|
KIRBY VETERINARY HOSPITAL 401(K) PLAN
|
2023
|
452612574
|
2024-07-30
|
KIRBY VETERINARY HOSPITAL, LLC
|
24
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
541940
|
| Sponsor’s telephone number |
8604500505
|
| Plan sponsor’s
address |
266 STAFFORD RD, MANSFIELD, CT, 06250
|
Plan administrator’s name and address
| Administrator’s EIN |
842925395 |
| Plan administrator’s name |
401GO, INC. |
| Plan administrator’s
address |
8427 OLD BINGHAM HWY, WEST JORDAN, UT, 84088 |
| Administrator’s telephone number |
8012142125 |
Signature of
| Role |
Plan administrator |
| Date |
2024-07-30 |
| Name of individual signing |
FIDUCIARY ASSISTANCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KIRBY VETERINARY HOSPITAL 401(K) PLAN
|
2022
|
452612574
|
2023-08-22
|
KIRBY VETERINARY HOSPITAL
|
23
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
541940
|
| Sponsor’s telephone number |
8604500505
|
| Plan sponsor’s
address |
266 STAFFORD RD, MANSFIELD, CT, 06250
|
Plan administrator’s name and address
| Administrator’s EIN |
842925395 |
| Plan administrator’s name |
401GO, INC. |
| Plan administrator’s
address |
8427 OLD BINGHAM HWY, WEST JORDAN, UT, 84088 |
| Administrator’s telephone number |
8012142125 |
Signature of
| Role |
Plan administrator |
| Date |
2023-08-22 |
| Name of individual signing |
FIDUCIARY ASSISTANCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KIRBY VETERINARY HOSPITAL 401(K) PLAN
|
2022
|
452612574
|
2023-07-31
|
KIRBY VETERINARY HOSPITAL
|
23
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
541940
|
| Sponsor’s telephone number |
8604500505
|
| Plan sponsor’s
address |
266 STAFFORD RD, MANSFIELD, CT, 06250
|
Plan administrator’s name and address
| Administrator’s EIN |
842925395 |
| Plan administrator’s name |
401GO, INC. |
| Plan administrator’s
address |
8427 OLD BINGHAM HWY, WEST JORDAN, UT, 84088 |
| Administrator’s telephone number |
8012142125 |
Signature of
| Role |
Plan administrator |
| Date |
2023-07-31 |
| Name of individual signing |
FIDUCIARY ASSISTANCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KIRBY VETERINARY HOSPITAL 401(K) PLAN
|
2021
|
452612574
|
2022-06-27
|
KIRBY VETERINARY HOSPITAL
|
18
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
541940
|
| Sponsor’s telephone number |
8604500505
|
| Plan sponsor’s
address |
266 STAFFORD ROAD, MANSFIELD CENTER, CT, 06250
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2022-06-27 |
| Name of individual signing |
CHRISTINE RIMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KIRBY VETERINARY HOSPITAL 401(K) PLAN
|
2021
|
452612574
|
2023-08-22
|
KIRBY VETERINARY HOSPITAL
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
541940
|
| Sponsor’s telephone number |
8604500505
|
| Plan sponsor’s
address |
266 STAFFORD RD, MANSFIELD CENTER, CT, 062501443
|
Plan administrator’s name and address
| Administrator’s EIN |
452612574 |
| Plan administrator’s name |
401GO |
| Plan administrator’s
address |
8427 S OLD BINGHAM HWY, WEST JORDAN, UT, 840885277 |
| Administrator’s telephone number |
8012142125 |
Signature of
| Role |
Plan administrator |
| Date |
2023-08-22 |
| Name of individual signing |
FIDUCIARY ASSISTANCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KIRBY VETERINARY HOSPITAL 401(K) PLAN
|
2020
|
452612574
|
2021-06-29
|
KIRBY VETERINARY HOSPITAL
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
541940
|
| Sponsor’s telephone number |
8604500505
|
| Plan sponsor’s
address |
266 STAFFORD ROAD, MANSFIELD CENTER, CT, 06250
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2021-06-29 |
| Name of individual signing |
CAROL HO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
