FAMILY FOOT CARE, P.C. 401(K) INVESTMENT PLAN
|
2020
|
364003038
|
2021-10-04
|
FAMILY FOOT CARE, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8152243933
|
Plan sponsor’s
address |
2011 ROCK STREET, SUITE D1, PERU, IL, 61354
|
Signature of
Role |
Plan administrator |
Date |
2021-10-04 |
Name of individual signing |
LARRY D. KETNER, DPM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY FOOT CARE, P.C. 401(K) INVESTMENT PLAN
|
2019
|
364003038
|
2020-10-05
|
FAMILY FOOT CARE, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8152243933
|
Plan sponsor’s
address |
2011 ROCK STREET, SUITE D1, PERU, IL, 61354
|
Signature of
Role |
Plan administrator |
Date |
2020-10-05 |
Name of individual signing |
LARRY D. KETNER, DPM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY FOOT CARE, P.C. 401(K) INVESTMENT PLAN
|
2018
|
364003038
|
2019-08-13
|
FAMILY FOOT CARE, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8152243933
|
Plan sponsor’s
address |
2011 ROCK STREET, SUITE D1, PERU, IL, 61354
|
Signature of
Role |
Plan administrator |
Date |
2019-08-13 |
Name of individual signing |
LARRY D. KETNER, DPM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY FOOT CARE, P.C. 401(K) INVESTMENT PLAN
|
2017
|
364003038
|
2018-08-15
|
FAMILY FOOT CARE, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8152243933
|
Plan sponsor’s
address |
2011 ROCK STREET, SUITE D1, PERU, IL, 61354
|
Signature of
Role |
Plan administrator |
Date |
2018-08-15 |
Name of individual signing |
LARRY D. KETNER, DPM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY FOOT CARE, P.C. 401(K) INVESTMENT PLAN
|
2016
|
364003038
|
2017-10-16
|
FAMILY FOOT CARE, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8152243933
|
Plan sponsor’s
address |
2011 ROCK STREET, SUITE D1, PERU, IL, 61354
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
LARRY D. KETNER, DPM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY FOOT CARE, P.C. 401(K) INVESTMENT PLAN
|
2015
|
364003038
|
2016-10-16
|
FAMILY FOOT CARE, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8152243933
|
Plan sponsor’s
address |
2011 ROCK STREET, SUITE D1, PERU, IL, 61354
|
Signature of
Role |
Plan administrator |
Date |
2016-10-16 |
Name of individual signing |
LARRY D. KETNER, DPM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY FOOT CARE, P.C. 401(K) INVESTMENT PLAN
|
2014
|
364003038
|
2015-09-16
|
FAMILY FOOT CARE, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8152243933
|
Plan sponsor’s
address |
2011 ROCK STREET, SUITE D1, PERU, IL, 61354
|
Signature of
Role |
Plan administrator |
Date |
2015-09-16 |
Name of individual signing |
LARRY D. KETNER, DPM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-16 |
Name of individual signing |
LARRY D. KETNER, DPM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY FOOT CARE, P.C. 401(K) INVESTMENT PLAN
|
2013
|
364003038
|
2014-08-29
|
FAMILY FOOT CARE, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8152243933
|
Plan sponsor’s
address |
2011 ROCK STREET, SUITE D1, PERU, IL, 61354
|
Signature of
Role |
Plan administrator |
Date |
2014-08-29 |
Name of individual signing |
LARRY D. KETNER, DPM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY FOOT CARE, P.C. 401(K) INVESTMENT PLAN
|
2012
|
364003038
|
2013-09-26
|
FAMILY FOOT CARE, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8152243933
|
Plan sponsor’s
address |
2011 ROCK STREET, SUITE D1, PERU, IL, 61354
|
Signature of
Role |
Plan administrator |
Date |
2013-09-26 |
Name of individual signing |
LARRY D. KETNER, DPM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-26 |
Name of individual signing |
LARRY D. KETNER, DPM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY FOOT CARE, P.C. 401(K) INVESTMENT PLAN
|
2011
|
364003038
|
2012-09-28
|
FAMILY FOOT CARE, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8152243933
|
Plan sponsor’s
address |
2011 ROCK STREET, SUITE D1, PERU, IL, 61354
|
Plan administrator’s name and address
Administrator’s EIN |
364003038 |
Plan administrator’s name |
FAMILY FOOT CARE, P.C. |
Plan administrator’s
address |
2011 ROCK STREET, SUITE D1, PERU, IL, 61354 |
Administrator’s telephone number |
8152243933 |
Signature of
Role |
Plan administrator |
Date |
2012-09-28 |
Name of individual signing |
LARRY D. KETNER, DPM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-28 |
Name of individual signing |
LARRY D. KETNER, DPM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|