KIMMEL-CHAPLAIN PHARMACY, LTD. PROFIT SHARING PLAN
|
2012
|
371103938
|
2013-05-28
|
KIMMEL-CHAPLAIN PHARMACY, LTD
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6184382822
|
Plan sponsor’s
address |
205 BAILEY LANE, BENTON, IL, 62812
|
Plan administrator’s name and address
Administrator’s EIN |
371103938 |
Plan administrator’s name |
KIMMEL-CHAPLAIN PHARMACY, LTD |
Plan administrator’s
address |
205 BAILEY LANE, BENTON, IL, 62812 |
Administrator’s telephone number |
6184382822 |
Signature of
Role |
Plan administrator |
Date |
2013-05-28 |
Name of individual signing |
M. G. KIMMEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIMMEL-CHAPLAIN PHARMACY, LTD PENSION PLAN
|
2011
|
371103938
|
2013-04-24
|
KIMMEL-CHAPLAIN PHARMACY, LTD
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-10-01
|
Business code |
446110
|
Sponsor’s telephone number |
6184382822
|
Plan sponsor’s
address |
205 BAILEY LANE, BENTON, IL, 62812
|
Plan administrator’s name and address
Administrator’s EIN |
371103938 |
Plan administrator’s name |
KIMMEL-CHAPLAIN PHARMACY, LTD |
Plan administrator’s
address |
205 BAILEY LANE, BENTON, IL, 62812 |
Administrator’s telephone number |
6184382822 |
Signature of
Role |
Plan administrator |
Date |
2013-04-24 |
Name of individual signing |
MICHAEL KIMMEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-24 |
Name of individual signing |
MICHAEL KIMMEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIMMEL-CHAPLAIN PHARMACY, LTD. PROFIT SHARING PLAN
|
2011
|
371103938
|
2012-06-09
|
KIMMEL-CHAPLAIN PHARMACY, LTD
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6184382822
|
Plan sponsor’s
address |
205 BAILEY LANE, BENTON, IL, 62812
|
Plan administrator’s name and address
Administrator’s EIN |
371103938 |
Plan administrator’s name |
KIMMEL-CHAPLAIN PHARMACY, LTD |
Plan administrator’s
address |
205 BAILEY LANE, BENTON, IL, 62812 |
Administrator’s telephone number |
6184382822 |
Signature of
Role |
Plan administrator |
Date |
2012-06-09 |
Name of individual signing |
M. G. KIMMEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIMMEL-CHAPLAINN PHARMACY, LTD PENSION PLAN
|
2010
|
371103938
|
2012-07-12
|
KIMMEL-CHAPLAIN PHARMACY, LTD
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-10-01
|
Business code |
446110
|
Sponsor’s telephone number |
6184382822
|
Plan sponsor’s
address |
205 BAILEY LANE, BENTON, IL, 62812
|
Plan administrator’s name and address
Administrator’s EIN |
371103938 |
Plan administrator’s name |
KIMMEL-CHAPLAIN PHARMACY, LTD |
Plan administrator’s
address |
205 BAILEY LANE, BENTON, IL, 62812 |
Administrator’s telephone number |
6184382822 |
Signature of
Role |
Plan administrator |
Date |
2012-07-12 |
Name of individual signing |
MICHAEL KIMMEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIMMEL-CHAPLAIN PHARMACY, LTD. PROFIT SHARING PLAN
|
2010
|
371103938
|
2011-07-26
|
KIMMEL-CHAPLAIN PHARMACY, LTD
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6184382822
|
Plan sponsor’s
address |
205 BAILEY LANE, BENTON, IL, 62812
|
Plan administrator’s name and address
Administrator’s EIN |
371103938 |
Plan administrator’s name |
KIMMEL-CHAPLAIN PHARMACY, LTD |
Plan administrator’s
address |
205 BAILEY LANE, BENTON, IL, 62812 |
Administrator’s telephone number |
6184382822 |
Signature of
Role |
Plan administrator |
Date |
2011-07-26 |
Name of individual signing |
M.G. KIMMEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-26 |
Name of individual signing |
M.G. KIMMEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIMMEL-CHAPLAIN PHARMACY, LTD PENSION PLAN
|
2009
|
371103938
|
2011-08-12
|
KIMMEL-CHAPLAIN PHARMACY, LTD
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-10-01
|
Business code |
446110
|
Sponsor’s telephone number |
6184382822
|
Plan sponsor’s
address |
205 BAILEY LANE, BENTON, IL, 62812
|
Plan administrator’s name and address
Administrator’s EIN |
371103938 |
Plan administrator’s name |
KIMMEL-CHAPLAIN PHARMACY, LTD |
Plan administrator’s
address |
205 BAILEY LANE, BENTON, IL, 62812 |
Administrator’s telephone number |
6184382822 |
Signature of
Role |
Plan administrator |
Date |
2011-08-11 |
Name of individual signing |
MICHAEL KIMMEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIMMEL-CHAPLAIN PHARMACY, LTD PENSION PLAN
|
2009
|
371103938
|
2011-07-14
|
KIMMEL-CHAPLAIN PHARMACY, LTD
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-10-01
|
Business code |
446110
|
Sponsor’s telephone number |
6184382822
|
Plan sponsor’s
address |
205 BAILEY LANE, BENTON, IL, 62812
|
Plan administrator’s name and address
Administrator’s EIN |
371103938 |
Plan administrator’s name |
KIMMEL-CHAPLAIN PHARMACY, LTD |
Plan administrator’s
address |
205 BAILEY LANE, BENTON, IL, 62812 |
Administrator’s telephone number |
6184382822 |
Signature of
Role |
Plan administrator |
Date |
2011-07-14 |
Name of individual signing |
MICHAEL KIMMEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIMMEL-CHAPLAIN PHARMACY, LTD. PROFIT SHARING PLAN
|
2009
|
371103938
|
2010-10-06
|
KIMMEL-CHAPLAIN PHARMACY, LTD
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6184382822
|
Plan sponsor’s
address |
205 BAILEY LANE, BENTON, IL, 62812
|
Plan administrator’s name and address
Administrator’s EIN |
371103938 |
Plan administrator’s name |
KIMMEL-CHAPLAIN PHARMACY, LTD |
Plan administrator’s
address |
205 BAILEY LANE, BENTON, IL, 62812 |
Administrator’s telephone number |
6184382822 |
Signature of
Role |
Plan administrator |
Date |
2010-10-06 |
Name of individual signing |
M.G. KIMMEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|