HAVEN DRUGS, INC. DEFINED BENEFIT PLAN
|
2013
|
113050299
|
2014-03-30
|
HAVEN DRUGS, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6312896888
|
Plan sponsor’s
address |
14 CRACIE COURT, BAYPORT, NY, 11705
|
Signature of
Role |
Plan administrator |
Date |
2014-03-26 |
Name of individual signing |
VINODA KUDCHADKAR |
|
|
HAVEN DRUGS INC PROFIT SHARING PLAN
|
2013
|
113050299
|
2016-02-03
|
HAVEN DRUGS INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-02
|
Business code |
446110
|
Sponsor’s telephone number |
7185442772
|
Plan sponsor’s
address |
14 GRACIE CT, BAYPORT, NY, 11705
|
|
HAVEN DRUGS, INC. DEFINED BENEFIT PLAN
|
2012
|
113050299
|
2013-06-07
|
HAVEN DRUGS, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6312896888
|
Plan sponsor’s
address |
14 CRACIE COURT, BAYPORT, NY, 11705
|
Plan administrator’s name and address
Administrator’s EIN |
113050299 |
Plan administrator’s name |
HAVEN DRUGS, INC. |
Plan administrator’s
address |
14 CRACIE COURT, BAYPORT, NY, 11705 |
Administrator’s telephone number |
6312896888 |
Signature of
Role |
Plan administrator |
Date |
2013-06-07 |
Name of individual signing |
VINODA KUDCHADKAR |
|
|
HAVEN DRUGS INC PROFIT SHARING PLAN
|
2012
|
113050299
|
2013-07-19
|
HAVEN DRUGS INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-02
|
Business code |
446110
|
Sponsor’s telephone number |
5162896888
|
Plan sponsor’s mailing address |
76 SOUTHAVEN AVENUE, MEDFORD, NY, 11763
|
Plan sponsor’s
address |
76 SOUTHAVEN AVENUE, MEDFORD, NY, 11763
|
Plan administrator’s name and address
Administrator’s EIN |
113050299 |
Plan administrator’s name |
HAVEN DRUGS INC. |
Plan administrator’s
address |
76 SOUTHAVEN AVENUE, MEDFORD, NY, 11763 |
Administrator’s telephone number |
5162896888 |
Number of participants as of the end of the plan year
Active participants |
2 |
Other
retired or separated participants entitled to future benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2013-07-19 |
Name of individual signing |
DWARKA KALANTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAVEN DRUGS, INC. DEFINED BENEFIT PLAN
|
2011
|
113050299
|
2012-03-07
|
HAVEN DRUGS, INC.
|
4
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6312896888
|
Plan sponsor’s
address |
14 CRACIE COURT, BAYPORT, NY, 11705
|
Plan administrator’s name and address
Administrator’s EIN |
113050299 |
Plan administrator’s name |
HAVEN DRUGS, INC. |
Plan administrator’s
address |
14 CRACIE COURT, BAYPORT, NY, 11705 |
Administrator’s telephone number |
6312896888 |
Signature of
Role |
Plan administrator |
Date |
2012-03-07 |
Name of individual signing |
VINODA KUDCHADKAR |
|
|
HAVEN DRUGS, INC. DEFINED BENEFIT PLAN
|
2011
|
113050299
|
2012-07-25
|
HAVEN DRUGS, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6312896888
|
Plan sponsor’s
address |
14 CRACIE COURT, BAYPORT, NY, 11705
|
Plan administrator’s name and address
Administrator’s EIN |
113050299 |
Plan administrator’s name |
HAVEN DRUGS, INC. |
Plan administrator’s
address |
14 CRACIE COURT, BAYPORT, NY, 11705 |
Administrator’s telephone number |
6312896888 |
Signature of
Role |
Plan administrator |
Date |
2012-07-25 |
Name of individual signing |
VINODA KUDCHADKAR |
|
|
HAVEN DRUGS INC PROFIT SHARING PLAN
|
2011
|
113050299
|
2012-07-30
|
HAVEN DRUGS INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-02
|
Business code |
446110
|
Sponsor’s telephone number |
5162896888
|
Plan sponsor’s mailing address |
76 SOUTHAVEN AVENUE, MEDFORD, NY, 11763
|
Plan sponsor’s
address |
76 SOUTHAVEN AVENUE, MEDFORD, NY, 11763
|
Plan administrator’s name and address
Administrator’s EIN |
113050299 |
Plan administrator’s name |
HAVEN DRUGS INC. |
Plan administrator’s
address |
76 SOUTHAVEN AVENUE, MEDFORD, NY, 11763 |
Administrator’s telephone number |
5162896888 |
Number of participants as of the end of the plan year
Active participants |
2 |
Other
retired or separated participants entitled to future benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
DWARKA KALANTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAVEN DRUGS, INC. DEFINED BENEFIT PLAN
|
2010
|
113050299
|
2011-02-07
|
HAVEN DRUGS, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6312896888
|
Plan sponsor’s
address |
14 CRACIE COURT, ADDRESS LINE 2, BAYPORT, NY, 11705
|
Plan administrator’s name and address
Administrator’s EIN |
113050299 |
Plan administrator’s name |
HAVEN DRUGS, INC. |
Plan administrator’s
address |
14 CRACIE COURT, ADDRESS LINE 2, BAYPORT, NY, 11705 |
Administrator’s telephone number |
6312896888 |
Signature of
Role |
Plan administrator |
Date |
2011-02-07 |
Name of individual signing |
VINODA KUDCHADKAR |
|
|
HAVEN DRUGS INC PROFIT SHARING PLAN
|
2010
|
113050299
|
2012-12-18
|
HAVEN DRUGS INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-02
|
Business code |
446110
|
Sponsor’s telephone number |
5162896888
|
Plan sponsor’s mailing address |
14 GRACIE COURT, BAYPORT, NY, 11705
|
Plan sponsor’s
address |
14 GRACIE COURT, BAYPORT, NY, 11705
|
Plan administrator’s name and address
Administrator’s EIN |
113050299 |
Plan administrator’s name |
HAVEN DRUGS INC. |
Plan administrator’s
address |
14 GRACIE COURT, BAYPORT, NY, 11705 |
Administrator’s telephone number |
5162896888 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-12-18 |
Name of individual signing |
DWARKA KALANTRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAVEN DRUGS, INC. DEFINED BENEFIT PLAN
|
2009
|
113050299
|
2010-06-07
|
HAVEN DRUGS, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
446110
|
Sponsor’s telephone number |
6312896888
|
Plan sponsor’s
address |
14 CRACIE COURT, ADDRESS LINE 2, BAYPORT, NY, 11705
|
Plan administrator’s name and address
Administrator’s EIN |
113050299 |
Plan administrator’s name |
HAVEN DRUGS, INC. |
Plan administrator’s
address |
14 CRACIE COURT, ADDRESS LINE 2, BAYPORT, NY, 11705 |
Administrator’s telephone number |
6312896888 |
Signature of
Role |
Plan administrator |
Date |
2010-06-07 |
Name of individual signing |
VINODA KUDCHADKAR |
|
|