DENVILLE ANIMAL HOSPITAL, INC. RETIREMENT PLAN
|
2012
|
222349224
|
2013-04-19
|
DENVILLE ANIMAL HOSPITAL, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
9736689181
|
Plan sponsor’s
address |
10869 GREEN VALLEY WALK, BOYNTON BEACH, FL, 33437
|
Signature of
Role |
Plan administrator |
Date |
2013-04-19 |
Name of individual signing |
S. BENNETT MOSES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-19 |
Name of individual signing |
S. BENNETT MOSES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENVILLE ANIMAL HOSPITAL, INC. RETIREMENT PLAN
|
2011
|
222349224
|
2012-02-27
|
DENVILLE ANIMAL HOSPITAL, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
9736689181
|
Plan sponsor’s
address |
10869 GREEN VALLEY WALK, BOYNTON BEACH, FL, 33437
|
Plan administrator’s name and address
Administrator’s EIN |
222349224 |
Plan administrator’s name |
DENVILLE ANIMAL HOSPITAL, INC. |
Plan administrator’s
address |
10869 GREEN VALLEY WALK, BOYNTON BEACH, FL, 33437 |
Administrator’s telephone number |
9736689181 |
Signature of
Role |
Plan administrator |
Date |
2012-02-27 |
Name of individual signing |
S. BENNETT MOSES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-02-27 |
Name of individual signing |
S. BENNETT MOSES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENVILLE ANIMAL HOSPITAL, INC. RETIREMENT PLAN
|
2010
|
222349224
|
2011-08-15
|
DENVILLE ANIMAL HOSPITAL, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
9736689181
|
Plan sponsor’s
address |
10869 GREEN VALLEY WALK, BOYNTON BEACH, FL, 33437
|
Plan administrator’s name and address
Administrator’s EIN |
222349224 |
Plan administrator’s name |
DENVILLE ANIMAL HOSPITAL, INC. |
Plan administrator’s
address |
10869 GREEN VALLEY WALK, BOYNTON BEACH, FL, 33437 |
Administrator’s telephone number |
9736689181 |
Signature of
Role |
Plan administrator |
Date |
2011-08-15 |
Name of individual signing |
S. BENNETT MOSES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-15 |
Name of individual signing |
S. BENNETT MOSES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENVILLE ANIMAL HOSPITAL, INC. RETIREMENT PLAN
|
2009
|
222349224
|
2010-09-27
|
DENVILLE ANIMAL HOSPITAL, INC.
|
5
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
9736689181
|
Plan sponsor’s
address |
10869 GREEN VALLEY WALK, BOYNTON BEACH, FL, 33437
|
Plan administrator’s name and address
Administrator’s EIN |
222349224 |
Plan administrator’s name |
DENVILLE ANIMAL HOSPITAL, INC. |
Plan administrator’s
address |
10869 GREEN VALLEY WALK, BOYNTON BEACH, FL, 33437 |
Administrator’s telephone number |
9736689181 |
Signature of
Role |
Plan administrator |
Date |
2010-09-27 |
Name of individual signing |
MOSES, S. BENNETT |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-27 |
Name of individual signing |
MOSES, S.BENNETT |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
DENVILLE ANIMAL HOSPITAL, INC. RETIREMENT PLAN
|
2009
|
222349224
|
2010-09-29
|
DENVILLE ANIMAL HOSPITAL, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
9736689181
|
Plan sponsor’s
address |
10869 GREEN VALLEY WALK, BOYNTON BEACH, FL, 33437
|
Plan administrator’s name and address
Administrator’s EIN |
222349224 |
Plan administrator’s name |
DENVILLE ANIMAL HOSPITAL, INC. |
Plan administrator’s
address |
10869 GREEN VALLEY WALK, BOYNTON BEACH, FL, 33437 |
Administrator’s telephone number |
9736689181 |
Signature of
Role |
Plan administrator |
Date |
2010-09-27 |
Name of individual signing |
MOSES, S. BENNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-27 |
Name of individual signing |
MOSES, S.BENNETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|