FREEPORT OPTOMETRIC CENTER, P.C. PROFIT SHARING AND 401(K) PLAN
|
2023
|
363337367
|
2024-06-24
|
FREEPORT OPTOMETRIC CENTER, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-02-01
|
Business code |
621320
|
Sponsor’s telephone number |
8152353466
|
Plan sponsor’s
address |
980 W. SOUTH ST., FREEPORT, IL, 61032
|
Plan administrator’s name and address
Administrator’s EIN |
453812777 |
Plan administrator’s name |
SAVANT CAPITAL, LLC |
Plan administrator’s
address |
190 BUCKLEY DRIVE, ROCKFORD, IL, 61107 |
Administrator’s telephone number |
8444728268 |
Signature of
Role |
Plan administrator |
Date |
2024-06-24 |
Name of individual signing |
LYNNELL MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREEPORT OPTOMETRIC CENTER, P.C. PROFIT SHARING AND 401(K) PLAN
|
2022
|
363337367
|
2023-05-17
|
FREEPORT OPTOMETRIC CENTER, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-02-01
|
Business code |
621320
|
Sponsor’s telephone number |
8152353466
|
Plan sponsor’s
address |
980 W. SOUTH ST., FREEPORT, IL, 61032
|
Plan administrator’s name and address
Administrator’s EIN |
453812777 |
Plan administrator’s name |
SAVANT CAPITAL, LLC |
Plan administrator’s
address |
190 BUCKLEY DRIVE, ROCKFORD, IL, 61107 |
Administrator’s telephone number |
8444728268 |
Signature of
Role |
Plan administrator |
Date |
2023-05-17 |
Name of individual signing |
LYNNELL MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREEPORT OPTOMETRIC CENTER, P.C. PROFIT SHARING AND 401(K) PLAN
|
2021
|
363337367
|
2022-03-29
|
FREEPORT OPTOMETRIC CENTER, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-02-01
|
Business code |
621320
|
Sponsor’s telephone number |
8152353466
|
Plan sponsor’s
address |
980 W. SOUTH ST., FREEPORT, IL, 61032
|
Plan administrator’s name and address
Administrator’s EIN |
453812777 |
Plan administrator’s name |
SAVANT CAPITAL, LLC |
Plan administrator’s
address |
190 BUCKLEY DRIVE, ROCKFORD, IL, 61107 |
Administrator’s telephone number |
8444728268 |
Signature of
Role |
Plan administrator |
Date |
2022-03-29 |
Name of individual signing |
LYNNELL MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREEPORT OPTOMETRIC CENTER, P.C. PROFIT SHARING AND 401(K) PLAN
|
2020
|
363337367
|
2021-04-13
|
FREEPORT OPTOMETRIC CENTER, P.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-02-01
|
Business code |
621320
|
Sponsor’s telephone number |
8152353466
|
Plan sponsor’s
address |
980 W. SOUTH ST., FREEPORT, IL, 61032
|
Plan administrator’s name and address
Administrator’s EIN |
453812777 |
Plan administrator’s name |
SAVANT CAPITAL, LLC |
Plan administrator’s
address |
190 BUCKLEY DRIVE, ROCKFORD, IL, 61107 |
Administrator’s telephone number |
8444728268 |
Signature of
Role |
Plan administrator |
Date |
2021-04-13 |
Name of individual signing |
LYNNELL MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREEPORT OPTOMETRIC CENTER, P.C. PROFIT SHARING AND 401(K) PLAN
|
2019
|
363337367
|
2020-04-07
|
FREEPORT OPTOMETRIC CENTER, P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-02-01
|
Business code |
621320
|
Sponsor’s telephone number |
8152353466
|
Plan sponsor’s
address |
980 W. SOUTH ST., FREEPORT, IL, 61032
|
Plan administrator’s name and address
Administrator’s EIN |
453812777 |
Plan administrator’s name |
SAVANT CAPITAL, LLC |
Plan administrator’s
address |
190 BUCKLEY DRIVE, ROCKFORD, IL, 61107 |
Administrator’s telephone number |
8444728268 |
Signature of
Role |
Plan administrator |
Date |
2020-04-07 |
Name of individual signing |
