GRANTS LICK VETERINARY HOSPITAL
|
2013
|
611337935
|
2014-07-23
|
GRANTS LICK VETERINARY HOSPITAL
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
8596354138
|
Plan sponsor’s
address |
13169 ALEXANDRIA PIKE, BUTLER, KY, 41006
|
Signature of
Role |
Plan administrator |
Date |
2014-07-23 |
Name of individual signing |
MIKE CROWLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-23 |
Name of individual signing |
MIKE CROWLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRANTS LICK VETERINARY HOSPITAL
|
2012
|
611337935
|
2013-06-28
|
GRANTS LICK VETERINARY HOSPITAL
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
8596354138
|
Plan sponsor’s
address |
13169 ALEXANDRIA PIKE, BUTLER, KY, 41006
|
Signature of
Role |
Plan administrator |
Date |
2013-06-28 |
Name of individual signing |
MIKE CROWLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-28 |
Name of individual signing |
MIKE CROWLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRANTS LICK VETERINARY HOSPITAL
|
2011
|
611337935
|
2012-06-19
|
GRANTS LICK VETERINARY HOSPITAL
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
8596354138
|
Plan sponsor’s
address |
13169 ALEXANDRIA PIKE, BUTLER, KY, 41006
|
Plan administrator’s name and address
Administrator’s EIN |
611337935 |
Plan administrator’s name |
GRANTS LICK VETERINARY HOSPITAL |
Plan administrator’s
address |
13169 ALEXANDRIA PIKE, BUTLER, KY, 41006 |
Administrator’s telephone number |
8596354138 |
Signature of
Role |
Plan administrator |
Date |
2012-06-19 |
Name of individual signing |
MIKE CROWLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRANTS LICK VETERINARY HOSPITAL
|
2010
|
611337935
|
2011-10-12
|
GRANTS LICK VETERINARY HOSPITAL
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
8596354138
|
Plan sponsor’s
address |
13169 ALEXANDRIA PIKE, BUTLER, KY, 41006
|
Plan administrator’s name and address
Administrator’s EIN |
611337935 |
Plan administrator’s name |
GRANTS LICK VETERINARY HOSPITAL |
Plan administrator’s
address |
13169 ALEXANDRIA PIKE, BUTLER, KY, 41006 |
Administrator’s telephone number |
8596354138 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
MIKE CROWLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-12 |
Name of individual signing |
MIKE CROWLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRANTS LICK VETERINARY HOSPITAL
|
2009
|
611337935
|
2010-07-23
|
GRANTS LICK VETERINARY HOSPITAL
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
8596354138
|
Plan sponsor’s
address |
13169 ALEXANDRIA PIKE, BUTLER, KY, 41006
|
Plan administrator’s name and address
Administrator’s EIN |
611337935 |
Plan administrator’s name |
GRANTS LICK VETERINARY HOSPITAL |
Plan administrator’s
address |
13169 ALEXANDRIA PIKE, BUTLER, KY, 41006 |
Administrator’s telephone number |
8596354138 |
Signature of
Role |
Plan administrator |
Date |
2010-07-23 |
Name of individual signing |
MIKE CROWLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-23 |
Name of individual signing |
MIKE CROWLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|