ARLINGTON ANIMAL CLINIC FINAL
|
2014
|
061667010
|
2015-06-08
|
ARLINGTON ANIMAL CLINIC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
5079642248
|
Plan sponsor’s
address |
411 EAST ELMWOOD ST., ARLINGTON, MN, 55307
|
Signature of
Role |
Plan administrator |
Date |
2015-06-08 |
Name of individual signing |
LYLE W RUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARLINGTON ANIMAL CLINIC PROFIT SHARING PLAN AND TRUST
|
2013
|
061667010
|
2014-03-14
|
ARLINGTON ANIMAL CLINIC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
5079642248
|
Plan sponsor’s
address |
411 EAST ELMWOOD ST., ARLINGTON, MN, 55307
|
Signature of
Role |
Plan administrator |
Date |
2014-03-14 |
Name of individual signing |
TRAVIS STENBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARLINGTON ANIMAL CLINIC PROFIT SHARING PLAN AND TRUST
|
2012
|
061667010
|
2013-06-05
|
ARLINGTON ANIMAL CLINIC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
5079642248
|
Plan sponsor’s
address |
318 W. MAIN ST., ARLINGTON, MN, 55307
|
Signature of
Role |
Plan administrator |
Date |
2013-06-05 |
Name of individual signing |
TRAVIS STENBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARLINGTON ANIMAL CLINIC PROFIT SHARING PLAN AND TRUST
|
2011
|
061667010
|
2012-07-19
|
ARLINGTON ANIMAL CLINIC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
5079642248
|
Plan sponsor’s
address |
318 W MAIN ST, ARLINGTON, MN, 553072086
|
Plan administrator’s name and address
Administrator’s EIN |
061667010 |
Plan administrator’s name |
ARLINGTON ANIMAL CLINIC |
Plan administrator’s
address |
318 W MAIN ST, ARLINGTON, MN, 553072086 |
Administrator’s telephone number |
5079642248 |
Signature of
Role |
Plan administrator |
Date |
2012-07-19 |
Name of individual signing |
LYLE RUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARLINGTON ANIMAL CLINIC PROFIT SHARING PLAN AND TRUST
|
2010
|
061667010
|
2011-04-22
|
ARLINGTON ANIMAL CLINIC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
5079642248
|
Plan sponsor’s mailing address |
318 W MAIN ST, ARLINGTON, MN, 553072086
|
Plan sponsor’s
address |
318 W MAIN ST, ARLINGTON, MN, 553072086
|
Plan administrator’s name and address
Administrator’s EIN |
061667010 |
Plan administrator’s name |
ARLINGTON ANIMAL CLINIC |
Plan administrator’s
address |
318 W MAIN ST, ARLINGTON, MN, 553072086 |
Administrator’s telephone number |
5079642248 |
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
2 |
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 |
2011-04-22 |
Name of individual signing |
LYLE RUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ARLINGTON ANIMAL CLINIC PROFIT SHARING PLAN AND TRUST
|
2009
|
061667010
|
2010-06-24
|
ARLINGTON ANIMAL CLINIC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
5079642248
|
Plan sponsor’s mailing address |
318 W MAIN ST, ARLINGTON, MN, 553072086
|
Plan sponsor’s
address |
318 W MAIN ST, ARLINGTON, MN, 553072086
|
Plan administrator’s name and address
Administrator’s EIN |
061667010 |
Plan administrator’s name |
ARLINGTON ANIMAL CLINIC |
Plan administrator’s
address |
318 W MAIN ST, ARLINGTON, MN, 553072086 |
Administrator’s telephone number |
5079642248 |
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
2 |
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 |
2010-06-24 |
Name of individual signing |
LYLE RUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|