FAIRCHILD ANIMAL HOSPITAL 401(K) PROFIT SHARING PLAN
|
2023
|
882192537
|
2024-05-29
|
HAVLIN VETERINARY, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-12
|
Business code |
541940
|
Sponsor’s telephone number |
2174429009
|
Plan sponsor’s
address |
619 OAK ST, DANVILLE, IL, 61834
|
Signature of
Role |
Plan administrator |
Date |
2024-05-29 |
Name of individual signing |
LAURA HAVLIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRCHILD ANIMAL HOSPITAL 401(K) PROFIT SHARING PLAN
|
2022
|
882192537
|
2023-08-11
|
HAVLIN VETERINARY, LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-12
|
Business code |
541940
|
Sponsor’s telephone number |
2174429009
|
Plan sponsor’s
address |
619 OAK STREET, DANVILLE, IL, 61832
|
Signature of
Role |
Plan administrator |
Date |
2023-08-11 |
Name of individual signing |
LAURA HAVLIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRCHILD ANIMAL HOSPITAL 401(K) PROFIT SHARING PLAN
|
2021
|
320362127
|
2022-04-19
|
FAIRCHILD ANIMAL HOSPITAL
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-12
|
Business code |
541940
|
Sponsor’s telephone number |
2174429009
|
Plan sponsor’s
address |
619 OAK STREET, DANVILLE, IL, 61832
|
Signature of
Role |
Plan administrator |
Date |
2022-04-19 |
Name of individual signing |
DR. CAROL GRICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRCHILD ANIMAL HOSPITAL 401(K) PROFIT SHARING PLAN
|
2020
|
320362127
|
2021-03-19
|
FAIRCHILD ANIMAL HOSPITAL
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-12
|
Business code |
541940
|
Sponsor’s telephone number |
2174429009
|
Plan sponsor’s
address |
619 OAK STREET, DANVILLE, IL, 61832
|
Signature of
Role |
Plan administrator |
Date |
2021-03-19 |
Name of individual signing |
DR. CAROL GRICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRCHILD ANIMAL HOSPITAL 401(K) PROFIT SHARING PLAN
|
2019
|
320362127
|
2020-04-06
|
FAIRCHILD ANIMAL HOSPITAL
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-12
|
Business code |
541940
|
Sponsor’s telephone number |
2174429009
|
Plan sponsor’s
address |
619 OAK STREET, DANVILLE, IL, 61832
|
Signature of
Role |
Plan administrator |
Date |
2020-04-06 |
Name of individual signing |
DR. CAROL GRICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRCHILD ANIMAL HOSPITAL 401(K) PROFIT SHARING PLAN
|
2018
|
320362127
|
2019-10-11
|
FAIRCHILD ANIMAL HOSPITAL
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-12
|
Business code |
541940
|
Sponsor’s telephone number |
2174429009
|
Plan sponsor’s
address |
619 OAK STREET, DANVILLE, IL, 61832
|
Signature of
Role |
Plan administrator |
Date |
2019-10-11 |
Name of individual signing |
DR. CAROL GRICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRCHILD ANIMAL HOSPITAL 401(K) PROFIT SHARING PLAN
|
2017
|
320362127
|
2018-07-18
|
FAIRCHILD ANIMAL HOSPITAL
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-12
|
Business code |
541940
|
Sponsor’s telephone number |
2174429009
|
Plan sponsor’s
address |
619 OAK STREET, DANVILLE, IL, 61832
|
Signature of
Role |
Plan administrator |
Date |
2018-07-18 |
Name of individual signing |
CAROL GRICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRCHILD ANIMAL HOSPITAL 401(K) PROFIT SHARING PLAN
|
2016
|
320362127
|
2017-06-06
|
FAIRCHILD ANIMAL HOSPITAL
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-12
|
Business code |
541940
|
Sponsor’s telephone number |
2174429009
|
Plan sponsor’s
address |
619 OAK STREET, DANVILLE, IL, 61832
|
Signature of
Role |
Plan administrator |
Date |
2017-06-06 |
Name of individual signing |
CAROL GRICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-06 |
Name of individual signing |
CAROL GRICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRCHILD ANIMAL HOSPITAL 401K PS PLAN
|
2015
|
320362127
|
2016-06-13
|
FAIRCHILD ANIMAL HOSPITAL
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-12
|
Business code |
541940
|
Sponsor’s telephone number |
2174429009
|
Plan sponsor’s
address |
619 OAK STREET, DANVILLE, IL, 61832
|
Signature of
Role |
Plan administrator |
Date |
2016-06-13 |
Name of individual signing |
CAROL GRICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-13 |
Name of individual signing |
CAROL GRICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRCHILD ANIMAL HOSPITAL 401(K) PROFIT SHARING PLAN
|
2014
|
320362127
|
2015-07-02
|
FAIRCHILD ANIMAL HOSPITAL
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-12
|
Business code |
541940
|
Sponsor’s telephone number |
2174429009
|
Plan sponsor’s
address |
619 OAK ST, DANVILLE, IL, 618323943
|
Signature of
Role |
Plan administrator |
Date |
2015-07-02 |
Name of individual signing |
CAROL GRICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|