MIDWEST EYE CARE, P.C. 401(K) PROFIT SHARING PLAN
|
2013
|
371325149
|
2014-09-23
|
MIDWEST EYE CARE P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3093475115
|
Plan sponsor’s
address |
101 N. PARKWAY, PEKIN, IL, 61554
|
Signature of
Role |
Plan administrator |
Date |
2014-09-23 |
Name of individual signing |
TRACI BACON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST EYE CARE P.C. 401K PROFIT SHARING PLAN
|
2013
|
371325149
|
2014-09-23
|
MIDWEST EYE CARE P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3093475115
|
Plan sponsor’s
address |
101 N. PARKWAY, PEKIN, IL, 61554
|
Signature of
Role |
Plan administrator |
Date |
2014-09-23 |
Name of individual signing |
TRACI BACON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST EYE CARE P.C. 401K PROFIT SHARING PLAN
|
2012
|
371325149
|
2013-07-19
|
MIDWEST EYE CARE P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3093475115
|
Plan sponsor’s
address |
101 N. PARKWAY, PEKIN, IL, 61554
|
Signature of
Role |
Plan administrator |
Date |
2013-07-19 |
Name of individual signing |
TRACI BACON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST EYE CARE P.C. 401K PROFIT SHARING PLAN
|
2011
|
371325149
|
2012-07-17
|
MIDWEST EYE CARE P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3093475115
|
Plan sponsor’s
address |
101 N. PARKWAY, PEKIN, IL, 61554
|
Plan administrator’s name and address
Administrator’s EIN |
371325149 |
Plan administrator’s name |
MIDWEST EYE CARE P.C. |
Plan administrator’s
address |
101 N. PARKWAY, PEKIN, IL, 61554 |
Administrator’s telephone number |
3093475115 |
Signature of
Role |
Plan administrator |
Date |
2012-07-17 |
Name of individual signing |
TRACI BACON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST EYE CARE P.C. 401K PROFIT SHARING PLAN
|
2010
|
371325149
|
2011-06-08
|
MIDWEST EYE CARE P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3093475115
|
Plan sponsor’s
address |
101 N. PARKWAY, PEKIN, IL, 61554
|
Plan administrator’s name and address
Administrator’s EIN |
371325149 |
Plan administrator’s name |
MIDWEST EYE CARE P.C. |
Plan administrator’s
address |
101 N. PARKWAY, PEKIN, IL, 61554 |
Administrator’s telephone number |
3093475115 |
Signature of
Role |
Plan administrator |
Date |
2011-06-08 |
Name of individual signing |
JAMES FARRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST EYE CARE P.C. 401K PROFIT SHARING PLAN
|
2009
|
371325149
|
2010-07-07
|
MIDWEST EYE CARE P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
3093475115
|
Plan sponsor’s
address |
101 N. PARKWAY, PEKIN, IL, 61554
|
Plan administrator’s name and address
Administrator’s EIN |
371325149 |
Plan administrator’s name |
MIDWEST EYE CARE P.C. |
Plan administrator’s
address |
101 N. PARKWAY, PEKIN, IL, 61554 |
Administrator’s telephone number |
3093475115 |
Signature of
Role |
Plan administrator |
Date |
2010-07-07 |
Name of individual signing |
JAMES W. FARRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-07 |
Name of individual signing |
JAMES W. FARRELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|