FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN
|
2020
|
363245854
|
2021-04-26
|
FOX LAKE ANIMAL HOSPITAL
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8475870505
|
Plan sponsor’s
address |
161 SOUTH U.S. 12, FOX LAKE, IL, 60020
|
Signature of
Role |
Plan administrator |
Date |
2021-04-26 |
Name of individual signing |
BOHDAN RUDAWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN
|
2020
|
363245854
|
2021-06-16
|
FOX LAKE ANIMAL HOSPITAL
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8475870505
|
Plan sponsor’s
address |
161 SOUTH U.S. 12, FOX LAKE, IL, 60020
|
Signature of
Role |
Plan administrator |
Date |
2021-06-16 |
Name of individual signing |
BOHDAN RUDAWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-16 |
Name of individual signing |
BOHDAN RUDAWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN
|
2019
|
363245854
|
2020-10-08
|
FOX LAKE ANIMAL HOSPITAL
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8475870505
|
Plan sponsor’s
address |
161 SOUTH U.S. 12, FOX LAKE, IL, 60020
|
Signature of
Role |
Plan administrator |
Date |
2020-10-08 |
Name of individual signing |
BOHDAN RUDAWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-08 |
Name of individual signing |
BOHDAN RUDAWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN
|
2018
|
363245854
|
2019-10-08
|
FOX LAKE ANIMAL HOSPITAL
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8475870505
|
Plan sponsor’s
address |
161 SOUTH U.S. 12, FOX LAKE, IL, 60020
|
Signature of
Role |
Plan administrator |
Date |
2019-10-08 |
Name of individual signing |
BOHDAN RUDAWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN
|
2017
|
363245854
|
2018-08-16
|
FOX LAKE ANIMAL HOSPITAL
|
44
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8475873130
|
Plan sponsor’s
address |
161 SOUTH U.S. 12, FOX LAKE, IL, 60020
|
Signature of
Role |
Plan administrator |
Date |
2018-08-16 |
Name of individual signing |
BOHDAN RUDAWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-08-16 |
Name of individual signing |
BOHDAN RUDAWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN
|
2016
|
363245854
|
2017-10-12
|
FOX LAKE ANIMAL HOSPITAL
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8475873130
|
Plan sponsor’s
address |
161 SOUTH U.S. 12, FOX LAKE, IL, 60020
|
Signature of
Role |
Plan administrator |
Date |
2017-10-12 |
Name of individual signing |
BOHDAN RUDAWSKI DVM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-12 |
Name of individual signing |
BOHDAN RUDAWSKI DVM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN
|
2015
|
363245854
|
2016-10-14
|
FOX LAKE ANIMAL HOSPITAL
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8475873130
|
Plan sponsor’s
address |
161 SOUTH U.S. 12, FOX LAKE, IL, 60020
|
Signature of
Role |
Plan administrator |
Date |
2016-10-14 |
Name of individual signing |
BOHDAN RUDAWSKI DVM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-14 |
Name of individual signing |
BOHDAN RUDAWSKI DVM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN
|
2015
|
363245854
|
2016-10-13
|
FOX LAKE ANIMAL HOSPITAL
|
43
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8475873130
|
Plan sponsor’s
address |
161 SOUTH U.S. 12, FOX LAKE, IL, 60020
|
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
BOHDAN RUDAWSKI DVM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-13 |
Name of individual signing |
BOHDAN RUDAWSKI DVM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN
|
2014
|
363245854
|
2015-07-31
|
FOX LAKE ANIMAL HOSPITAL
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8475873130
|
Plan sponsor’s
address |
161 SOUTH U.S. 12, FOX LAKE, IL, 60020
|
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
BOHDAN RUDAWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-31 |
Name of individual signing |
BOHDAN RUDAWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOX LAKE ANIMAL HOSPITAL PROFIT SHARING PLAN
|
2013
|
363245854
|
2014-07-10
|
FOX LAKE ANIMAL HOSPITAL
|
44
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
8475873130
|
Plan sponsor’s
address |
161 SOUTH U.S. 12, FOX LAKE, IL, 60020
|
Signature of
Role |
Plan administrator |
Date |
2014-07-10 |
Name of individual signing |
BOHDAN RUDAWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-10 |
Name of individual signing |
BOHDAN RUDAWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|