LAKE OTIS PHARMACY INC., 401(K) PLAN & TRUST
|
2013
|
920147345
|
2014-11-22
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Sponsor |
LAKE OTIS PHARMACY INC
|
Business code |
446110
|
Sponsor’s telephone number |
9075637878
|
Plan sponsor’s
address |
4201 LAKE OTIS PKWY, ANCHORAGE, AK, 99508
|
|
LAKE OTIS PHARMACY INC., 401(K) PLAN & TRUST
|
2012
|
920147345
|
2014-01-30
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Sponsor |
LAKE OTIS PHARMACY
|
Business code |
446110
|
Sponsor’s telephone number |
9075637878
|
Plan sponsor’s
address |
4201 LAKE OTIS PKWY, ANCHORAGE, AK, 99508
|
Signature of
Role |
Plan administrator |
Date |
2014-01-30 |
Name of individual signing |
WESLEY SUTTERLIN |
|
Role |
Employer/plan sponsor |
Date |
2014-01-30 |
Name of individual signing |
WESLEY SUTTERLIN |
|
|
LAKE OTIS PHARMACY INC., 401(K) PLAN & TRUST
|
2011
|
920147345
|
2013-02-22
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Sponsor |
LAKE OTIS PHARMACY
|
Business code |
446110
|
Sponsor’s telephone number |
9075637878
|
Plan sponsor’s
address |
4201 LAKE OTIS PKWY, ANCHORAGE, AK, 99508
|
Plan administrator’s name and address
Administrator’s EIN |
920147345 |
Plan administrator’s name |
LAKE OTIS PHARMACY |
Plan administrator’s
address |
4201 LAKE OTIS PKWY, ANCHORAGE, AK, 99508 |
Administrator’s telephone number |
9075637878 |
Signature of
Role |
Plan administrator |
Date |
2013-02-22 |
Name of individual signing |
WESLEY SUTTERLIN |
|
Role |
Employer/plan sponsor |
Date |
2013-02-22 |
Name of individual signing |
WESLEY SUTTERLIN |
|
|
LAKE OTIS PHARMACY INC., 401(K) PLAN & TRUST
|
2011
|
920147345
|
2012-02-16
|
13
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Sponsor |
LAKE OTIS PHARMACY
|
Business code |
446110
|
Sponsor’s telephone number |
9075637878
|
Plan sponsor’s
address |
4201 LAKE OTIS PKWY, ANCHORAGE, AK, 99508
|
Plan administrator’s name and address
Administrator’s EIN |
920147345 |
Plan administrator’s name |
LAKE OTIS PHARMACY |
Plan administrator’s
address |
4201 LAKE OTIS PKWY, ANCHORAGE, AK, 99508 |
Administrator’s telephone number |
9075637878 |
Signature of
Role |
Plan administrator |
Date |
2012-02-16 |
Name of individual signing |
WESLEY SUTTERLIN |
|
Role |
Employer/plan sponsor |
Date |
2012-02-16 |
Name of individual signing |
WESLEY SUTTERLIN |
|
|