|
PRAIRIE EYE CENTER, LTD 401(K) PROFIT SHARING PLAN
|
2023
|
370919357
|
2024-09-25
|
PRAIRIE EYE CENTER, LTD
|
52
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1970-05-12
|
| Business code |
621111
|
| Sponsor’s telephone number |
2176983030
|
| Plan sponsor’s
address |
2020 W ILES AVE, SPRINGFIELD, IL, 62704
|
Signature of
| Role |
Plan administrator |
| Date |
2024-09-25 |
| Name of individual signing |
PATTY WILLIAMS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-09-25 |
| Name of individual signing |
PATTY WILLIAMS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PRAIRIE EYE CENTER LTD 401(K) PROFIT SHARING PLAN
|
2022
|
370919357
|
2023-09-28
|
PRAIRIE EYE CENTER LTD
|
54
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1970-05-12
|
| Business code |
621111
|
| Sponsor’s telephone number |
2176983030
|
| Plan sponsor’s
address |
2020 WEST ILES AVENUE, SPRINGFIELD, IL, 62704
|
Signature of
| Role |
Plan administrator |
| Date |
2023-09-28 |
| Name of individual signing |
PATTY WILLIAMS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PRAIRIE EYE CENTER LTD 401(K) PROFIT SHARING PLAN
|
2021
|
370919357
|
2022-09-12
|
PRAIRIE EYE CENTER LTD
|
58
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1970-05-12
|
| Business code |
621111
|
| Sponsor’s telephone number |
2176983030
|
| Plan sponsor’s
address |
2020 WEST LLES AVENUE, SPRINGFIELD, IL, 62704
|
Signature of
| Role |
Plan administrator |
| Date |
2022-09-12 |
| Name of individual signing |
PATTY WILLIAMS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
