THIES-LOMBARD PHARMACY, INC. 401(K) PROFIT SHARING PLAN
|
2012
|
362710982
|
2013-09-18
|
THIES-LOMBARD PHARMACY, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6304952333
|
Plan sponsor’s
address |
805 S. MAIN STREET, LOMBARD, IL, 60148
|
Signature of
Role |
Plan administrator |
Date |
2013-09-17 |
Name of individual signing |
CRAIG KUELTZO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-17 |
Name of individual signing |
CRAIG KUELTZO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THIES-LOMBARD PHARMACY, INC. 401(K) PROFIT SHARING PLAN
|
2011
|
362710982
|
2012-09-10
|
THIES-LOMBARD PHARMACY, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6304952333
|
Plan sponsor’s
address |
805 S. MAIN STREET, LOMBARD, IL, 60148
|
Plan administrator’s name and address
Administrator’s EIN |
362710982 |
Plan administrator’s name |
THIES-LOMBARD PHARMACY, INC. |
Plan administrator’s
address |
805 S. MAIN STREET, LOMBARD, IL, 60148 |
Administrator’s telephone number |
6304952333 |
Signature of
Role |
Plan administrator |
Date |
2012-09-07 |
Name of individual signing |
CRAIG KUELTZO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-07 |
Name of individual signing |
CRAIG KUELTZO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THIES-LOMBARD PHARMACY, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
362710982
|
2011-08-25
|
THIES-LOMBARD PHARMACY, INC.
|
16
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6304952333
|
Plan sponsor’s
address |
805 S. MAIN STREET, LOMBARD, IL, 60148
|
Plan administrator’s name and address
Administrator’s EIN |
362710982 |
Plan administrator’s name |
THIES-LOMBARD PHARMACY, INC. |
Plan administrator’s
address |
805 S. MAIN STREET, LOMBARD, IL, 60148 |
Administrator’s telephone number |
6304952333 |
Signature of
Role |
Plan administrator |
Date |
2011-08-23 |
Name of individual signing |
CRAIG KUELTZO |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-23 |
Name of individual signing |
CRAIG KUELTZO |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
THIES-LOMBARD PHARMACY, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
362710982
|
2011-08-29
|
THIES-LOMBARD PHARMACY, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6304952333
|
Plan sponsor’s
address |
805 S. MAIN STREET, LOMBARD, IL, 60148
|
Plan administrator’s name and address
Administrator’s EIN |
362710982 |
Plan administrator’s name |
THIES-LOMBARD PHARMACY, INC. |
Plan administrator’s
address |
805 S. MAIN STREET, LOMBARD, IL, 60148 |
Administrator’s telephone number |
6304952333 |
Signature of
Role |
Plan administrator |
Date |
2011-08-26 |
Name of individual signing |
CRAIG KUELTZO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-26 |
Name of individual signing |
CRAIG KUELTZO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THIES-LOMBARD PHARMACY, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
362710982
|
2010-09-02
|
THIES-LOMBARD PHARMACY, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6304952333
|
Plan sponsor’s
address |
805 S. MAIN STREET, LOMBARD, IL, 60148
|
Plan administrator’s name and address
Administrator’s EIN |
362710982 |
Plan administrator’s name |
THIES-LOMBARD PHARMACY, INC. |
Plan administrator’s
address |
805 S. MAIN STREET, LOMBARD, IL, 60148 |
Administrator’s telephone number |
6304952333 |
Signature of
Role |
Plan administrator |
Date |
2010-09-02 |
Name of individual signing |
CRAIG KUELTZO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-02 |
Name of individual signing |
CRAIG KUELTZO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|