RIVERSIDE ANIMAL HOSPITAL 401(K) PLAN
|
2019
|
651075339
|
2020-01-12
|
SCARLET CLAW, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
9545757915
|
Plan
sponsor’s DBA name |
RIVERSIDE ANIMAL HOSPITAL
|
Plan sponsor’s
address |
8008 WILES RD, CORAL SPRINGS, FL, 330672059
|
Signature of
Role |
Plan administrator |
Date |
2020-01-12 |
Name of individual signing |
WAYNE CRANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-01-12 |
Name of individual signing |
WAYNE CRANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERSIDE ANIMAL HOSPITAL 401(K) PLAN
|
2019
|
651075339
|
2020-04-05
|
SCARLET CLAW, INC.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
9545757915
|
Plan
sponsor’s DBA name |
RIVERSIDE ANIMAL HOSPITAL
|
Plan sponsor’s
address |
8008 WILES RD, CORAL SPRINGS, FL, 330672059
|
Signature of
Role |
Employer/plan sponsor |
Date |
2020-04-04 |
Name of individual signing |
WAYNE CRANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERSIDE ANIMAL HOSPITAL 401(K) PLAN
|
2018
|
651075339
|
2019-02-09
|
SCARLET CLAW, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
9545757915
|
Plan
sponsor’s DBA name |
RIVERSIDE ANIMAL HOSPITAL
|
Plan sponsor’s
address |
8008 WILES RD, CORAL SPRINGS, FL, 330672059
|
Signature of
Role |
Plan administrator |
Date |
2019-02-09 |
Name of individual signing |
WAYNE CRANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-02-09 |
Name of individual signing |
WAYNE CRANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERSIDE ANIMAL HOSPITAL 401(K) PLAN
|
2017
|
651075339
|
2018-01-31
|
SCARLET CLAW, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
9545757915
|
Plan
sponsor’s DBA name |
RIVERSIDE ANIMAL HOSPITAL
|
Plan sponsor’s
address |
8008 WILES RD, CORAL SPRINGS, FL, 330672059
|
Signature of
Role |
Plan administrator |
Date |
2018-01-31 |
Name of individual signing |
WAYNE CRANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-01-31 |
Name of individual signing |
WAYNE CRANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERSIDE ANIMAL HOSPITAL 401(K) PLAN
|
2016
|
651075339
|
2017-02-09
|
SCARLET CLAW, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
9545757915
|
Plan
sponsor’s DBA name |
RIVERSIDE ANIMAL HOSPITAL
|
Plan sponsor’s
address |
8008 WILES RD, CORAL SPRINGS, FL, 330672059
|
Signature of
Role |
Plan administrator |
Date |
2017-02-09 |
Name of individual signing |
WAYNE CRANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-09 |
Name of individual signing |
WAYNE CRANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERSIDE ANIMAL HOSPITAL 401(K) PLAN
|
2015
|
651075339
|
2016-02-17
|
SCARLET CLAW, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
9545757915
|
Plan
sponsor’s DBA name |
RIVERSIDE ANIMAL HOSPITAL
|
Plan sponsor’s
address |
8008 WILES RD, CORAL SPRINGS, FL, 330672059
|
Signature of
Role |
Plan administrator |
Date |
2016-02-17 |
Name of individual signing |
WAYNE CRANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-02-17 |
Name of individual signing |
WAYNE CRANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERSIDE ANIMAL HOSPITAL 401(K) PLAN
|
2014
|
651075339
|
2015-04-07
|
SCARLET CLAW, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
9545757915
|
Plan
sponsor’s DBA name |
RIVERSIDE ANIMAL HOSPITAL
|
Plan sponsor’s
address |
8008 WILES ROAD, CORAL SPRINGS, FL, 33067
|
Signature of
Role |
Plan administrator |
Date |
2015-04-07 |
Name of individual signing |
WAYNE CRANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-07 |
Name of individual signing |
WAYNE CRANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERSIDE ANIMAL HOSPITAL 401(K) PLAN
|
2013
|
651075339
|
2014-04-28
|
SCARLET CLAW, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
9545757915
|
Plan
sponsor’s DBA name |
RIVERSIDE ANIMAL HOSPITAL
|
Plan sponsor’s
address |
8008 WILES ROAD, CORAL SPRINGS, FL, 33067
|
Signature of
Role |
Plan administrator |
Date |
2014-04-28 |
Name of individual signing |
WAYNE CRANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-28 |
Name of individual signing |
WAYNE CRANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERSIDE ANIMAL HOSPITAL 401(K) PLAN
|
2012
|
651075339
|
2013-10-15
|
SCARLET CLAW, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
9545757915
|
Plan
sponsor’s DBA name |
RIVERSIDE ANIMAL HOSPITAL
|
Plan sponsor’s
address |
8008 WILES ROAD, CORAL SPRINGS, FL, 330672059
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
WAYNE D. CRANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RIVERSIDE ANIMAL HOSPITAL 401(K) PLAN
|
2011
|
651075339
|
2012-10-15
|
SCARLET CLAW, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
9545757915
|
Plan
sponsor’s DBA name |
RIVERSIDE ANIMAL HOSPITAL
|
Plan sponsor’s
address |
8008 WILES ROAD, CORAL SPRINGS, FL, 330672059
|
Plan administrator’s name and address
Administrator’s EIN |
651075339 |
Plan administrator’s name |
SCARLET CLAW, INC. |
Plan administrator’s
address |
8008 WILES ROAD, CORAL SPRINGS, FL, 330672059 |
Administrator’s telephone number |
9545757915 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
WAYNE D. CRANCE, JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|