|
GANDY ANIMAL HOSPITAL INC
|
2015
|
201906680
|
2016-04-11
|
GANDY ANIMAL HOSPITAL INC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
541940
|
| Sponsor’s telephone number |
8138398884
|
| Plan sponsor’s mailing address |
4714 W GANDY BLVD, TAMPA, FL, 336113308
|
| Plan sponsor’s
address |
4714 W GANDY BLVD, TAMPA, FL, 336113308
|
Number of participants as of the end of the plan year
| Active participants |
1 |
| 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 |
2016-04-11 |
| Name of individual signing |
ANGELA GARRETT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GANDY ANIMAL HOSPITAL INC
|
2014
|
201906680
|
2015-04-15
|
GANDY ANIMAL HOSPITAL INC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
541940
|
| Sponsor’s telephone number |
8138398884
|
| Plan sponsor’s mailing address |
4714 GANDY BLVD, TAMPA, FL, 33611
|
| Plan sponsor’s
address |
4714 GANDY BLVD, TAMPA, FL, 33611
|
Number of participants as of the end of the plan year
| Active participants |
1 |
| 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 |
2015-04-15 |
| Name of individual signing |
ANGELA GARRETT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GANDY ANIMAL HOSPITAL INC
|
2013
|
201906680
|
2014-04-12
|
GANDY ANIMAL HOSPITAL, INC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
541940
|
| Sponsor’s telephone number |
8138398884
|
| Plan sponsor’s mailing address |
4714 GANDY BLVD, TAMPA, FL, 33611
|
| Plan sponsor’s
address |
4714 GANDY BLVD, TAMPA, FL, 33611
|
Plan administrator’s name and address
| Administrator’s EIN |
201906680 |
| Plan administrator’s name |
MINA HEINEN |
| Plan administrator’s
address |
4714 GANDY BLVD, TAMPA, FL, 33611 |
| Administrator’s telephone number |
8138398884 |
Number of participants as of the end of the plan year
| Active participants |
1 |
| 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 |
2014-04-12 |
| Name of individual signing |
ANGELA GARRETT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GANDY ANIMAL HOSPITAL 401(K) PLAN
|
2010
|
201906680
|
2013-04-17
|
GANDY ANIMAL HOSPITAL INC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
541940
|
| Sponsor’s telephone number |
8138391285
|
| Plan sponsor’s mailing address |
4714 WEST GANDY BOULEVARD, TAMPA, FL, 33611
|
| Plan sponsor’s
address |
4714 WEST GANDY BOULEVARD, TAMPA, FL, 33611
|
Plan administrator’s name and address
| Administrator’s EIN |
201906680 |
| Plan administrator’s name |
GANDY ANIMAL HOSPITAL INC |
| Plan administrator’s
address |
4714 WEST GANDY BOULEVARD, TAMPA, FL, 33611 |
| Administrator’s telephone number |
8138391285 |
Number of participants as of the end of the plan year
| Active participants |
1 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| 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 |
2013-04-17 |
| Name of individual signing |
ANGELA GARRETT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GANDY ANIMAL HOSPITAL 401(K) PLAN
|
2009
|
201906680
|
2011-04-15
|
GANDY ANIMAL HOSPITAL INC
|
1
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
541940
|
| Sponsor’s telephone number |
8138391285
|
| Plan sponsor’s mailing address |
4714 WEST GANDY BOULEVARD, TAMPA, FL, 33611
|
| Plan sponsor’s
address |
4714 WEST GANDY BOULEVARD, TAMPA, FL, 33611
|
Plan administrator’s name and address
| Administrator’s EIN |
201906680 |
| Plan administrator’s name |
GANDY ANIMAL HOSPITAL INC |
| Plan administrator’s
address |
4714 WEST GANDY BOULEVARD, TAMPA, FL, 33611 |
| Administrator’s telephone number |
8138391285 |
Number of participants as of the end of the plan year
| Active participants |
1 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| 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 |
2010-04-29 |
| Name of individual signing |
MINA HEINEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
