|
BROOKLERE PHARMACY (WELFARE PLAN)
|
2022
|
631278571
|
2023-07-27
|
BROOKLERE PHARMACY
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
951
|
| Effective date of plan |
2020-10-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
8669665457
|
| Plan sponsor’s
address |
3633 GRAY AVENUE, ADAMSVILLE, AL, 35005
|
Plan administrator’s name and address
| Administrator’s EIN |
472506773 |
| Plan administrator’s name |
KENNION & CO, LLC |
| Plan administrator’s
address |
2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number |
8669665457 |
Signature of
| Role |
Plan administrator |
| Date |
2023-07-18 |
| Name of individual signing |
W. HAL SHEPHERD |
|
| Role |
Employer/plan sponsor |
| Date |
2023-07-18 |
| Name of individual signing |
W. HAL SHEPHERD |
|
|
|
BROOKLERE PHARMACY (WELFARE PLAN)
|
2021
|
631278571
|
2022-07-29
|
BROOKLERE PHARMACY
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
951
|
| Effective date of plan |
2020-10-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
8669665457
|
| Plan sponsor’s
address |
3633 GRAY AVENUE, ADAMSVILLE, AL, 35005
|
Plan administrator’s name and address
| Administrator’s EIN |
472506773 |
| Plan administrator’s name |
KENNION & CO, LLC |
| Plan administrator’s
address |
2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number |
8669665457 |
Signature of
| Role |
Plan administrator |
| Date |
2022-07-21 |
| Name of individual signing |
W. HAL SHEPHERD |
|
| Role |
Employer/plan sponsor |
| Date |
2022-07-21 |
| Name of individual signing |
W. HAL SHEPHERD |
|
|
|
BROOKLERE PHARMACY (WELFARE PLAN)
|
2020
|
631278571
|
2021-07-25
|
BROOKLERE PHARMACY
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
951
|
| Effective date of plan |
2020-10-01
|
| Business code |
446110
|
| Sponsor’s telephone number |
8669665457
|
| Plan sponsor’s
address |
3633 GRAY AVENUE, ADAMSVILLE, AL, 35005
|
Plan administrator’s name and address
| Administrator’s EIN |
472506773 |
| Plan administrator’s name |
KENNION & CO, LLC |
| Plan administrator’s
address |
2828 OLD 280 COURT, SUITE 110, VESTAVIA, AL, 35243 |
| Administrator’s telephone number |
8669665457 |
Signature of
| Role |
Plan administrator |
| Date |
2021-07-23 |
| Name of individual signing |
W. HAL SHEPHERD |
|
| Role |
Employer/plan sponsor |
| Date |
2021-07-23 |
| Name of individual signing |
W. HAL SHEPHERD |
|
|
