SOUTHSIDE ANIMAL HOSPITAL RETIREMENT PLAN
|
2023
|
593417391
|
2024-05-24
|
SOUTHSIDE ANIMAL HOSPITAL
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-15
|
Business code |
541940
|
Sponsor’s telephone number |
8506822626
|
Plan sponsor’s
address |
821 PEARL STREET, CRESTVIEW, FL, 32539
|
Signature of
Role |
Plan administrator |
Date |
2024-05-24 |
Name of individual signing |
TERESA WORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHSIDE ANIMAL HOSPITAL RETIREMENT PLAN
|
2022
|
593417391
|
2023-09-28
|
SOUTHSIDE ANIMAL HOSPITAL
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-15
|
Business code |
541940
|
Sponsor’s telephone number |
8506822626
|
Plan sponsor’s
address |
821 PEARL STREET, CRESTVIEW, FL, 32539
|
Signature of
Role |
Plan administrator |
Date |
2023-09-28 |
Name of individual signing |
AUDRA DEGEYTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHSIDE ANIMAL HOSPITAL RETIREMENT PLAN
|
2021
|
593417391
|
2022-07-27
|
SOUTHSIDE ANIMAL HOSPITAL
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-15
|
Business code |
541940
|
Sponsor’s telephone number |
8506822626
|
Plan sponsor’s
address |
821 PEARL STREET, CRESTVIEW, FL, 32539
|
Signature of
Role |
Plan administrator |
Date |
2022-07-27 |
Name of individual signing |
AUDRA DEGEYTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHSIDE ANIMAL HOSPITAL RETIREMENT PLAN
|
2020
|
593417391
|
2021-10-13
|
SOUTHSIDE ANIMAL HOSPITAL
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-15
|
Business code |
541940
|
Sponsor’s telephone number |
8506822626
|
Plan sponsor’s
address |
821 PEARL STREET, CRESTVIEW, FL, 32539
|
|
SOUTHSIDE ANIMAL HOSPITAL RETIREMENT PLAN
|
2019
|
593417391
|
2020-10-13
|
SOUTHSIDE ANIMAL HOSPITAL
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-15
|
Business code |
541940
|
Sponsor’s telephone number |
8506822626
|
Plan sponsor’s
address |
821 PEARL STREET, CRESTVIEW, FL, 32539
|
Signature of
Role |
Plan administrator |
Date |
2020-10-13 |
Name of individual signing |
DR. TERESA WORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHSIDE ANIMAL HOSPITAL RETIREMENT PLAN
|
2018
|
593417391
|
2019-09-23
|
SOUTHSIDE ANIMAL HOSPITAL
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-15
|
Business code |
541940
|
Sponsor’s telephone number |
8506822626
|
Plan sponsor’s
address |
821 PEARL STREET, CRESTVIEW, FL, 32539
|
|
SOUTHSIDE ANIMAL HOSPITAL RETIREMENT PLAN
|
2017
|
593417391
|
2018-09-27
|
SOUTHSIDE ANIMAL HOSPITAL
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-15
|
Business code |
541940
|
Sponsor’s telephone number |
8506822626
|
Plan sponsor’s
address |
821 PEARL STREET, CRESTVIEW, FL, 32539
|
|