ANIMAL MEDICAL HOSPITAL 401(K) PLAN
|
2021
|
460962033
|
2022-09-23
|
GARY R. CLARK, DVM, INC
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
7278967127
|
Plan sponsor’s
address |
2540 30TH AVENUE NORTH, ST. PETERSBURG, FL, 33713
|
|
ANIMAL MEDICAL HOSPITAL 401(K) PLAN
|
2020
|
460962033
|
2021-09-27
|
GARY R. CLARK, DVM, INC
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
7278967127
|
Plan sponsor’s
address |
2540 30TH AVENUE NORTH, ST. PETERSBURG, FL, 33713
|
|
ANIMAL MEDICAL HOSPITAL 401(K) PLAN
|
2019
|
460962033
|
2020-07-05
|
GARY R. CLARK, DVM, INC
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
7278967127
|
Plan sponsor’s
address |
2540 30TH AVENUE NORTH, ST. PETERSBURG, FL, 33713
|
Signature of
Role |
Plan administrator |
Date |
2020-07-05 |
Name of individual signing |
GARY CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANIMAL MEDICAL HOSPITAL 401(K) PLAN
|
2018
|
460962033
|
2019-07-06
|
GARY R. CLARK, DVM, INC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
7278967127
|
Plan sponsor’s
address |
2540 30TH AVENUE NORTH, ST. PETERSBURG, FL, 33713
|
Signature of
Role |
Plan administrator |
Date |
2019-07-06 |
Name of individual signing |
GARY CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANIMAL MEDICAL HOSPITAL 401(K) PLAN
|
2017
|
460962033
|
2018-07-08
|
GARY R. CLARK, DVM, INC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
7278967127
|
Plan sponsor’s
address |
2540 30TH AVENUE NORTH, ST. PETERSBURG, FL, 33713
|
Signature of
Role |
Plan administrator |
Date |
2018-07-08 |
Name of individual signing |
GARY CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANIMAL MEDICAL HOSPITAL 401(K) PLAN
|
2016
|
460962033
|
2017-07-20
|
GARY R. CLARK, DVM, INC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
7278967127
|
Plan sponsor’s
address |
2540 30TH AVENUE NORTH, ST. PETERSBURG, FL, 33713
|
Signature of
Role |
Plan administrator |
Date |
2017-07-20 |
Name of individual signing |
GARY CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANIMAL MEDICAL HOSPITAL 401(K) PLAN
|
2015
|
460962033
|
2016-06-14
|
GARY R. CLARK, DVM, INC.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
7278967127
|
Plan sponsor’s
address |
2540 30TH AVE. N, SAINT PETERSBURG, FL, 337132926
|
Signature of
Role |
Plan administrator |
Date |
2016-06-14 |
Name of individual signing |
GARY CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-14 |
Name of individual signing |
GARY CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|