BROADWAY PHARMACY, INC., DEFINED BENEFIT PLAN
|
2012
|
364219580
|
2013-10-10
|
BROADWAY PHARMACY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7732719727
|
Plan sponsor’s
address |
4564 NORTH BROADWAY, CHICAGO, IL, 60640
|
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
DEBI BERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROADWAY PHARMACY, INC., PROFIT SHARING PLAN
|
2011
|
364219580
|
2012-10-12
|
BROADWAY PHARMACY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7732719727
|
Plan sponsor’s
address |
4564 NORTH BROADWAY, CHICAGO, IL, 60640
|
Plan administrator’s name and address
Administrator’s EIN |
364219580 |
Plan administrator’s name |
BROADWAY PHARMACY, INC. |
Plan administrator’s
address |
4564 NORTH BROADWAY, CHICAGO, IL, 60640 |
Administrator’s telephone number |
7732719727 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROADWAY PHARMACY, INC., DEFINED BENEFIT PLAN
|
2011
|
364219580
|
2012-10-12
|
BROADWAY PHARMACY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7732719727
|
Plan sponsor’s
address |
4564 NORTH BROADWAY, CHICAGO, IL, 60640
|
Plan administrator’s name and address
Administrator’s EIN |
364219580 |
Plan administrator’s name |
BROADWAY PHARMACY, INC. |
Plan administrator’s
address |
4564 NORTH BROADWAY, CHICAGO, IL, 60640 |
Administrator’s telephone number |
7732719727 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROADWAY PHARMACY, INC., PROFIT SHARING PLAN
|
2010
|
364219580
|
2012-01-21
|
BROADWAY PHARMACY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7732719727
|
Plan sponsor’s
address |
4564 NORTH BROADWAY, CHICAGO, IL, 60640
|
Plan administrator’s name and address
Administrator’s EIN |
364219580 |
Plan administrator’s name |
BROADWAY PHARMACY, INC. |
Plan administrator’s
address |
4564 NORTH BROADWAY, CHICAGO, IL, 60640 |
Administrator’s telephone number |
7732719727 |
Signature of
Role |
Plan administrator |
Date |
2012-01-21 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROADWAY PHARMACY, INC., DEFINED BENEFIT PLAN
|
2010
|
364219580
|
2012-01-21
|
BROADWAY PHARMACY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7732719727
|
Plan sponsor’s
address |
4564 NORTH BROADWAY, CHICAGO, IL, 60640
|
Plan administrator’s name and address
Administrator’s EIN |
364219580 |
Plan administrator’s name |
BROADWAY PHARMACY, INC. |
Plan administrator’s
address |
4564 NORTH BROADWAY, CHICAGO, IL, 60640 |
Administrator’s telephone number |
7732719727 |
Signature of
Role |
Plan administrator |
Date |
2012-01-21 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROADWAY PHARMACY, INC., PROFIT SHARING PLAN
|
2009
|
364219580
|
2011-04-29
|
BROADWAY PHARMACY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
7732719727
|
Plan sponsor’s
address |
4564 NORTH BROADWAY, CHICAGO, IL, 60640
|
Plan administrator’s name and address
Administrator’s EIN |
364219580 |
Plan administrator’s name |
BROADWAY PHARMACY, INC. |
Plan administrator’s
address |
4564 NORTH BROADWAY, CHICAGO, IL, 60640 |
Administrator’s telephone number |
7732719727 |
Signature of
Role |
Plan administrator |
Date |
2011-04-29 |
Name of individual signing |
CHARLES MCKENZIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|