LYNNELL MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREEPORT OPTOMETRIC CENTER, P.C. PROFIT SHARING AND 401(K) PLAN
|
2018
|
363337367
|
2019-04-10
|
FREEPORT OPTOMETRIC CENTER, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-02-01
|
Business code |
621320
|
Sponsor’s telephone number |
8152353466
|
Plan sponsor’s
address |
980 W. SOUTH ST., FREEPORT, IL, 61032
|
Plan administrator’s name and address
Administrator’s EIN |
453812777 |
Plan administrator’s name |
SAVANT CAPITAL, LLC |
Plan administrator’s
address |
190 BUCKLEY DRIVE, ROCKFORD, IL, 61107 |
Administrator’s telephone number |
8444728268 |
Signature of
Role |
Plan administrator |
Date |
2019-04-10 |
Name of individual signing |
LYNNELL MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREEPORT OPTOMETRIC CENTER, P.C. PROFIT SHARING AND 401(K) PLAN
|
2017
|
363337367
|
2018-04-25
|
FREEPORT OPTOMETRIC CENTER, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-02-01
|
Business code |
621320
|
Sponsor’s telephone number |
8152353466
|
Plan sponsor’s
address |
980 W. SOUTH ST., FREEPORT, IL, 61032
|
Plan administrator’s name and address
Administrator’s EIN |
453812777 |
Plan administrator’s name |
SAVANT CAPITAL, LLC |
Plan administrator’s
address |
190 BUCKLEY DRIVE, ROCKFORD, IL, 61107 |
Administrator’s telephone number |
8444728268 |
Signature of
Role |
Plan administrator |
Date |
2018-04-25 |
Name of individual signing |
LYNNELL MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREEPORT OPTOMETRIC CENTER, P.C. PROFIT SHARING AND 401(K) PLAN
|
2016
|
363337367
|
2017-04-04
|
FREEPORT OPTOMETRIC CENTER, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-02-01
|
Business code |
621320
|
Sponsor’s telephone number |
8152353466
|
Plan sponsor’s
address |
980 W. SOUTH ST., FREEPORT, IL, 61032
|
Plan administrator’s name and address
Administrator’s EIN |
453812777 |
Plan administrator’s name |
SAVANT CAPITAL, LLC |
Plan administrator’s
address |
190 BUCKLEY DRIVE, ROCKFORD, IL, 61107 |
Administrator’s telephone number |
8152270300 |
Signature of
Role |
Plan administrator |
Date |
2017-04-04 |
Name of individual signing |
LYNNELL MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREEPORT OPTOMETRIC CENTER, P.C. PROFIT SHARING AND 401(K) PLAN
|
2015
|
363337367
|
2016-06-16
|
FREEPORT OPTOMETRIC CENTER, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-02-01
|
Business code |
621320
|
Sponsor’s telephone number |
8152353466
|
Plan sponsor’s
address |
980 W. SOUTH ST., FREEPORT, IL, 61032
|
Plan administrator’s name and address
Administrator’s EIN |
453812777 |
Plan administrator’s name |
SAVANT CAPITAL, LLC |
Plan administrator’s
address |
190 BUCKLEY DRIVE, ROCKFORD, IL, 61107 |
Administrator’s telephone number |
8152270300 |
Signature of
Role |
Plan administrator |
Date |
2016-06-16 |
Name of individual signing |
NICOLE GRUNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREEPORT OPTOMETRIC CENTER, P.C. PROFIT SHARING AND 401(K) PLAN
|
2014
|
363337367
|
2015-06-18
|
FREEPORT OPTOMETRIC CENTER, P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-02-01
|
Business code |
621320
|
Sponsor’s telephone number |
8152353466
|
Plan sponsor’s
address |
980 W. SOUTH ST., FREEPORT, IL, 61032
|
Plan administrator’s name and address
Administrator’s EIN |
453812777 |
Plan administrator’s name |
SAVANT CAPITAL, LLC |
Plan administrator’s
address |
190 BUCKLEY DRIVE, ROCKFORD, IL, 61107 |
Administrator’s telephone number |
8152270300 |
Signature of
Role |
Plan administrator |
Date |
2015-06-18 |
Name of individual signing |
NICOLE GRUNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|