ADVANCED EYE CARE, S.C. CASH BALANCE PLAN & TRUST
|
2023
|
320083039
|
2024-10-08
|
ADVANCED EYE CARE, S.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8154852727
|
Plan sponsor’s
address |
1870 SILVER CROSS BOULEVARD, SUITE 110, NEW LENOX, IL, 60451
|
Signature of
Role |
Plan administrator |
Date |
2024-10-08 |
Name of individual signing |
TIMOTHY KISLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-08 |
Name of individual signing |
TIMOTHY KISLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED EYE CARE, S.C. 401(K) PROFIT SHARING PLAN
|
2023
|
320083039
|
2024-10-08
|
ADVANCED EYE CARE, S.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8154852727
|
Plan sponsor’s
address |
1870 SILVER CROSS BOULEVARD, SUITE 110, NEW LENOX, IL, 60451
|
Signature of
Role |
Plan administrator |
Date |
2024-10-08 |
Name of individual signing |
TIMOTHY KISLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED EYE CARE, S.C. 401(K) PROFIT SHARING PLAN
|
2022
|
320083039
|
2023-05-26
|
ADVANCED EYE CARE, S.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8154852727
|
Plan sponsor’s
address |
1870 SILVER CROSS BOULEVARD, SUITE 110, NEW LENOX, IL, 60451
|
Signature of
Role |
Plan administrator |
Date |
2023-05-25 |
Name of individual signing |
TIMOTHY A. KISLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-25 |
Name of individual signing |
TIMOTHY A. KISLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED EYE CARE, S.C. CASH BALANCE PLAN & TRUST
|
2022
|
320083039
|
2023-05-24
|
ADVANCED EYE CARE, S.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8154852727
|
Plan sponsor’s
address |
1870 SILVER CROSS BOULEVARD, SUITE 110, NEW LENOX, IL, 60451
|
Signature of
Role |
Plan administrator |
Date |
2023-05-24 |
Name of individual signing |
TIMOTHY A. KISLA, DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-24 |
Name of individual signing |
TIMOTHY A. KISLA, DO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED EYE CARE, S.C. CASH BALANCE PLAN & TRUST
|
2021
|
320083039
|
2022-07-26
|
ADVANCED EYE CARE, S.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8154852727
|
Plan sponsor’s
address |
1870 SILVER CROSS BOULEVARD, SUITE 110, NEW LENOX, IL, 60451
|
Signature of
Role |
Plan administrator |
Date |
2022-07-25 |
Name of individual signing |
TIMOTHY KISLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-25 |
Name of individual signing |
TIMOTHY KISLA |
|
|
ADVANCED EYE CARE, S.C. 401(K) PROFIT SHARING PLAN
|
2021
|
320083039
|
2022-07-26
|
ADVANCED EYE CARE, S.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8154852727
|
Plan sponsor’s
address |
1870 SILVER CROSS BOULEVARD, SUITE 110, NEW LENOX, IL, 60451
|
Signature of
Role |
Plan administrator |
Date |
2022-07-25 |
Name of individual signing |
TIMOTHY KISLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-25 |
Name of individual signing |
TIMOTHY KISLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED EYE CARE, S.C. 401(K) PROFIT SHARING PLAN
|
2020
|
320083039
|
2021-04-29
|
ADVANCED EYE CARE, S.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8154852727
|
Plan sponsor’s
address |
1870 SILVER CROSS BOULEVARD, SUITE 110, NEW LENOX, IL, 60451
|
Signature of
Role |
Plan administrator |
Date |
2021-04-29 |
Name of individual signing |
TIMOTHY KISLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED EYE CARE, S.C. 401(K) PROFIT SHARING PLAN
|
2019
|
320083039
|
2020-06-25
|
ADVANCED EYE CARE, S.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8154852727
|
Plan sponsor’s
address |
1870 SILVER CROSS BOULEVARD, SUITE, NEW LENOX, IL, 60451
|
Signature of
Role |
Plan administrator |
Date |
2020-06-25 |
Name of individual signing |
TIMOTHY KISLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-25 |
Name of individual signing |
TIMOTHY KISLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED EYE CARE, S.C. 401(K) PROFIT SHARING PLAN
|
2018
|
320083039
|
2019-07-17
|
ADVANCED EYE CARE, S.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8154852727
|
Plan sponsor’s
address |
1870 SILVER CROSS BOULEVARD, SUITE, NEW LENOX, IL, 60451
|
Signature of
Role |
Plan administrator |
Date |
2019-07-17 |
Name of individual signing |
TIMOTHY KISLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-17 |
Name of individual signing |
TIMOTHY KISLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADVANCED EYE CARE, S.C. 401(K) PROFIT SHARING PLAN
|
2017
|
320083039
|
2018-07-16
|
ADVANCED EYE CARE, S.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8154852727
|
Plan sponsor’s
address |
1870 SILVER CROSS BOULEVARD, SUITE, NEW LENOX, IL, 60451
|
Signature of
Role |
Plan administrator |
Date |
2018-07-16 |
Name of individual signing |
TIMOTHY KISLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-16 |
Name of individual signing |
TIMOTHY KISLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|