GATEWAY 401K PLAN
|
2021
|
208088109
|
2022-07-26
|
LISBON VETERINARY CLINIC INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
339
|
Effective date of plan |
2014-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
8603764050
|
Plan sponsor’s
address |
91 RIVER ROAD, GRISWOLD, CT, 06351
|
Plan administrator’s name and address
Administrator’s EIN |
813799174 |
Plan administrator’s name |
FIDUCIARY WISE, LLC |
Plan administrator’s
address |
2487 SOUTH GILBERT ROAD, SUITE 106-455, GILBERT, AZ, 85295 |
Administrator’s telephone number |
4808554017 |
Signature of
Role |
Plan administrator |
Date |
2022-07-26 |
Name of individual signing |
KRISTI DALLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GATEWAY 401K PLAN
|
2020
|
208088109
|
2021-07-21
|
LISBON VETERINARY CLINIC INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
339
|
Effective date of plan |
2014-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
8603764050
|
Plan sponsor’s
address |
91 RIVER ROAD, GRISWOLD, CT, 06351
|
Plan administrator’s name and address
Administrator’s EIN |
813799174 |
Plan administrator’s name |
FIDUCIARY WISE, LLC |
Plan administrator’s
address |
2487 SOUTH GILBERT ROAD, SUITE 106-455, GILBERT, AZ, 85295 |
Administrator’s telephone number |
4808554017 |
Signature of
Role |
Plan administrator |
Date |
2021-07-21 |
Name of individual signing |
KRISTI DALLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GATEWAY 401K PLAN
|
2019
|
208088109
|
2020-07-02
|
LISBON VETERINARY CLINIC INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
339
|
Effective date of plan |
2014-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
8603764050
|
Plan sponsor’s
address |
91 RIVER ROAD, GRISWOLD, CT, 06351
|
Plan administrator’s name and address
Administrator’s EIN |
813799174 |
Plan administrator’s name |
FIDUCIARY WISE, LLC |
Plan administrator’s
address |
2487 SOUTH GILBERT ROAD, SUITE 106-455, GILBERT, AZ, 85295 |
Administrator’s telephone number |
4808554017 |
Signature of
Role |
Plan administrator |
Date |
2020-07-02 |
Name of individual signing |
KRISTI DALLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GATEWAY 401K PLAN
|
2018
|
208088109
|
2019-05-10
|
LISBON VETERINARY CLINIC INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
339
|
Effective date of plan |
2014-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
8603764050
|
Plan sponsor’s
address |
91 RIVER ROAD, GRISWOLD, CT, 06351
|
Plan administrator’s name and address
Administrator’s EIN |
813799174 |
Plan administrator’s name |
FIDUCIARY WISE, LLC |
Plan administrator’s
address |
2487 SOUTH GILBERT ROAD, SUITE 106-455, GILBERT, AZ, 85295 |
Administrator’s telephone number |
4808554017 |
Signature of
Role |
Plan administrator |
Date |
2019-05-10 |
Name of individual signing |
KRISTI DALLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GATEWAY 401K PLAN
|
2017
|
208088109
|
2018-07-23
|
LISBON VETERINARY CLINIC INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
339
|
Effective date of plan |
2014-01-01
|
Business code |
541940
|
Sponsor’s telephone number |
8603764050
|
Plan sponsor’s
address |
91 RIVER ROAD, GRISWOLD, CT, 06351
|
Plan administrator’s name and address
Administrator’s EIN |
813799174 |
Plan administrator’s name |
FIDUCIARY WISE, LLC |
Plan administrator’s
address |
2487 SOUTH GILBERT ROAD, SUITE 106-455, GILBERT, AZ, 85295 |
Administrator’s telephone number |
4808554017 |
Signature of
Role |
Plan administrator |
Date |
2018-07-23 |
Name of individual signing |
T R BICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|