SCOTTSVILLE ANIMAL HOSPITAL 401(K) PLAN
|
2018
|
611401801
|
2020-10-21
|
MYSINGERS INC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2702373688
|
Plan sponsor’s
address |
1590 OLD GALLATIN RD, SCOTTSVILLE, KY, 42164
|
Signature of
Role |
Plan administrator |
Date |
2020-10-21 |
Name of individual signing |
AMANDA WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTTSVILLE ANIMAL HOSPITAL 401(K) PLAN
|
2017
|
611401801
|
2019-03-29
|
MYSINGERS INC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2702373688
|
Plan sponsor’s
address |
1590 OLD GALLATIN RD, SCOTTSVILLE, KY, 42164
|
Signature of
Role |
Plan administrator |
Date |
2019-03-29 |
Name of individual signing |
MONICA MYSINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTTSVILLE ANIMAL HOSPITAL 401(K) PLAN
|
2016
|
611401801
|
2018-02-01
|
MYSINGERS INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2702373688
|
Plan sponsor’s
address |
1590 OLD GALLATIN RD, SCOTTSVILLE, KY, 42164
|
Signature of
Role |
Plan administrator |
Date |
2018-02-01 |
Name of individual signing |
MONICA MYSINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTTSVILLE ANIMAL HOSPITAL 401(K) PLAN
|
2015
|
611401801
|
2017-05-18
|
MYSINGERS INC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2702373688
|
Plan sponsor’s
address |
PO BOX 1194, BOWLING GREEN, KY, 42102
|
Signature of
Role |
Plan administrator |
Date |
2017-05-18 |
Name of individual signing |
MONICA MYSINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTTSVILLE ANIMAL HOSPITAL 401(K) PLAN
|
2014
|
611401801
|
2017-05-18
|
MYSINGERS INC
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2702373688
|
Plan sponsor’s
address |
PO BOX 1194, BOWLING GREEN, KY, 42102
|
Signature of
Role |
Plan administrator |
Date |
2017-05-18 |
Name of individual signing |
MONICA MYSINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTTSVILLE ANIMAL HOSPITAL 401(K) PLAN
|
2014
|
611401801
|
2017-05-18
|
MYSINGERS INC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2702373688
|
Plan sponsor’s
address |
PO BOX 1194, BOWLING GREEN, KY, 42102
|
Signature of
Role |
Plan administrator |
Date |
2017-05-18 |
Name of individual signing |
MONICA MYSINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTTSVILLE ANIMAL HOSPITAL PROFIT SHARING PLAN
|
2013
|
611401801
|
2015-05-12
|
MYSINGERS INC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2702373688
|
Plan
sponsor’s DBA name |
SCOTTSVILLE ANIMAL HOSPITAL
|
Plan sponsor’s mailing address |
PO BOX 1194, BOWLING GREEN, KY, 42102
|
Plan sponsor’s
address |
804 CHESTNUT ST, BOWLING GREEN, KY, 42101
|
Number of participants as of the end of the plan year
Active participants |
7 |
Other
retired or separated participants entitled to future benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
8 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2015-05-12 |
Name of individual signing |
JANICE AVERY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-12 |
Name of individual signing |
JANICE AVERY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTTSVILLE ANIMAL HOSPITAL PROFIT SHARING PLAN
|
2012
|
611401801
|
2014-07-03
|
MYSINGERS INC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2702373688
|
Plan
sponsor’s DBA name |
SCOTTSVILLE ANIMAL HOSPITAL
|
Plan sponsor’s mailing address |
PO BOX 1194, BOWLING GREEN, KY, 42102
|
Plan sponsor’s
address |
804 CHESTNUT ST, BOWLING GREEN, KY, 42101
|
Number of participants as of the end of the plan year
Active participants |
8 |
Number of
participants
with
account balances as of the end of the plan year |
8 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-03 |
Name of individual signing |
JANICE AVERY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-03 |
Name of individual signing |
JANICE AVERY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTTSVILLE ANIMAL HOSPITAL PROFIT SHARING PLAN
