS. LINDSEY HAGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY CROP INSURANCE, LLC CASH BALANCE PENSION PLAN
|
2020
|
200819964
|
2021-09-22
|
OHIO VALLEY CROP INSURANCE, LLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
2706833336
|
Plan sponsor’s
address |
P. O. BOX 23199, OWENSBORO, KY, 42304
|
Signature of
Role |
Plan administrator |
Date |
2021-09-22 |
Name of individual signing |
DAN HARDAWAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY CROP INSURANCE, LLC CASH BALANCE PENSION PLAN
|
2020
|
200819964
|
2021-12-13
|
OHIO VALLEY CROP INSURANCE, LLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
2706833336
|
Plan sponsor’s
address |
P. O. BOX 23199, OWENSBORO, KY, 42304
|
Signature of
Role |
Plan administrator |
Date |
2021-12-13 |
Name of individual signing |
DAN HARDAWAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY INSURANCE, LLC 401(K) PROFIT SHARING PLAN
|
2020
|
200819964
|
2021-09-22
|
OHIO VALLEY CROP INSURANCE, LLC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
2706833336
|
Plan sponsor’s
address |
P. O. BOX 23199, OWENSBORO, KY, 42304
|
Signature of
Role |
Plan administrator |
Date |
2021-09-22 |
Name of individual signing |
DAN HARDAWAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY INSURANCE CBS BENEFIT PLAN
|
2020
|
200819964
|
2021-12-14
|
OHIO VALLEY INSURANCE
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-11-01
|
Business code |
524210
|
Sponsor’s telephone number |
2706833336
|
Plan sponsor’s
address |
2510 TAMARACK ROAD, OWENSBORO, KY, 42301
|
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 |
|
|
OHIO VALLEY INSURANCE CBS BENEFIT PLAN
|
2019
|
200819964
|
2020-12-23
|
OHIO VALLEY INSURANCE
|
15
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2020/12/23/20201223101632NAL0008066513001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
2019-11-01 |
Business code |
524210 |
Sponsor’s telephone number |
2706833336 |
Plan sponsor’s
address |
2510 TAMARACK ROAD, OWENSBORO, KY, 42301 |
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 |
|
|
OHIO VALLEY INSURANCE, LLC 401(K) PROFIT SHARING PLAN
|
2019
|
200819964
|
2020-10-07
|
OHIO VALLEY CROP INSURANCE, LLC
|
18
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2020/10/07/20201007072838NAL0010961377001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2013-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
2706833336 |
Plan sponsor’s
address |
2510 B TAMARACK ROAD, OWENSBORO, KY, 42301 |
Signature of
Role |
Plan administrator |
Date |
2020-10-07 |
Name of individual signing |
DAN HARDAWAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY CROP INSURANCE, LLC CASH BALANCE PENSION PLAN
|
2019
|
200819964
|
2020-10-07
|
OHIO VALLEY CROP INSURANCE, LLC
|
15
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2020/10/07/20201007072608NAL0010957857001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2013-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
2706833336 |
Plan sponsor’s
address |
2510 B TAMARACK ROAD, OWENSBORO, KY, 42301 |
Signature of
Role |
Plan administrator |
Date |
2020-10-07 |
Name of individual signing |
DAN HARDAWAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY INSURANCE, LLC 401(K) PROFIT SHARING PLAN
|
2018
|
200819964
|
2019-09-26
|
OHIO VALLEY INSURANCE, LLC
|
13
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/26/20190926132235P030026229613001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2013-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
2706833336 |
Plan sponsor’s
address |
2510 B TAMARACK ROAD, OWENSBORO, KY, 42301 |
Signature of
Role |
Plan administrator |
Date |
2019-09-26 |
Name of individual signing |
DAN HARDAWAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY CROP INSURANCE, LLC CASH BALANCE PENSION PLAN
|
2018
|
200819964
|
2019-09-26
|
OHIO VALLEY CROP INSURANCE, LLC
|
13
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/26/20190926133415P030039831079001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2013-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
2706833336 |
Plan sponsor’s
address |
2510 B TAMARACK ROAD, OWENSBORO, KY, 42301 |
Signature of
Role |
Plan administrator |
Date |
2019-09-26 |
Name of individual signing |
DAN HARDAWAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY INSURANCE, LLC CASH BALANCE PENSION PLAN
|
2017
|
200819964
|
2018-10-12
|
OHIO VALLEY INSURANCE, LLC
|
13
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/12/20181012074401P030010085289001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2013-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
2706833336 |
Plan sponsor’s
address |
2510 B TAMARACK ROAD, OWENSBORO, KY, 42301 |
Signature of
Role |
Plan administrator |
Date |
2018-10-12 |
Name of individual signing |
DAN HARDAWAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY INSURANCE, LLC 401(K) PROFIT SHARING PLAN
|
2017
|
200819964
|
