BELVIDERE FAMILY PET HOSPITAL 401(K) PROFIT SHARING PLAN
|
2021
|
264119020
|
2024-09-26
|
BELVIDERE FAMILY PET HOSPITAL
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2020-10-01
|
Business code |
541940
|
Sponsor’s telephone number |
8157623296
|
Plan sponsor’s
address |
2090 PEARL STREET, BELVIDERE, IL, 61008
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2024-09-26 |
Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BELVIDERE FAMILY PET HOSPITAL 401(K) PROFIT SHARING PLAN
|
2020
|
264119020
|
2021-04-30
|
BELVIDERE FAMILY PET HOSPITAL
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-02-01
|
Business code |
541940
|
Sponsor’s telephone number |
8155449930
|
Plan sponsor’s
address |
2090 PEARL STREET, BELVIDERE, IL, 61008
|
Signature of
Role |
Plan administrator |
Date |
2021-04-30 |
Name of individual signing |
LAUREL PROBST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-04-30 |
Name of individual signing |
LAUREL PROBST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BELVIDERE FAMILY PET HOSPITAL 401(K) PROFIT SHARING PLAN
|
2019
|
264119020
|
2020-09-23
|
BELVIDERE FAMILY PET HOSPITAL
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-02-01
|
Business code |
541940
|
Sponsor’s telephone number |
8155449930
|
Plan sponsor’s
address |
2090 PEARL STREET, BELVIDERE, IL, 61008
|
Signature of
Role |
Plan administrator |
Date |
2020-09-23 |
Name of individual signing |
LAUREL PROBST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-09-23 |
Name of individual signing |
LAUREL PROBST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BELVIDERE FAMILY PET HOSPITAL 401(K) PROFIT SHARING PLAN
|
2018
|
264119020
|
2019-05-07
|
BELVIDERE FAMILY PET HOSPITAL
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-02-01
|
Business code |
541940
|
Sponsor’s telephone number |
8155449930
|
Plan sponsor’s
address |
2090 PEARL STREET, BELVIDERE, IL, 61008
|
Signature of
Role |
Plan administrator |
Date |
2019-05-06 |
Name of individual signing |
LAUREL PROBST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-06 |
Name of individual signing |
LAUREL PROBST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BELVIDERE FAMILY PET HOSPITAL 401(K) PROFIT SHARING PLAN
|
2017
|
264119020
|
2018-05-04
|
BELVIDERE FAMILY PET HOSPITAL
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-02-01
|
Business code |
541940
|
Sponsor’s telephone number |
8155449930
|
Plan sponsor’s
address |
2090 PEARL STREET, BELVIDERE, IL, 61008
|
Signature of
Role |
Plan administrator |
Date |
2018-05-04 |
Name of individual signing |
LAUREL PROBST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-04 |
Name of individual signing |
LAUREL PROBST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BELVIDERE FAMILY PET HOSPITAL 401(K) PROFIT SHARING PLAN
|
2016
|
264119020
|
2017-07-03
|
BELVIDERE FAMILY PET HOSPITAL
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-02-01
|
Business code |
541940
|
Sponsor’s telephone number |
8155449930
|
Plan sponsor’s
address |
2090 PEARL STREET, BELVIDERE, IL, 61008
|
Signature of
Role |
Plan administrator |
Date |
2017-06-30 |
Name of individual signing |
LAUREL PROBST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-30 |
Name of individual signing |
LAUREL PROBST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BELVIDERE FAMILY PET HOSPITAL 401(K) PROFIT SHARING PLAN
|
2015
|
264119020
|
2016-05-23
|
BELVIDERE FAMILY PET HOSPITAL
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-02-01
|
Business code |
541940
|
Sponsor’s telephone number |
8155449930
|
Plan sponsor’s
address |
2090 PEARL STREET, BELVIDERE, IL, 61008
|
Signature of
Role |
Plan administrator |
Date |
2016-05-23 |
Name of individual signing |
LAUREL PROBST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-23 |
Name of individual signing |
LAUREL PROBST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|