|
ANTIS PHARMACY 401(K) PROFIT SHARING PLAN
|
2013
|
611273336
|
2014-07-29
|
ANTIS PHARMACY, INC.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-10-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
6067962932
|
| Plan sponsor’s
address |
89 2ND STREET, VANCEBURG, KY, 411791008
|
Signature of
| Role |
Plan administrator |
| Date |
2014-07-29 |
| Name of individual signing |
MARK ANTIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ANTIS PHARMACY 401(K) PROFIT SHARING PLAN
|
2012
|
611273336
|
2014-07-28
|
ANTIS PHARMACY, INC.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-10-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
6067962932
|
| Plan sponsor’s
address |
89 2ND STREET, VANCEBURG, KY, 411791008
|
Signature of
| Role |
Plan administrator |
| Date |
2014-07-28 |
| Name of individual signing |
MARK ANTIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ANTIS PHARMACY 401(K) PROFIT SHARING PLAN
|
2011
|
611273336
|
2013-04-29
|
ANTIS PHARMACY, INC.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-10-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
6067962932
|
| Plan sponsor’s
address |
89 2ND STREET, VANCEBURG, KY, 411791008
|
Plan administrator’s name and address
| Administrator’s EIN |
611273336 |
| Plan administrator’s name |
ANTIS PHARMACY, INC. |
| Plan administrator’s
address |
89 2ND STREET, VANCEBURG, KY, 411791008 |
| Administrator’s telephone number |
6067962932 |
Signature of
| Role |
Plan administrator |
| Date |
2013-04-29 |
| Name of individual signing |
JESSICA E. SIETSEMA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ANTIS PHARMACY 401(K) PROFIT SHARING PLAN
|
2010
|
611273336
|
2012-06-29
|
ANTIS PHARMACY, INC.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-10-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
6067962932
|
| Plan sponsor’s
address |
89 2ND STREET, VANCEBURG, KY, 411791008
|
Plan administrator’s name and address
| Administrator’s EIN |
611273336 |
| Plan administrator’s name |
ANTIS PHARMACY, INC. |
| Plan administrator’s
address |
89 2ND STREET, VANCEBURG, KY, 411791008 |
| Administrator’s telephone number |
6067962932 |
Signature of
| Role |
Plan administrator |
| Date |
2012-06-29 |
| Name of individual signing |
JESSICA E. SIETSEMA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ANTIS PHARMACY 401(K) PROFIT SHARING PLAN
|
2009
|
611273336
|
2011-06-06
|
ANTIS PHARMACY, INC.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-10-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
6067962932
|
| Plan sponsor’s
address |
89 2ND STREET, VANCEBURG, KY, 411791008
|
Plan administrator’s name and address
| Administrator’s EIN |
611273336 |
| Plan administrator’s name |
ANTIS PHARMACY, INC. |
| Plan administrator’s
address |
89 2ND STREET, VANCEBURG, KY, 411791008 |
| Administrator’s telephone number |
6067962932 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-06 |
| Name of individual signing |
JESSICA E. SIETSEMA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