2018-10-04
|
OHIO VALLEY INSURANCE, LLC
|
13
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2018/10/04/20181004144124P040231278743001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2013-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
2706833336 |
Plan sponsor’s
address |
2510 B TAMARACK ROAD, OWENSBORO, KY, 42301 |
Signature of
Role |
Plan administrator |
Date |
2018-10-04 |
Name of individual signing |
DAN HARDAWAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY INSURANCE, LLC 401(K) PROFIT SHARING PLAN
|
2016
|
200819964
|
2017-09-05
|
OHIO VALLEY INSURANCE, LLC
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/09/05/20170905092732P030117994039001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2013-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
2706833336 |
Plan sponsor’s
address |
2510 B TAMARACK ROAD, OWENSBORO, KY, 42301 |
Signature of
Role |
Plan administrator |
Date |
2017-09-05 |
Name of individual signing |
DAN HARDAWAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY INSURANCE, LLC CASH BALANCE PENSION PLAN
|
2016
|
200819964
|
2017-09-19
|
OHIO VALLEY INSURANCE, LLC
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/09/19/20170919121342P040167982801001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2013-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
2706833336 |
Plan sponsor’s
address |
2510 B TAMARACK ROAD, OWENSBORO, KY, 42301 |
Signature of
Role |
Plan administrator |
Date |
2017-09-19 |
Name of individual signing |
DAN HARDAWAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY INSURANCE, LLC 401(K) PROFIT SHARING PLAN
|
2015
|
200819964
|
2016-07-11
|
OHIO VALLEY INSURANCE, LLC
|
9
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/11/20160711150646P030029170215001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2013-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
2706833336 |
Plan sponsor’s
address |
2510 B TAMARACK ROAD, OWENSBORO, KY, 42301 |
Signature of
Role |
Plan administrator |
Date |
2016-07-11 |
Name of individual signing |
DAN HARDAWAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY INSURANCE, LLC CASH BALANCE PENSION PLAN
|
2015
|
200819964
|
2016-10-10
|
OHIO VALLEY INSURANCE, LLC
|
7
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/10/10/20161010135549P040016874263001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2013-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
2706833336 |
Plan sponsor’s
address |
2510 B TAMARACK ROAD, OWENSBORO, KY, 42301 |
Signature of
Role |
Plan administrator |
Date |
2016-10-10 |
Name of individual signing |
DAN HARDAWAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY CROP INSURANCE, LLC 401(K) PROFIT SHARING PLAN
|
2014
|
200819964
|
2015-09-01
|
OHIO VALLEY CROP INSURANCE, LLC
|
6
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/09/01/20150901084853P040036058007001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2013-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
2708284874 |
Plan sponsor’s
address |
5601 BIG SPRING ROAD, VINE GROVE, KY, 40175 |
Signature of
Role |
Plan administrator |
Date |
2015-09-01 |
Name of individual signing |
DAN HARDAWAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY INSURANCE, LLC CASH BALANCE PENSION PLAN
|
2014
|
200819964
|
2015-10-01
|
OHIO VALLEY INSURANCE, LLC
|
5
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/01/20151001105124P040023157287001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2013-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
2708284874 |
Plan sponsor’s
address |
5601 BIG SPRING ROAD, VINE GROVE, KY, 40175 |
Signature of
Role |
Plan administrator |
Date |
2015-10-01 |
Name of individual signing |
DAN HARDAWAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY CROP INSURANCE, LLC CASH BALANCE PENSION PLAN
|
2013
|
200819964
|
2014-10-07
|
OHIO VALLEY CROP INSURANCE, LLC
|
5
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/07/20141007141037P040014592509001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2013-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
2708284874 |
Plan sponsor’s
address |
5601 BIG SPRING ROAD, VINE GROVE, KY, 40175 |
Signature of
Role |
Plan administrator |
Date |
2014-10-07 |
Name of individual signing |
DAN HARDAWAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OHIO VALLEY CROP INSURANCE, LLC 401(K) PROFIT SHARING PLAN
|
2013
|
200819964
|
2014-10-07
|
OHIO VALLEY CROP INSURANCE, LLC
|
5
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/10/07/20141007140335P040014588685001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2013-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
2708284874 |
Plan sponsor’s
address |
5601 BIG SPRING ROAD, VINE GROVE, KY, 40175 |
Signature of
Role |
Plan administrator |
Date |
2014-10-07 |
Name of individual signing |
DAN HARDAWAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|