ROCK ISLAND ANIMAL HOSPITAL, LTD. PROFIT SHARING PLAN
|
2011
|
362777859
|
2012-06-18
|
ROCK ISLAND ANIMAL HOSPITAL, LTD.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-10-01
|
Business code |
541940
|
Sponsor’s telephone number |
3097864979
|
Plan sponsor’s
address |
1209 21ST AVE, APT D214, ROCK ISLAND, IL, 612017938
|
Plan administrator’s name and address
Administrator’s EIN |
362777859 |
Plan administrator’s name |
ROCK ISLAND ANIMAL HOSPITAL, LTD. |
Plan administrator’s
address |
1209 21ST AVE, APT D214, ROCK ISLAND, IL, 612017938 |
Administrator’s telephone number |
3097864979 |
Signature of
Role |
Plan administrator |
Date |
2012-06-18 |
Name of individual signing |
DR. LARRY O. TADLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCK ISLAND ANIMAL HOSPITAL, LTD. PROFIT SHARING PLAN
|
2010
|
362777859
|
2011-10-03
|
ROCK ISLAND ANIMAL HOSPITAL, LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-10-01
|
Business code |
541940
|
Sponsor’s telephone number |
3097875380
|
Plan sponsor’s
address |
10910 RIDGEWOOD ROAD, MILAN, IL, 61264
|
Plan administrator’s name and address
Administrator’s EIN |
362777859 |
Plan administrator’s name |
ROCK ISLAND ANIMAL HOSPITAL, LTD. |
Plan administrator’s
address |
10910 RIDGEWOOD ROAD, MILAN, IL, 61264 |
Administrator’s telephone number |
3097875380 |
Signature of
Role |
Plan administrator |
Date |
2011-10-03 |
Name of individual signing |
DR. LARRY O. TADLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROCK ISLAND ANIMAL HOSPITAL, LTD. PROFIT SHARING PLAN
|
2009
|
362777859
|
2010-06-23
|
ROCK ISLAND ANIMAL HOSPITAL, LTD.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1973-10-01
|
Business code |
541940
|
Sponsor’s telephone number |
3097875380
|
Plan sponsor’s
address |
10910 RIDGEWOOD ROAD, MILAN, IL, 61264
|
Plan administrator’s name and address
Administrator’s EIN |
362777859 |
Plan administrator’s name |
ROCK ISLAND ANIMAL HOSPITAL, LTD. |
Plan administrator’s
address |
10910 RIDGEWOOD ROAD, MILAN, IL, 61264 |
Administrator’s telephone number |
3097875380 |
Signature of
Role |
Plan administrator |
Date |
2010-06-23 |
Name of individual signing |
DR. LARRY O. TADLOCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|