EYECARE ASSOCIATES, P. C. 401(K) AND PROFIT SHARING PLAN
|
2015
|
841123361
|
2016-03-21
|
EYECARE ASSOCIATES, P. C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-06-01
|
Business code |
621320
|
Sponsor’s telephone number |
9702214811
|
Plan sponsor’s
address |
702 WEST DRAKE, BLDG B, FORT COLLINS, CO, 80526
|
Signature of
Role |
Plan administrator |
Date |
2016-03-21 |
Name of individual signing |
DEANNA ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYECARE ASSOCIATES, P. C. 401(K) AND PROFIT SHARING PLAN
|
2014
|
841123361
|
2015-08-27
|
EYECARE ASSOCIATES, P. C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-06-01
|
Business code |
621320
|
Sponsor’s telephone number |
9702214811
|
Plan sponsor’s
address |
702 WEST DRAKE, BLDG B, FORT COLLINS, CO, 80526
|
Signature of
Role |
Plan administrator |
Date |
2015-08-27 |
Name of individual signing |
DEANNA ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYECARE ASSOCIATES, P. C. 401(K) AND PROFIT SHARING PLAN
|
2013
|
841123361
|
2014-06-02
|
EYECARE ASSOCIATES, P. C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-06-01
|
Business code |
621320
|
Sponsor’s telephone number |
9702214811
|
Plan sponsor’s
address |
702 WEST DRAKE, BLDG B, FORT COLLINS, CO, 80526
|
Signature of
Role |
Plan administrator |
Date |
2014-06-02 |
Name of individual signing |
DEANNA ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYECARE ASSOCIATES, P. C. 401(K) AND PROFIT SHARING PLAN
|
2012
|
841123361
|
2013-09-05
|
EYECARE ASSOCIATES, P. C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-06-01
|
Business code |
621320
|
Sponsor’s telephone number |
9702214811
|
Plan sponsor’s
address |
702 WEST DRAKE, BLDG B, FORT COLLINS, CO, 80526
|
Signature of
Role |
Plan administrator |
Date |
2013-09-05 |
Name of individual signing |
DEANNA ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-05 |
Name of individual signing |
DEANNA ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYECARE ASSOCIATES, P. C. 401(K) AND PROFIT SHARING PLAN
|
2011
|
841123361
|
2012-06-11
|
EYECARE ASSOCIATES, P. C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-06-01
|
Business code |
621320
|
Sponsor’s telephone number |
9702214811
|
Plan sponsor’s
address |
1304 SOUTH SHIELDS, FORT COLLINS, CO, 80521
|
Plan administrator’s name and address
Administrator’s EIN |
841123361 |
Plan administrator’s name |
EYECARE ASSOCIATES, P. C. |
Plan administrator’s
address |
1304 SOUTH SHIELDS, FORT COLLINS, CO, 80521 |
Administrator’s telephone number |
9702214811 |
Signature of
Role |
Plan administrator |
Date |
2012-06-11 |
Name of individual signing |
DEANNA ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-11 |
Name of individual signing |
DEANNA ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYECARE ASSOCIATES, P. C. 401(K) AND PROFIT SHARING PLAN
|
2010
|
841123361
|
2011-06-24
|
EYECARE ASSOCIATES, P. C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-06-01
|
Business code |
621320
|
Sponsor’s telephone number |
9702214811
|
Plan sponsor’s
address |
1304 SOUTH SHIELDS, FORT COLLINS, CO, 80521
|
Plan administrator’s name and address
Administrator’s EIN |
841123361 |
Plan administrator’s name |
EYECARE ASSOCIATES, P. C. |
Plan administrator’s
address |
1304 SOUTH SHIELDS, FORT COLLINS, CO, 80521 |
Administrator’s telephone number |
9702214811 |
Signature of
Role |
Plan administrator |
Date |
2011-06-23 |
Name of individual signing |
DEANNA ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-23 |
Name of individual signing |
DEANNA ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYECARE ASSOCIATES, P. C. 401(K) AND PROFIT SHARING PLAN
|
2009
|
841123361
|
2010-09-30
|
EYECARE ASSOCIATES, P. C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-06-01
|
Business code |
621320
|
Sponsor’s telephone number |
9702214811
|
Plan sponsor’s
address |
1304 SOUTH SHIELDS, FORT COLLINS, CO, 80521
|
Plan administrator’s name and address
Administrator’s EIN |
841123361 |
Plan administrator’s name |
EYECARE ASSOCIATES, P. C. |
Plan administrator’s
address |
1304 SOUTH SHIELDS, FORT COLLINS, CO, 80521 |
Administrator’s telephone number |
9702214811 |
Signature of
Role |
Plan administrator |
Date |
2010-09-30 |
Name of individual signing |
DEANNA ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-30 |
Name of individual signing |
DEANNA ALEXANDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|