|
2011
|
611401801
|
2013-04-25
|
MYSINGERS INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2702373688
|
Plan
sponsor’s DBA name |
SCOTTSVILLE ANIMAL HOSPITAL
|
Plan sponsor’s mailing address |
PO BOX 1194, BOWLING GREEN, KY, 42102
|
Plan sponsor’s
address |
804 CHESTNUT ST, BOWLING GREEN, KY, 42101
|
Plan administrator’s name and address
Administrator’s EIN |
611401801 |
Plan administrator’s name |
MYSINGERS INC |
Plan administrator’s
address |
PO BOX 1194, BOWLING GREEN, KY, 42102 |
Administrator’s telephone number |
2702373688 |
Number of participants as of the end of the plan year
Active participants |
9 |
Other
retired or separated participants entitled to future benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
9 |
Signature of
Role |
Plan administrator |
Date |
2013-04-25 |
Name of individual signing |
JANICE AVERY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTTSVILLE ANIMAL HOSPITAL PROFIT SHARING PLAN
|
2010
|
611401801
|
2012-04-27
|
MYSINGERS INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
2702373688
|
Plan
sponsor’s DBA name |
SCOTTSVILLE ANIMAL HOSPITAL
|
Plan sponsor’s mailing address |
PO BOX 1194, BOWLING GREEN, KY, 42102
|
Plan sponsor’s
address |
804 CHESTNUT STREET, BOWLING GREEN, KY, 42101
|
Plan administrator’s name and address
Administrator’s EIN |
611401801 |
Plan administrator’s name |
MYSINGERS INC |
Plan administrator’s
address |
PO BOX 1194, BOWLING GREEN, KY, 42102 |
Administrator’s telephone number |
2702373688 |
Number of participants as of the end of the plan year
Active participants |
9 |
Other
retired or separated participants entitled to future benefits |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-04-27 |
Name of individual signing |
JANICE AVERY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTTSVILLE ANIMAL HOSPITAL PROFIT SHARING PLAN
|
2009
|
611401801
|
2011-07-06
|
MYSINGERS INC
|
10
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/06/20110706115412P030417124224001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2002-01-01 |
Business code |
541940 |
Sponsor’s telephone number |
2702373688 |
Plan
sponsor’s DBA name |
SCOTTSVILLE ANIMAL HOSPITAL |
Plan sponsor’s mailing address |
PO BOX 1194, BOWLING GREEN, KY, 42102 |
Plan sponsor’s
address |
804 CHESTNUT STREET, BOWLING GREEN, KY, 42101 |
Plan administrator’s name and address
Administrator’s EIN |
611401801 |
Plan administrator’s name |
MYSINGERS INC |
Plan administrator’s
address |
PO BOX 1194, BOWLING GREEN, KY, 42102 |
Administrator’s telephone number |
2702373688 |
Number of participants as of the end of the plan year
Active participants |
9 |
Other
retired or separated participants entitled to future benefits |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2011-07-06 |
Name of individual signing |
JANICE AVERY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCOTTSVILLE ANIMAL HOSPITAL PROFIT SHARING PLAN
|
2009
|
611401801
|
2010-06-22
|
MYSINGERS INC
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/22/20100622103401P040014566742001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2002-01-01 |
Business code |
541940 |
Sponsor’s telephone number |
2702373688 |
Plan sponsor’s mailing address |
PO BOX 1194, BOWLING GREEN, KY, 42102 |
Plan sponsor’s
address |
1590 OLD GALLATIN ROAD, SCOTTSVILLE, KY, 42164 |
Plan administrator’s name and address
Administrator’s EIN |
611401801 |
Plan administrator’s name |
MYSINGERS INC |
Plan administrator’s
address |
PO BOX 1194, BOWLING GREEN, KY, 42102 |
Administrator’s telephone number |
2702373688 |
Number of participants as of the end of the plan year
Active participants |
9 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
10 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2010-06-22 |
Name of individual signing |
JANICE AVERY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|