AURORA VISION, INC.

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

AURORA VISION INC 401(K) P/S PLAN

2023

364153320

2024-08-15

AURORA VISION INC

Signature of

Role	Plan administrator
Date	2024-08-15
Name of individual signing	TIMOTHY J AMBRE
Valid signature	Filed with authorized/valid electronic signature

Role	Employer/plan sponsor
Date	2024-08-15
Name of individual signing	TIMOTHY J AMBRE
Valid signature	Filed with authorized/valid electronic signature

AURORA VISION INC 401(K) P/S PLAN

2022

364153320

2023-03-29

AURORA VISION INC

Plan administrator’s name and address

Administrator’s EIN	364153320
Plan administrator’s name	AURORA VISION INC
Plan administrator’s address	0S850 SPRING GREEN WAY, BATAVIA, IL, 60510
Administrator’s telephone number	6302516065

Signature of

Role	Plan administrator
Date	2023-03-29
Name of individual signing	TIM AMBRE
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
CRAIG D HASENBALG, 1804 N NAPER BLVD STE 350, NAPERVILLE, 60563, DU PAGE	Agent	2024-09-12

Name and Address	Role
TIMOTHY J AMBRE, 0S850 SPRING GREEN WAY BATAVIA IL 60510	President

Name	Type	Effective Date	Cancellation Date	Cancellation Type	Last Renewal Date
DOMINO'S PIZZA #2993	Assume Name	2020-09-17	No data	No data	No data

Class	Series	Voting Rights	Authorized Shares	Issued Shares	Par Value
COMM	No data	Voting Rights	10000	200000	No data

Date of last update: 16 Jan 2025