POLYCLINIC PHARMACY, INC 401(K) PLAN
|
2011
|
371208944
|
2013-04-30
|
POLYCLINIC PHARMACY, INC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-10-01
|
Business code |
446110
|
Sponsor’s telephone number |
2174775712
|
Plan sponsor’s
address |
622 N. LOGAN AVE., DANVILLE, IL, 61832
|
Plan administrator’s name and address
Administrator’s EIN |
371208944 |
Plan administrator’s name |
POLYCLINIC PHARMACY, INC |
Plan administrator’s
address |
622 N. LOGAN AVE., DANVILLE, IL, 61832 |
Administrator’s telephone number |
2174775712 |
Signature of
Role |
Plan administrator |
Date |
2013-04-30 |
Name of individual signing |
INDERJIT RAKALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLYCLINIC PHARMACY, INC 401(K) PLAN
|
2010
|
371208944
|
2012-02-10
|
POLYCLINIC PHARMACY, INC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-10-01
|
Business code |
446110
|
Sponsor’s telephone number |
2174775712
|
Plan sponsor’s
address |
622 N. LOGAN AVE., DANVILLE, IL, 61832
|
Plan administrator’s name and address
Administrator’s EIN |
371208944 |
Plan administrator’s name |
POLYCLINIC PHARMACY, INC |
Plan administrator’s
address |
622 N. LOGAN AVE., DANVILLE, IL, 61832 |
Administrator’s telephone number |
2174775712 |
Signature of
Role |
Plan administrator |
Date |
2012-02-10 |
Name of individual signing |
INDERJIT S RAKALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-02-10 |
Name of individual signing |
INDERJIT S RAKALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLYCLINIC PHARMACY, INC 401(K) PLAN
|
2009
|
371208944
|
2011-06-10
|
POLYCLINIC PHARMACY, INC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-10-01
|
Business code |
446110
|
Sponsor’s telephone number |
2174775712
|
Plan sponsor’s
address |
622 N. LOGAN AVE., DANVILLE, IL, 61832
|
Plan administrator’s name and address
Administrator’s EIN |
371208944 |
Plan administrator’s name |
POLYCLINIC PHARMACY, INC |
Plan administrator’s
address |
622 N. LOGAN AVE., DANVILLE, IL, 61832 |
Administrator’s telephone number |
2174775712 |
Signature of
Role |
Plan administrator |
Date |
2011-06-10 |
Name of individual signing |
INDERJIT S RAKALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-10 |
Name of individual signing |
INDERJIT S RAKALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLYCLINIC PHARMACY, INC 401(K) PLAN
|
2009
|
371208944
|
2011-06-10
|
POLYCLINIC PHARMACY, INC
|
19
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-10-01
|
Business code |
446110
|
Sponsor’s telephone number |
2174775712
|
Plan sponsor’s
address |
622 N. LOGAN AVE., DANVILLE, IL, 61832
|
Plan administrator’s name and address
Administrator’s EIN |
371208944 |
Plan administrator’s name |
POLYCLINIC PHARMACY, INC |
Plan administrator’s
address |
622 N. LOGAN AVE., DANVILLE, IL, 61832 |
Administrator’s telephone number |
2174775712 |
Signature of
Role |
Plan administrator |
Date |
2011-06-10 |
Name of individual signing |
INDERJIT S RAKALLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|