AMBASSADOR ANIMAL HOSPITAL, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2016
|
364123541
|
2017-09-24
|
AMBASSADOR ANIMAL HOSPITAL, L.L.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-04-22
|
Business code |
541940
|
Sponsor’s telephone number |
3095312366
|
Plan sponsor’s
address |
10 CANTERBURY COURT, BLOOMINGTON, IL, 61701
|
Signature of
Role |
Plan administrator |
Date |
2017-09-24 |
Name of individual signing |
WARREN R. BRUNTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-24 |
Name of individual signing |
WARREN R. BRUNTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMBASSADOR ANIMAL HOSPITAL, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2016
|
364123541
|
2017-05-25
|
AMBASSADOR ANIMAL HOSPITAL, L.L.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-04-22
|
Business code |
541940
|
Sponsor’s telephone number |
3096628535
|
Plan sponsor’s
address |
510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701
|
Signature of
Role |
Plan administrator |
Date |
2017-05-25 |
Name of individual signing |
WARREN R. BRUNTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-25 |
Name of individual signing |
WARREN R. BRUNTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMBASSADOR ANIMAL HOSPITAL, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2015
|
364123541
|
2016-06-13
|
AMBASSADOR ANIMAL HOSPITAL, L.L.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-04-22
|
Business code |
541940
|
Sponsor’s telephone number |
3096628535
|
Plan sponsor’s
address |
510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701
|
Signature of
Role |
Plan administrator |
Date |
2016-06-13 |
Name of individual signing |
WARREN R. BRUNTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-13 |
Name of individual signing |
WARREN R. BRUNTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMBASSADOR ANIMAL HOSPITAL, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2014
|
364123541
|
2015-06-02
|
AMBASSADOR ANIMAL HOSPITAL, L.L.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-04-22
|
Business code |
541940
|
Sponsor’s telephone number |
3096628535
|
Plan sponsor’s
address |
510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701
|
Signature of
Role |
Plan administrator |
Date |
2015-06-02 |
Name of individual signing |
WARREN R. BRUNTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-02 |
Name of individual signing |
WARREN R. BRUNTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMBASSADOR ANIMAL HOSPITAL, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2013
|
364123541
|
2014-05-28
|
AMBASSADOR ANIMAL HOSPITAL, L.L.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-04-22
|
Business code |
541940
|
Sponsor’s telephone number |
3096628535
|
Plan sponsor’s
address |
510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701
|
Signature of
Role |
Plan administrator |
Date |
2014-05-28 |
Name of individual signing |
WARREN R. BRUNTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-28 |
Name of individual signing |
WARREN R. BRUNTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMBASSADOR ANIMAL HOSPITAL, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2012
|
364123541
|
2013-06-20
|
AMBASSADOR ANIMAL HOSPITAL, L.L.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-04-22
|
Business code |
541940
|
Sponsor’s telephone number |
3096628535
|
Plan sponsor’s
address |
510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701
|
Signature of
Role |
Plan administrator |
Date |
2013-06-20 |
Name of individual signing |
WARREN R. BRUNTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-20 |
Name of individual signing |
WARREN R. BRUNTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMBASSADOR ANIMAL HOSPITAL, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2011
|
364123541
|
2012-06-04
|
AMBASSADOR ANIMAL HOSPITAL, L.L.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-04-22
|
Business code |
541940
|
Sponsor’s telephone number |
3096628535
|
Plan sponsor’s
address |
510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701
|
Plan administrator’s name and address
Administrator’s EIN |
364123541 |
Plan administrator’s name |
AMBASSADOR ANIMAL HOSPITAL, L.L.C. |
Plan administrator’s
address |
510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701 |
Administrator’s telephone number |
3096628535 |
Signature of
Role |
Plan administrator |
Date |
2012-06-04 |
Name of individual signing |
WARREN R. BRUNTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMBASSADOR ANIMAL HOSPITAL, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2010
|
364123541
|
2011-05-25
|
AMBASSADOR ANIMAL HOSPITAL, L.L.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-04-22
|
Business code |
541940
|
Sponsor’s telephone number |
3096628535
|
Plan sponsor’s
address |
510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701
|
Plan administrator’s name and address
Administrator’s EIN |
364123541 |
Plan administrator’s name |
AMBASSADOR ANIMAL HOSPITAL, L.L.C. |
Plan administrator’s
address |
510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701 |
Administrator’s telephone number |
3096628535 |
Signature of
Role |
Plan administrator |
Date |
2011-05-25 |
Name of individual signing |
WARREN R. BRUNTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMBASSADOR ANIMAL HOSPITAL, L.L.C. 401(K) PROFIT-SHARING PLAN & TRUST
|
2009
|
364123541
|
2010-05-20
|
AMBASSADOR ANIMAL HOSPITAL, L.L.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1985-04-22
|
Business code |
541940
|
Sponsor’s telephone number |
3096628535
|
Plan sponsor’s
address |
510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701
|
Plan administrator’s name and address
Administrator’s EIN |
364123541 |
Plan administrator’s name |
AMBASSADOR ANIMAL HOSPITAL, L.L.C. |
Plan administrator’s
address |
510 GUIDO CIRCLE, BLOOMINGTON, IL, 61701 |
Administrator’s telephone number |
3096628535 |
Signature of
Role |
Plan administrator |
Date |
2010-05-20 |
Name of individual signing |
WARREN R. BRUNTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|