PORT EWEN PHARMACY, INC. 401(K) PLAN AND TRUST
|
2014
|
141778700
|
2015-06-30
|
PORT EWEN PHARMACY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-10-01
|
Business code |
446110
|
Sponsor’s telephone number |
8453314229
|
Plan sponsor’s
address |
P.O. BOX 759, PORT EWEN, NY, 12466
|
Signature of
Role |
Plan administrator |
Date |
2015-06-30 |
Name of individual signing |
BRUCE SCHECHTER |
|
|
PORT EWEN PHARMACY, INC. 401(K) PLAN AND TRUST
|
2013
|
141778700
|
2014-10-02
|
PORT EWEN PHARMACY, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-10-01
|
Business code |
446110
|
Sponsor’s telephone number |
8453314229
|
Plan sponsor’s
address |
P.O. BOX 759, PORT EWEN, NY, 12466
|
Signature of
Role |
Plan administrator |
Date |
2014-10-02 |
Name of individual signing |
BRUCE SCHECHTER |
|
|
PORT EWEN PHARMACY, INC. 401(K) PLAN AND TRUST
|
2012
|
141778700
|
2013-09-04
|
PORT EWEN PHARMACY, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-10-01
|
Business code |
446110
|
Sponsor’s telephone number |
8453314229
|
Plan sponsor’s
address |
P.O. BOX 759, PORT EWEN, NY, 12466
|
Signature of
Role |
Plan administrator |
Date |
2013-09-04 |
Name of individual signing |
BRUCE SCHECHTER |
|
|
PORT EWEN PHARMACY, INC. 401(K) PLAN AND TRUST
|
2011
|
141778700
|
2012-09-05
|
PORT EWEN PHARMACY, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-10-01
|
Business code |
446110
|
Sponsor’s telephone number |
8453314229
|
Plan sponsor’s
address |
P.O. BOX 759, PORT EWEN, NY, 12466
|
Plan administrator’s name and address
Administrator’s EIN |
141778700 |
Plan administrator’s name |
PORT EWEN PHARMACY, INC. |
Plan administrator’s
address |
P.O. BOX 759, PORT EWEN, NY, 12466 |
Administrator’s telephone number |
8453314229 |
Signature of
Role |
Plan administrator |
Date |
2012-09-05 |
Name of individual signing |
BRUCE SCHECHTER |
|
|
PORT EWEN PHARMACY, INC. 401(K) PLAN AND TRUST
|
2010
|
141778700
|
2011-10-13
|
PORT EWEN PHARMACY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-10-01
|
Business code |
446110
|
Sponsor’s telephone number |
8453314229
|
Plan sponsor’s
address |
P.O. BOX 759, PORT EWEN, NY, 12466
|
Plan administrator’s name and address
Administrator’s EIN |
141778700 |
Plan administrator’s name |
PORT EWEN PHARMACY, INC. |
Plan administrator’s
address |
P.O. BOX 759, PORT EWEN, NY, 12466 |
Administrator’s telephone number |
8453314229 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
BRUCE SCHECHTER |
|
Role |
Employer/plan sponsor |
Date |
2011-10-13 |
Name of individual signing |
BRUCE SCHECHTER |
|
|
PORT EWEN PHARMACY, INC. 401(K) PLAN AND TRUST
|
2009
|
141778700
|
2010-10-13
|
PORT EWEN PHARMACY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-10-01
|
Business code |
446110
|
Sponsor’s telephone number |
8453314229
|
Plan sponsor’s mailing address |
P.O. BOX 759, PORT EWEN, NY, 12466
|
Plan sponsor’s
address |
177 BROADWAY, PORT EWEN, NY, 12466
|
Plan administrator’s name and address
Administrator’s EIN |
141778700 |
Plan administrator’s name |
PORT EWEN PHARMACY, INC. |
Plan administrator’s
address |
P.O. BOX 759, PORT EWEN, NY, 12466 |
Administrator’s telephone number |
8453314229 |
Number of participants as of the end of the plan year
Active participants |
7 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
7 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
BRUCE W. SCHECHTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-13 |
Name of individual signing |
BRUCE W. SCHECHTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|