JLC PETCARE INC EMPLOYEE GROUP HEALTH PLAN
|
2022
|
352337380
|
2023-07-01
|
JLC PETCARE INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2022-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
5029650134
|
Plan
sponsor’s DBA name |
ALL ABOUT PETS ANIMAL HOSPITAL
|
Plan sponsor’s
address |
7826 SAINT ANDREWS CHURCH RD, LOUISVILLE, KY, 402143853
|
Signature of
Role |
Plan administrator |
Date |
2023-07-01 |
Name of individual signing |
JENNIFER CONNELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-01 |
Name of individual signing |
JENNIFER CONNELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JLC PETCARE INC EMPLOYEE GROUP HEALTH PLAN
|
2021
|
352337380
|
2022-06-30
|
JLC PETCARE INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
5029650134
|
Plan
sponsor’s DBA name |
ALL ABOUT PETS ANIMAL HOSPITAL
|
Plan sponsor’s
address |
7826 SAINT ANDREWS CHURCH RD, LOUISVILLE, KY, 402143853
|
Signature of
Role |
Plan administrator |
Date |
2022-06-30 |
Name of individual signing |
JENNIFER CONNELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-30 |
Name of individual signing |
JENNIFER CONNELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|