|
MED-MART PHARMACY 401(K) PLAN
|
2014
|
272531970
|
2015-05-27
|
MED-MART PHARMACY, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-10-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
6068781200
|
| Plan sponsor’s
address |
87 C V B DR, LONDON, KY, 407411096
|
Signature of
| Role |
Plan administrator |
| Date |
2015-05-27 |
| Name of individual signing |
MICHAEL SIZEMORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2015-05-27 |
| Name of individual signing |
MICHAEL SIZEMORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MED-MART PHARMACY 401(K) PLAN
|
2013
|
272531970
|
2014-09-09
|
MED-MART PHARMACY, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-10-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
6068781200
|
| Plan sponsor’s
address |
87 C V B DR, LONDON, KY, 407411096
|
Signature of
| Role |
Plan administrator |
| Date |
2014-09-09 |
| Name of individual signing |
MICHAEL SIZEMORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-09-09 |
| Name of individual signing |
MICHAEL SIZEMORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MED-MART PHARMACY 401(K) PLAN
|
2012
|
272531970
|
2014-09-09
|
MED-MART PHARMACY, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-10-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
6068781200
|
| Plan sponsor’s
address |
87 C V B DR, LONDON, KY, 407411096
|
Signature of
| Role |
Plan administrator |
| Date |
2014-09-09 |
| Name of individual signing |
MICHAEL SIZEMORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-09-09 |
| Name of individual signing |
MICHAEL SIZEMORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MED-MART PHARMACY 401(K) PLAN
|
2011
|
272531970
|
2014-09-09
|
MED-MART PHARMACY, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-10-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
6068781200
|
| Plan sponsor’s
address |
87 C V B DR, LONDON, KY, 407411096
|
Plan administrator’s name and address
| Administrator’s EIN |
272531970 |
| Plan administrator’s name |
MED-MART PHARMACY, LLC |
| Plan administrator’s
address |
87 C V B DR, LONDON, KY, 407411096 |
| Administrator’s telephone number |
6068781200 |
Signature of
| Role |
Plan administrator |
| Date |
2014-09-09 |
| Name of individual signing |
MICHAEL SIZEMORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-09-09 |
| Name of individual signing |
MICHAEL SIZEMORE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MED-MART PHARMACY 401(K) PLAN
|
2010
|
272531970
|
2011-06-17
|
MED-MART PHARMACY, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-10-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
6068781200
|
| Plan sponsor’s
address |
87 C V B DR, LONDON, KY, 407411096
|
Plan administrator’s name and address
| Administrator’s EIN |
272531970 |
| Plan administrator’s name |
MED-MART PHARMACY, LLC |
| Plan administrator’s
address |
87 C V B DR, LONDON, KY, 407411096 |
| Administrator’s telephone number |
6068781200 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-17 |
| Name of individual signing |
MICHAEL SIZEMORE |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-06-17 |
| Name of individual signing |
MICHAEL SIZEMORE |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
