KERRI A. KATSALIS, DVM, LTD. 401(K) AND PROFIT SHARING PLAN
|
2012
|
362854610
|
2013-06-19
|
KERRI A. KATSALIS, DVM, LTD.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7084743100
|
Plan sponsor’s
address |
3667 RIDGE ROAD, LANSING, IL, 60438
|
Signature of
Role |
Plan administrator |
Date |
2013-06-19 |
Name of individual signing |
KERRI KATSALIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-19 |
Name of individual signing |
KERRI KATSALIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KERRI A. KATSALIS, DVM, LTD. 401(K) AND PROFIT SHARING PLAN
|
2011
|
362854610
|
2012-07-02
|
KERRI A. KATSALIS, DVM, LTD.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7084743100
|
Plan sponsor’s
address |
3667 RIDGE ROAD, LANSING, IL, 60438
|
Plan administrator’s name and address
Administrator’s EIN |
362854610 |
Plan administrator’s name |
KERRI A. KATSALIS, DVM, LTD. |
Plan administrator’s
address |
3667 RIDGE ROAD, LANSING, IL, 60438 |
Administrator’s telephone number |
7084743100 |
Signature of
Role |
Plan administrator |
Date |
2012-07-02 |
Name of individual signing |
KERRI A. KATSALIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-02 |
Name of individual signing |
KERRI A. KATSALIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KERRI A. KATSALIS, DVM, LTD. 401(K) AND PROFIT SHARING PLAN
|
2010
|
362854610
|
2011-10-14
|
KERRI A. KATSALIS, DVM, LTD.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7084743100
|
Plan sponsor’s
address |
3667 RIDGE ROAD, LANSING, IL, 60438
|
Plan administrator’s name and address
Administrator’s EIN |
362854610 |
Plan administrator’s name |
KERRI A. KATSALIS, DVM, LTD. |
Plan administrator’s
address |
3667 RIDGE ROAD, LANSING, IL, 60438 |
Administrator’s telephone number |
7084743100 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
KERRI KATSALIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-14 |
Name of individual signing |
KERRI KATSALIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KERRI A. KATSALIS, DVM, LTD. 401(K) AND PROFIT SHARING PLAN
|
2009
|
362854610
|
2010-08-11
|
KERRI A. KATSALIS, DVM, LTD.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7084743100
|
Plan sponsor’s
address |
3667 RIDGE ROAD, LANSING, IL, 60438
|
Plan administrator’s name and address
Administrator’s EIN |
362854610 |
Plan administrator’s name |
KERRI A. KATSALIS, DVM, LTD. |
Plan administrator’s
address |
3667 RIDGE ROAD, LANSING, IL, 60438 |
Administrator’s telephone number |
7084743100 |
Signature of
Role |
Plan administrator |
Date |
2010-08-02 |
Name of individual signing |
KERRI KATSALIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|