VANDER BLEEK PHARMACIES 401(K) PROFIT SHARING PLAN
|
2015
|
363833823
|
2016-05-20
|
MORR FITZ, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
8157723415
|
Plan sponsor’s
address |
124 EAST MAIN STREET, MORRISON, IL, 61270
|
Signature of
Role |
Plan administrator |
Date |
2016-05-20 |
Name of individual signing |
STEVE VAN OSDOL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VANDER BLEEK PHARMACIES 401(K) PROFIT SHARING PLAN
|
2015
|
363833823
|
2016-05-20
|
MORR FITZ, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
8157723415
|
Plan sponsor’s
address |
124 EAST MAIN STREET, MORRISON, IL, 61270
|
Signature of
Role |
Plan administrator |
Date |
2016-05-20 |
Name of individual signing |
STEVE VAN OSDOL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VANDER BLEEK PHARMACIES 401(K) PROFIT SHARING PLAN
|
2014
|
363833823
|
2015-10-12
|
MORR FITZ, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
8157723415
|
Plan sponsor’s
address |
124 EAST MAIN STREET, MORRISON, IL, 61270
|
Signature of
Role |
Plan administrator |
Date |
2015-10-12 |
Name of individual signing |
STEVE VAN OSDOL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VANDER BLEEK PHARMACIES 401(K) PROFIT SHARING PLAN
|
2013
|
363833823
|
2014-04-30
|
MORR FITZ, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
8157723415
|
Plan sponsor’s
address |
124 EAST MAIN STREET, MORRISON, IL, 61270
|
Signature of
Role |
Plan administrator |
Date |
2014-04-30 |
Name of individual signing |
STEVE VAN OSDOL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VANDER BLEEK PHARMACIES 401(K) PROFIT SHARING PLAN
|
2012
|
363833823
|
2013-04-01
|
MORR FITZ, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
8157723415
|
Plan sponsor’s
address |
124 EAST MAIN STREET, MORRISON, IL, 61270
|
Signature of
Role |
Plan administrator |
Date |
2013-04-01 |
Name of individual signing |
STEVE VAN OSDOL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VANDER BLEEK PHARMACIES 401(K) PROFIT SHARING PLAN
|
2011
|
363833823
|
2012-03-29
|
MORR FITZ, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
8157723415
|
Plan sponsor’s
address |
124 EAST MAIN STREET, MORRISON, IL, 61270
|
Plan administrator’s name and address
Administrator’s EIN |
363833823 |
Plan administrator’s name |
MORR FITZ, INC. |
Plan administrator’s
address |
124 EAST MAIN STREET, MORRISON, IL, 61270 |
Administrator’s telephone number |
8157723415 |
Signature of
Role |
Plan administrator |
Date |
2012-03-29 |
Name of individual signing |
STEVE VAN OSDOL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VANDER BLEEK PHARMACIES 401(K) PROFIT SHARING PLAN
|
2010
|
363833823
|
2011-04-21
|
MORR FITZ, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
8157723415
|
Plan sponsor’s
address |
124 EAST MAIN STREET, MORRISON, IL, 61270
|
Plan administrator’s name and address
Administrator’s EIN |
363833823 |
Plan administrator’s name |
MORR FITZ, INC. |
Plan administrator’s
address |
124 EAST MAIN STREET, MORRISON, IL, 61270 |
Administrator’s telephone number |
8157723415 |
Signature of
Role |
Plan administrator |
Date |
2011-04-21 |
Name of individual signing |
STEVE VAN OSDOL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VANDER BLEEK PHARMACIES 401(K) PROFIT SHARING PLAN
|
2009
|
363833823
|
2010-05-11
|
MORR FITZ, INC.
|
15
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
8157723415
|
Plan sponsor’s
address |
124 EAST MAIN STREET, MORRISON, IL, 61270
|
Plan administrator’s name and address
Administrator’s EIN |
363833823 |
Plan administrator’s name |
MORR FITZ, INC. |
Plan administrator’s
address |
124 EAST MAIN STREET, MORRISON, IL, 61270 |
Administrator’s telephone number |
8157723415 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-05-11 |
Name of individual signing |
STEVE VAN OSDOL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VANDER BLEEK PHARMACIES 401(K) PROFIT SHARING PLAN
|
2009
|
363833823
|
2010-05-11
|
MORR FITZ, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
8157723415
|
Plan sponsor’s
address |
124 EAST MAIN STREET, MORRISON, IL, 61270
|
Plan administrator’s name and address
Administrator’s EIN |
363833823 |
Plan administrator’s name |
MORR FITZ, INC. |
Plan administrator’s
address |
124 EAST MAIN STREET, MORRISON, IL, 61270 |
Administrator’s telephone number |
8157723415 |
Signature of
Role |
Plan administrator |
Date |
2010-05-11 |
Name of individual signing |
STEVE VAN OSDOL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|