|
COMPANION ANIMAL HOSPITAL 401(K) PLAN
|
2012
|
061002686
|
2013-10-10
|
COMPANION ANIMAL HOSPITAL
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-05-30
|
| Business code |
541940
|
| Sponsor’s telephone number |
8604499800
|
| Plan sponsor’s mailing address |
801 POQUONNOCK RD #1, GROTON, CT, 06340
|
| Plan sponsor’s
address |
801 POQUONNOCK RD #1, GROTON, CT, 06340
|
Plan administrator’s name and address
| Administrator’s EIN |
061002686 |
| Plan administrator’s name |
COMPANION ANIMAL HOSPITAL |
| Plan administrator’s
address |
801 POQUONNOCK RD #1, GROTON, CT, 06340 |
| Administrator’s telephone number |
8604499800 |
Number of participants as of the end of the plan year
| Active participants |
17 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
2 |
| 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 |
19 |
| 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 |
2013-10-07 |
| Name of individual signing |
EARL MUMMERT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-10-07 |
| Name of individual signing |
EARL MUMMERT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COMPANION ANIMAL HOSPITAL 401(K) PLAN
|
2011
|
061002686
|
2012-08-21
|
COMPANION ANIMAL HOSPITAL
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-05-30
|
| Business code |
541940
|
| Sponsor’s telephone number |
8604499800
|
| Plan sponsor’s mailing address |
801 POQUONNOCK RD #1, GROTON, CT, 06340
|
| Plan sponsor’s
address |
801 POQUONNOCK RD #1, GROTON, CT, 06340
|
Plan administrator’s name and address
| Administrator’s EIN |
061002686 |
| Plan administrator’s name |
COMPANION ANIMAL HOSPITAL |
| Plan administrator’s
address |
801 POQUONNOCK RD #1, GROTON, CT, 06340 |
| Administrator’s telephone number |
8604499800 |
Number of participants as of the end of the plan year
| Active participants |
17 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
2 |
| 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 |
19 |
| 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 |
2012-08-21 |
| Name of individual signing |
EARL MUMMERT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COMPANION ANIMAL HOSPITAL 401(K) PLAN
|
2009
|
061002686
|
2012-09-26
|
COMPANION ANIMAL HOSPITAL
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-05-30
|
| Business code |
541940
|
| Sponsor’s telephone number |
8604499800
|
| Plan sponsor’s mailing address |
801 POQUONNOCK RD #1, GROTON, CT, 06340
|
| Plan sponsor’s
address |
801 POQUONNOCK RD #1, GROTON, CT, 06340
|
Plan administrator’s name and address
| Administrator’s EIN |
061002686 |
| Plan administrator’s name |
COMPANION ANIMAL HOSPITAL |
| Plan administrator’s
address |
801 POQUONNOCK RD #1, GROTON, CT, 06340 |
| Administrator’s telephone number |
8604499800 |
Number of participants as of the end of the plan year
| Active participants |
16 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
3 |
| 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 |
19 |
| 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 |
2012-09-24 |
| Name of individual signing |
EARL MUMMERT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COMPANION ANIMAL HOSPITAL 401(K) PLAN
|
2009
|
061002686
|
2010-10-07
|
COMPANION ANIMAL HOSPITAL
|
18
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-05-30
|
| Business code |
541940
|
| Sponsor’s telephone number |
8604499800
|
| Plan sponsor’s mailing address |
801 POQUONNOCK RD #1, GROTON, CT, 06340
|
| Plan sponsor’s
address |
801 POQUONNOCK RD #1, GROTON, CT, 06340
|
Plan administrator’s name and address
| Administrator’s EIN |
061002686 |
| Plan administrator’s name |
COMPANION ANIMAL HOSPITAL |
| Plan administrator’s
address |
801 POQUONNOCK RD #1, GROTON, CT, 06340 |
| Administrator’s telephone number |
8604499800 |
Number of participants as of the end of the plan year
| Active participants |
16 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
3 |
| 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 |
19 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Employer/plan sponsor |
| Date |
2010-10-06 |
| Name of individual signing |
EARL MUMMERT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
