|
401 ( K ) PROFIT SHARING PLAN & TRUST
|
2009
|
204240352
|
2010-06-16
|
EXPRESS MEDS RX LLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
424210
|
| Sponsor’s telephone number |
2396718491
|
| Plan sponsor’s mailing address |
1860 BOY SCOUT DR. # 201, FT. MYERS, FL, 33907
|
| Plan sponsor’s
address |
1860 BOY SCOUT DR. # 201, FT. MYERS, FL, 33907
|
Plan administrator’s name and address
| Administrator’s EIN |
204240352 |
| Plan administrator’s name |
SAME |
| Plan administrator’s
address |
1860 BOY SCOUT DR. # 201, FT. MYERS, FL, 33907 |
| Administrator’s telephone number |
2392743269 |
Number of participants as of the end of the plan year
| Active participants |
5 |
| Retired or separated participants receiving
benefits |
0 |
| 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 |
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 |
2010-06-16 |
| Name of individual signing |
JON EATON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
401 (K) PROFIT SHARING PLAN & TRUST
|
2009
|
204240352
|
2011-02-08
|
EXPRESS MEDS RX LLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
424210
|
| Sponsor’s telephone number |
2392743269
|
| Plan
sponsor’s DBA name |
RELIANCE MEDS
|
| Plan sponsor’s mailing address |
1860 BOY SCOUT DR, SUITE 102, FORT MYERS, FL, 33907
|
| Plan sponsor’s
address |
1860 BOY SCOUT DR, SUITE 102, FORT MYERS, FL, 33907
|
Plan administrator’s name and address
| Administrator’s EIN |
204240352 |
| Plan administrator’s name |
EXPRESS MEDS RX LLC |
| Plan administrator’s
address |
1860 BOY SCOUT DR, SUITE 102, FORT MYERS, FL, 33907 |
| Administrator’s telephone number |
2392743269 |
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2011-02-08 |
| Name of individual signing |
TALIA FERNANDEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
401 ( K ) PROFIT SHARING PLAN & TRUST
|
2009
|
204240352
|
2010-06-16
|
EXPRESS MEDS RX LLC
|
7
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
424210
|
| Sponsor’s telephone number |
2396718491
|
| Plan sponsor’s mailing address |
1860 BOY SCOUT DR. # 201, FT. MYERS, FL, 33907
|
| Plan sponsor’s
address |
1860 BOY SCOUT DR. # 201, FT. MYERS, FL, 33907
|
Plan administrator’s name and address
| Plan administrator’s name |
SAME |
Number of participants as of the end of the plan year
| Active participants |
5 |
| Retired or separated participants receiving
benefits |
0 |
| 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 |
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 |
2010-06-16 |
| Name of individual signing |
JON EATON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
