|
KEAVENY DRUG, INC. 401(K) PLAN
|
2014
|
410763433
|
2015-11-18
|
KEAVENY PHARMACY, INC.
|
42
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-08-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
3202865483
|
| Plan sponsor’s
address |
205 BROADWAY AVENUE SOUTH, COKATO, MN, 55321
|
Signature of
| Role |
Plan administrator |
| Date |
2015-11-17 |
| Name of individual signing |
DEBORAH KEAVENY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2015-11-17 |
| Name of individual signing |
DEBORAH KEAVENY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KEAVENY DRUG, INC. 401(K) PLAN
|
2014
|
410763433
|
2015-10-15
|
KEAVENY PHARMACY, INC.
|
81
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-08-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
3202865483
|
| Plan sponsor’s
address |
205 BROADWAY AVENUE SOUTH, COKATO, MN, 55321
|
Signature of
| Role |
Plan administrator |
| Date |
2015-10-15 |
| Name of individual signing |
DEBORAH KEAVENY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2015-10-15 |
| Name of individual signing |
DEBORAH KEAVENY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KEAVENY DRUG, INC. 401(K) PLAN
|
2013
|
410763433
|
2014-10-07
|
KEAVENY PHARMACY, INC.
|
71
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-08-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
3202865483
|
| Plan sponsor’s
address |
205 BROADWAY AVENUE SOUTH, COKATO, MN, 55321
|
Signature of
| Role |
Plan administrator |
| Date |
2014-10-07 |
| Name of individual signing |
DEBORAH KEAVENY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-10-07 |
| Name of individual signing |
DEBORAH KEAVENY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KEAVENY DRUG, INC. 401(K) PLAN
|
2012
|
410763433
|
2013-08-05
|
KEAVENY PHARMACY, INC.
|
58
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-08-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
3202865483
|
| Plan sponsor’s
address |
205 BROADWAY AVENUE SOUTH, COKATO, MN, 55321
|
Signature of
| Role |
Plan administrator |
| Date |
2013-08-05 |
| Name of individual signing |
DEBORAH KEAVENY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-08-05 |
| Name of individual signing |
DEBORAH KEAVENY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KEAVENY DRUG, INC. 401(K) PLAN
|
2011
|
410763433
|
2012-10-10
|
KEAVENY PHARMACY, INC.
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-08-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
3202865483
|
| Plan sponsor’s
address |
205 BROADWAY AVENUE SOUTH, COKATO, MN, 55321
|
Plan administrator’s name and address
| Administrator’s EIN |
410763433 |
| Plan administrator’s name |
KEAVENY PHARMACY, INC. |
| Plan administrator’s
address |
205 BROADWAY AVENUE SOUTH, COKATO, MN, 55321 |
| Administrator’s telephone number |
3202865483 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-10 |
| Name of individual signing |
DEBORAH KEAVENY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-10-10 |
| Name of individual signing |
DEBORAH KEAVENY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
