ELIZABETHTOWN ANIMAL HOSPITAL 401(K) PLAN
|
2023
|
611039063
|
2024-07-18
|
ELIZABETHTOWN ANIMAL HOSPITAL, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2707378220
|
Plan sponsor’s
address |
831 RING ROAD, ELIZABETHTOWN, KY, 42701
|
Signature of
Role |
Plan administrator |
Date |
2024-07-18 |
Name of individual signing |
SHANNON C. HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-18 |
Name of individual signing |
SHANNON C. HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELIZABETHTOWN ANIMAL HOSPITAL CBS BENEFIT PLAN
|
2022
|
611039063
|
2023-12-27
|
ELIZABETHTOWN ANIMAL HOSPITAL
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2022-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2707378220
|
Plan sponsor’s
address |
831 RING RD, ELIZABETHTOWN, KY, 42701
|
Plan administrator’s name and address
Administrator’s EIN |
846429706 |
Plan administrator’s name |
SHAWNA BURTON |
Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
Administrator’s telephone number |
5026954700 |
Signature of
Role |
Plan administrator |
Date |
2023-12-27 |
Name of individual signing |
SHAWNA BURTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELIZABETHTOWN ANIMAL HOSPITAL 401(K) PLAN
|
2022
|
611039063
|
2023-05-09
|
ELIZABETHTOWN ANIMAL HOSPITAL, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2707378220
|
Plan sponsor’s
address |
831 RING ROAD, ELIZABETHTOWN, KY, 42701
|
Signature of
Role |
Plan administrator |
Date |
2023-05-09 |
Name of individual signing |
SHANNON C. HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELIZABETHTOWN ANIMAL HOSPITAL 401(K) PLAN
|
2021
|
611039063
|
2022-05-12
|
ELIZABETHTOWN ANIMAL HOSPITAL, INC.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2707378220
|
Plan sponsor’s
address |
831 RING ROAD, ELIZABETHTOWN, KY, 42701
|
Signature of
Role |
Plan administrator |
Date |
2022-05-12 |
Name of individual signing |
MARK A. NALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELIZABETHTOWN ANIMAL HOSPITAL CBS BENEFIT PLAN
|
2021
|
611039063
|
2022-12-29
|
ELIZABETHTOWN ANIMAL HOSPITAL
|
15
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2022-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2707378220
|
Plan sponsor’s
address |
831 RING RD, ELIZABETHTOWN, KY, 42701
|
Plan administrator’s name and address
Administrator’s EIN |
846429706 |
Plan administrator’s name |
SHAWNA BURTON |
Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
Administrator’s telephone number |
5026954700 |
Signature of
Role |
Plan administrator |
Date |
2022-12-29 |
Name of individual signing |
SHAWNA BURTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELIZABETHTOWN ANIMAL HOSPITAL 401(K) PLAN
|
2020
|
611039063
|
2021-06-09
|
ELIZABETHTOWN ANIMAL HOSPITAL, INC.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2707378220
|
Plan sponsor’s
address |
831 RING ROAD, ELIZABETHTOWN, KY, 42701
|
Signature of
Role |
Plan administrator |
Date |
2021-06-09 |
Name of individual signing |
MARK A. NALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-09 |
Name of individual signing |
MARK A. NALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELIZABETHTOWN ANIMAL HOSPITAL 401(K) PLAN
|
2019
|
611039063
|
2020-06-24
|
ELIZABETHTOWN ANIMAL HOSPITAL, INC.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2707378220
|
Plan sponsor’s
address |
831 RING ROAD, ELIZABETHTOWN, KY, 42701
|
Signature of
Role |
Plan administrator |
Date |
2020-06-24 |
Name of individual signing |
MARK A. NALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-24 |
Name of individual signing |
MARK A. NALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELIZABETHTOWN ANIMAL HOSPITAL 401(K) PLAN
|
2018
|
611039063
|
2019-05-13
|
ELIZABETHTOWN ANIMAL HOSPITAL, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2707378220
|
Plan sponsor’s
address |
831 RING ROAD, ELIZABETHTOWN, KY, 42701
|
Signature of
Role |
Plan administrator |
Date |
2019-05-13 |
Name of individual signing |
SHANNON C. HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELIZABETHTOWN ANIMAL HOSPITAL 401(K) PLAN
|
2017
|
611039063
|
2018-07-26
|
ELIZABETHTOWN ANIMAL HOSPITAL, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2707378220
|
Plan sponsor’s
address |
831 RING ROAD, ELIZABETHTOWN, KY, 42701
|
Signature of
Role |
Plan administrator |
Date |
2018-07-26 |
Name of individual signing |
SHANNON C. HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELIZABETHTOWN ANIMAL HOSPITAL 401(K) PLAN
|
2016
|
611039063
|
2017-06-12
|
ELIZABETHTOWN ANIMAL HOSPITAL, INC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2707378220
|
Plan sponsor’s
address |
831 RING ROAD, ELIZABETHTOWN, KY, 42701
|
Signature of
Role |
Plan administrator |
Date |
2017-06-12 |
Name of individual signing |
SHANNON C. HALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|