| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
6187832838
|
| Plan
sponsor’s DBA name |
THE MEDICINE SHOPPE
|
| Plan sponsor’s
address |
507 W JOURDAN ST, NEWTON, IL, 624481053
|
Plan administrator’s name and address
| Administrator’s EIN |
371330596 |
| Plan administrator’s name |
LADONNA POEHLER |
| Plan administrator’s
address |
507 W JOURDAN ST, NEWTON, IL, 624481053 |
| Administrator’s telephone number |
6187832838 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-29 |
| Name of individual signing |
LADONNA POEHLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-07-29 |
| Name of individual signing |
LADONNA POEHLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
