|
SCOTT EYECARE, LTD. 401(K) PLAN
|
2019
|
363773342
|
2020-01-10
|
SCOTT EYECARE, LTD.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-09-01
|
| Business code |
622000
|
| Sponsor’s telephone number |
6308440908
|
| Plan sponsor’s
address |
2075 WIESBROOK ROAD, OSWEGO, IL, 60543
|
Signature of
| Role |
Plan administrator |
| Date |
2020-01-10 |
| Name of individual signing |
CHULA LERDVORATAVEE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SCOTT EYECARE, LTD. 401(K) PLAN
|
2018
|
363773342
|
2019-12-10
|
SCOTT EYECARE, LTD.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-09-01
|
| Business code |
622000
|
| Sponsor’s telephone number |
6308440908
|
| Plan sponsor’s
address |
2075 WIESBROOK ROAD, OSWEGO, IL, 60543
|
Signature of
| Role |
Plan administrator |
| Date |
2019-12-10 |
| Name of individual signing |
CHULA LERDVORATAVEE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SCOTT EYECARE, LTD. 401(K) PLAN
|
2017
|
363773342
|
2018-11-18
|
SCOTT EYECARE, LTD.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-09-01
|
| Business code |
622000
|
| Sponsor’s telephone number |
6308440908
|
| Plan sponsor’s
address |
2075 WIESBROOK ROAD, OSWEGO, IL, 60543
|
Signature of
| Role |
Plan administrator |
| Date |
2018-11-18 |
| Name of individual signing |
CHULA LERDVORATAVEE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SCOTT EYECARE, LTD. 401(K) PLAN
|
2016
|
363773342
|
2018-03-22
|
SCOTT EYECARE, LTD.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-09-01
|
| Business code |
622000
|
| Sponsor’s telephone number |
6308440908
|
| Plan sponsor’s
address |
2075 WIESBROOK ROAD, OSWEGO, IL, 60543
|
Signature of
| Role |
Plan administrator |
| Date |
2018-03-22 |
| Name of individual signing |
CHULA LERDVORATAVEE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SCOTT EYECARE, LTD. 401(K) PLAN
|
2015
|
363773342
|
2017-06-14
|
SCOTT EYECARE, LTD.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-09-01
|
| Business code |
622000
|
| Sponsor’s telephone number |
6308440908
|
| Plan sponsor’s
address |
2075 WIESBROOK ROAD, OSWEGO, IL, 60543
|
Signature of
| Role |
Plan administrator |
| Date |
2017-06-14 |
| Name of individual signing |
CHULA LERDVORATAVEE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
