QUARLES SPRING FARMS 401K RETIREMENT SAVINGS PLAN
|
2023
|
811729774
|
2024-07-04
|
QUARLES SPRING FARMS
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
111100
|
Sponsor’s telephone number |
9312060878
|
Plan sponsor’s
address |
1002 WAYNE HUNT RD., HERNDON, KY, 422368136
|
Signature of
Role |
Plan administrator |
Date |
2024-07-04 |
Name of individual signing |
DIANE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-04 |
Name of individual signing |
DIANE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUARLES SPRING FARMS CBS BENEFIT PLAN
|
2022
|
811729774
|
2023-12-27
|
QUARLES SPRING FARMS
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-02-01
|
Business code |
111900
|
Sponsor’s telephone number |
2704391882
|
Plan sponsor’s
address |
1002 WAYNE HUNT RD, HERNDON, KY, 42236
|
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 |
|
|
QUARLES SPRING FARMS MEDOVA LIFESTYLE HEALTH CARE
|
2022
|
811729774
|
2024-08-28
|
QUARLES SPRING FARMS
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2021-02-01
|
Business code |
111900
|
Sponsor’s telephone number |
2704391882
|
Plan sponsor’s
address |
1002 WAYNE HUNT RD, HERNDON, KY, 422368136
|
Plan administrator’s name and address
Administrator’s EIN |
200200514 |
Plan administrator’s name |
RECEIVERSHIP MANAGEMENT, INC. |
Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
Administrator’s telephone number |
6153700051 |
Signature of
Role |
Plan administrator |
Date |
2024-08-28 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUARLES SPRING FARMS 401K RETIREMENT SAVINGS PLAN
|
2022
|
811729774
|
2023-05-23
|
QUARLES SPRING FARMS
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
111100
|
Sponsor’s telephone number |
9312060878
|
Plan sponsor’s
address |
1002 WAYNE HUNT RD., HERNDON, KY, 422368136
|
Signature of
Role |
Plan administrator |
Date |
2023-05-23 |
Name of individual signing |
DIANE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-23 |
Name of individual signing |
DIANE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUARLES SPRING FARMS 401K RETIREMENT SAVINGS PLAN
|
2021
|
811729774
|
2022-08-31
|
QUARLES SPRING FARMS
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
111100
|
Sponsor’s telephone number |
9312060878
|
Plan sponsor’s
address |
1002 WAYNE HUNT RD., HERNDON, KY, 422368136
|
Signature of
Role |
Plan administrator |
Date |
2022-08-31 |
Name of individual signing |
DIANE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-08-31 |
Name of individual signing |
DIANE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUARLES SPRING FARMS CBS BENEFIT PLAN
|
2021
|
811729774
|
2022-12-29
|
QUARLES SPRING FARMS
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-02-01
|
Business code |
111900
|
Sponsor’s telephone number |
2704391882
|
Plan sponsor’s
address |
1002 WAYNE HUNT RD, HERNDON, KY, 42236
|
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 |
|
|
QUARLES SPRING FARMS MEDOVA LIFESTYLE HEALTH CARE
|
2021
|
811729774
|
2022-11-14
|
QUARLES SPRING FARMS
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2021-02-01
|
Business code |
111900
|
Sponsor’s telephone number |
2704391882
|
Plan sponsor’s
address |
1002 WAYNE HUNT RD, HERNDON, KY, 422368136
|
Plan administrator’s name and address
Administrator’s EIN |
200200514 |
Plan administrator’s name |
RECEIVERSHIP MANAGEMENT INC |
Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
Administrator’s telephone number |
6153700051 |
Signature of
Role |
Plan administrator |
Date |
2022-11-14 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUARLES SPRING FARMS CBS BENEFIT PLAN
|
2020
|
811729774
|
2021-12-14
|
QUARLES SPRING FARMS
|
4
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-02-01
|
Business code |
111900
|
Sponsor’s telephone number |
2704391882
|
Plan sponsor’s
address |
1002 WAYNE HUNT RD, HERNDON, KY, 42236
|
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 |
|
|
QUARLES SPRING FARMS 401K RETIREMENT SAVINGS PLAN
|
2020
|
811729774
|
2021-07-20
|
QUARLES SPRING FARMS
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
111100
|
Sponsor’s telephone number |
2704391882
|
Plan sponsor’s
address |
1002 WAYNE HUNT RD., HERNDON, KY, 422368136
|
Signature of
Role |
Plan administrator |
Date |
2021-07-20 |
Name of individual signing |
DIANE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-20 |
Name of individual signing |
DIANE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUARLES SPRING FARMS 401K RETIREMENT SAVINGS PLAN
|
2019
|
811729774
|
2020-04-09
|
QUARLES SPRING FARMS
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
111100
|
Sponsor’s telephone number |
2704391882
|
Plan sponsor’s
address |
1002 WAYNE HUNT RD., HERNDON, KY, 422368136
|
Signature of
Role |
Plan administrator |
Date |
2020-04-09 |
Name of individual signing |
DIANE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-04-09 |
Name of individual signing |
DIANE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUARLES SPRING FARMS 401K RETIREMENT SAVINGS PLAN
|
2018
|
811729774
|
2019-05-10
|
QUARLES SPRING FARMS
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/05/10/20190510104021P040222769319001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1996-01-01 |
Business code |
111100 |
Sponsor’s telephone number |
2704391882 |
Plan sponsor’s
address |
1002 WAYNE HUNT RD., HERNDON, KY, 422368136 |
Signature of
Role |
Plan administrator |
Date |
2019-05-10 |
Name of individual signing |
DIANE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-10 |
Name of individual signing |
DIANE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUARLES SPRING FARMS 401K RETIREMENT SAVINGS PLAN
|
2017
|
811729774
|
2018-07-13
|
QUARLES SPRING FARMS
|
12
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/13/20180713125108P040002242677001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1996-01-01 |
Business code |
111100 |
Sponsor’s telephone number |
2704391882 |
Plan sponsor’s
address |
1002 WAYNE HUNT RD., HERNDON, KY, 422368136 |
Signature of
Role |
Plan administrator |
Date |
2018-07-13 |
Name of individual signing |
DIANE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-13 |
Name of individual signing |
DIANE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUARLES SPRING FARMS 401K RETIREMENT SAVINGS PLAN
|
2016
|
811729774
|
2017-03-31
|
QUARLES SPRING FARMS
|
16
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/03/31/20170331153645P040076367335001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1996-01-01 |
Business code |
111100 |
Sponsor’s telephone number |
2704391882 |
Plan sponsor’s
address |
1002 WAYNE HUNT RD., HERNDON, KY, 422368136 |
Signature of
Role |
Plan administrator |
Date |
2017-03-31 |
Name of individual signing |
DIANE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-03-31 |
Name of individual signing |
DIANE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|