PETERSON & SMITH EQUINE HOSP, LLC 401(K) PROFIT SHARING PLAN
|
2012
|
651072193
|
2013-12-13
|
PETERSON & SMITH EQUINE HOSPITAL, LLC
|
84
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
3522376151
|
Plan sponsor’s
address |
4747 S.W. 60TH AVENUE, OCALA, FL, 34474
|
Signature of
Role |
Plan administrator |
Date |
2013-12-13 |
Name of individual signing |
PAUL D. VROTSOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERSON & SMITH EQUINE HOSP, LLC 401(K) PROFIT SHARING PLAN
|
2012
|
651072193
|
2013-07-12
|
PETERSON & SMITH EQUINE HOSPITAL, LLC
|
84
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
3522376151
|
Plan sponsor’s
address |
4747 S.W. 60TH AVENUE, OCALA, FL, 34474
|
Signature of
Role |
Plan administrator |
Date |
2013-07-12 |
Name of individual signing |
PAUL D. VROTSOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-12 |
Name of individual signing |
PAUL D. VROTSOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERSON & SMITH EQUINE HOSP, LLC 401(K) PROFIT SHARING PLAN
|
2011
|
651072193
|
2012-10-10
|
PETERSON & SMITH EQUINE HOSPITAL, LLC
|
96
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
3522376151
|
Plan sponsor’s
address |
4747 S.W. 60TH AVENUE, OCALA, FL, 34474
|
Plan administrator’s name and address
Administrator’s EIN |
651072193 |
Plan administrator’s name |
PETERSON & SMITH EQUINE HOSPITAL, LLC |
Plan administrator’s
address |
4747 S.W. 60TH AVENUE, OCALA, FL, 34474 |
Administrator’s telephone number |
3522376151 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
PAUL D. VROTSOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERSON & SMITH EQUINE HOSP, LLC 401(K) PROFIT SHARING PLAN
|
2011
|
651072193
|
2013-12-13
|
PETERSON & SMITH EQUINE HOSPITAL, LLC
|
96
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
3522376151
|
Plan sponsor’s
address |
4747 S.W. 60TH AVENUE, OCALA, FL, 34474
|
Plan administrator’s name and address
Administrator’s EIN |
651072193 |
Plan administrator’s name |
PETERSON & SMITH EQUINE HOSPITAL, LLC |
Plan administrator’s
address |
4747 S.W. 60TH AVENUE, OCALA, FL, 34474 |
Administrator’s telephone number |
3522376151 |
Signature of
Role |
Plan administrator |
Date |
2013-12-13 |
Name of individual signing |
PAUL D. VROTSOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERSON & SMITH EQUINE HOSP, LLC 401(K) PROFIT SHARING PLAN
|
2011
|
651072193
|
2012-10-11
|
PETERSON & SMITH EQUINE HOSPITAL, LLC
|
96
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
3522376151
|
Plan sponsor’s
address |
4747 S.W. 60TH AVENUE, OCALA, FL, 34474
|
Plan administrator’s name and address
Administrator’s EIN |
651072193 |
Plan administrator’s name |
PETERSON & SMITH EQUINE HOSPITAL, LLC |
Plan administrator’s
address |
4747 S.W. 60TH AVENUE, OCALA, FL, 34474 |
Administrator’s telephone number |
3522376151 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
PAUL D. VROTSOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERSON & SMITH EQUINE HOSP, LLC 401(K) PROFIT SHARING PLAN
|
2010
|
651072193
|
2011-09-20
|
PETERSON & SMITH EQUINE HOSPITAL, LLC
|
103
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
3522376151
|
Plan sponsor’s
address |
4747 S.W. 60TH AVENUE, OCALA, FL, 34474
|
Plan administrator’s name and address
Administrator’s EIN |
651072193 |
Plan administrator’s name |
PETERSON & SMITH EQUINE HOSPITAL, LLC |
Plan administrator’s
address |
4747 S.W. 60TH AVENUE, OCALA, FL, 34474 |
Administrator’s telephone number |
3522376151 |
Signature of
Role |
Plan administrator |
Date |
2011-09-20 |
Name of individual signing |
PAUL D. VROTSOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERSON & SMITH EQUINE HOSP, LLC 401(K) PROFIT SHARING PLAN
|
2009
|
651072193
|
2010-10-06
|
PETERSON & SMITH EQUINE HOSPITAL, LLC
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
3522376151
|
Plan sponsor’s
address |
4747 S.W. 60TH AVENUE, OCALA, FL, 34474
|
Plan administrator’s name and address
Administrator’s EIN |
651072193 |
Plan administrator’s name |
PETERSON & SMITH EQUINE HOSPITAL, LLC |
Plan administrator’s
address |
4747 S.W. 60TH AVENUE, OCALA, FL, 34474 |
Administrator’s telephone number |
3522376151 |
Signature of
Role |
Plan administrator |
Date |
2010-10-06 |
Name of individual signing |
PAUL D. VROTSOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-06 |
Name of individual signing |
PAUL D. VROTSOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|