TRI-COUNTY ANIMAL CLINIC 401(K) PLAN
|
2017
|
364509596
|
2018-12-31
|
TRI-COUNTY ANIMAL CLINIC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
6066731144
|
Plan sponsor’s
address |
11 RHUBENS BRANCH ROAD, LOUISA, KY, 41230
|
Signature of
Role |
Plan administrator |
Date |
2018-12-31 |
Name of individual signing |
DANIEL VENTURI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-12-31 |
Name of individual signing |
DANIEL VENTURI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-COUNTY ANIMAL CLINIC 401(K) PLAN
|
2017
|
364509596
|
2018-12-31
|
TRI-COUNTY ANIMAL CLINIC
|
21
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
6066731144
|
Plan sponsor’s
address |
11 RHUBENS BRANCH ROAD, LOUISA, KY, 41230
|
Signature of
Role |
Plan administrator |
Date |
2018-12-31 |
Name of individual signing |
DANIEL VENTURI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-12-31 |
Name of individual signing |
DANIEL VENTURI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-COUNTY ANIMAL CLINIC 401(K) PLAN
|
2016
|
364509596
|
2017-09-22
|
TRI-COUNTY ANIMAL CLINIC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
7048153946
|
Plan sponsor’s
address |
11 RHUBENS BRANCH RD, LOUISA, KY, 41230
|
Signature of
Role |
Plan administrator |
Date |
2017-09-22 |
Name of individual signing |
MARK RATLIFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-COUNTY ANIMAL CLINIC 401(K) PLAN
|
2015
|
364509596
|
2016-10-18
|
TRI-COUNTY ANIMAL CLINIC
|
20
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
6066731144
|
Plan sponsor’s
address |
11 RHUBENS BRANCH RD, LOUISA, KY, 41230
|
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
MARK RATLIFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-COUNTY ANIMAL CLINIC 401(K) PLAN
|
2014
|
364509596
|
2015-10-15
|
TRI-COUNTY ANIMAL CLINIC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
6066731144
|
Plan sponsor’s
address |
11 RHUBENS BRANCH RD, LOUISA, KY, 41230
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
MARK RATLIFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-COUNTY ANIMAL CLINIC 401(K) PLAN
|
2013
|
364509596
|
2014-10-14
|
TRI-COUNTY ANIMAL CLINIC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
6066731144
|
Plan sponsor’s
address |
11 RHUBENS BRANCH RD, LOUISA, KY, 41230
|
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
MARK RATLIFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-COUNTY ANIMAL CLINIC 401(K) PLAN
|
2012
|
364509596
|
2013-10-14
|
TRI-COUNTY ANIMAL CLINIC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
6066731144
|
Plan sponsor’s
address |
11 RHUBENS BRANCH RD, LOUISA, KY, 41230
|
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
MARK RATLIFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-COUNTY ANIMAL CLINIC 401K PLAN & TRUST
|
2011
|
364509596
|
2012-06-09
|
TRI-COUNTY ANIMAL CLINIC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
6066731144
|
Plan sponsor’s
address |
11 RHUBENS BRANCH RD., LOUISA, KY, 412306714
|
Plan administrator’s name and address
Administrator’s EIN |
364509596 |
Plan administrator’s name |
TRI-COUNTY ANIMAL CLINIC |
Plan administrator’s
address |
11 RHUBENS BRANCH RD., LOUISA, KY, 412306714 |
Administrator’s telephone number |
6066731144 |
Signature of
Role |
Plan administrator |
Date |
2012-06-09 |
Name of individual signing |
MARK RATLIFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-COUNTY ANIMAL CLINIC 401K PLAN & TRUST
|
2010
|
364509596
|
2011-07-15
|
TRI-COUNTY ANIMAL CLINIC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
6066731144
|
Plan sponsor’s
address |
11 RHUBENS BRANCH RD., LOUISA, KY, 412306714
|
Plan administrator’s name and address
Administrator’s EIN |
364509596 |
Plan administrator’s name |
TRI-COUNTY ANIMAL CLINIC |
Plan administrator’s
address |
11 RHUBENS BRANCH RD., LOUISA, KY, 412306714 |
Administrator’s telephone number |
6066731144 |
Signature of
Role |
Plan administrator |
Date |
2011-07-15 |
Name of individual signing |
MARK RATLIFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRI-COUNTY ANIMAL CLINIC 401K PLAN & TRUST
|
2009
|
364509596
|
2010-05-14
|
TRI-COUNTY ANIMAL CLINIC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
6066731144
|
Plan sponsor’s
address |
11 RHUBENS BRANCH RD., LOUISA, KY, 412306714
|
Plan administrator’s name and address
Administrator’s EIN |
364509596 |
Plan administrator’s name |
TRI-COUNTY ANIMAL CLINIC |
Plan administrator’s
address |
11 RHUBENS BRANCH RD., LOUISA, KY, 412306714 |
Administrator’s telephone number |
6066731144 |
Signature of
Role |
Plan administrator |
Date |
2010-05-14 |
Name of individual signing |
MARK RATLIFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-14 |
Name of individual signing |
MARK RATLIFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|