HENDERSON EYE CENTER 401(K) PLAN
|
2020
|
202247391
|
2022-05-19
|
HENDERSON & POSEGATE EYE CENTER, P.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
2176989477
|
Plan sponsor’s
address |
2709 SOUTH KOKE MILL ROAD, SPRINGFIELD, IL, 62711
|
Signature of
Role |
Plan administrator |
Date |
2022-05-19 |
Name of individual signing |
D. WADE HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HENDERSON & POSEGATE EYE CENTER, P. C. 401(K) PLAN
|
2019
|
202247391
|
2020-06-09
|
HENDERSON & POSEGATE EYE CENTER,P.C
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
2176989477
|
Plan sponsor’s
address |
3330 GINGER CREEK DR. #C, SPRINGFIELD, IL, 62711
|
Signature of
Role |
Plan administrator |
Date |
2020-06-09 |
Name of individual signing |
DONALD HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-09 |
Name of individual signing |
DONALD HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HENDERSON & POSEGATE EYE CENTER, P.C. 401(K) PLAN
|
2015
|
202247391
|
2017-07-17
|
HENDERSON & POSEGATE EYE CENTER, P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
2176989477
|
Plan sponsor’s
address |
3330 GINGER CREEK DR. #C, SPRINGFIELD, IL, 62711
|
Signature of
Role |
Plan administrator |
Date |
2017-07-17 |
Name of individual signing |
DONALD W. HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-17 |
Name of individual signing |
DONALD W. HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HENDERSON & POSEGATE EYE CENTER, P.C. 401(K) PLAN
|
2014
|
202247391
|
2016-06-16
|
HENDERSON & POSEGATE EYE CENTER, P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
2176989477
|
Plan sponsor’s
address |
3330 GINGER CREEK DR. #C, SPRINGFIELD, IL, 62711
|
Signature of
Role |
Plan administrator |
Date |
2016-06-16 |
Name of individual signing |
DORSEY HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HENDERSON & POSEGATE EYE CENTER, P.C. 401(K) PLAN
|
2013
|
202247391
|
2015-07-14
|
HENDERSON & POSEGATE EYE CENTER, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
2176989477
|
Plan sponsor’s
address |
3330 GINGER CREEK DR. #C, SPRINGFIELD, IL, 62711
|
Signature of
Role |
Plan administrator |
Date |
2015-07-14 |
Name of individual signing |
D. WADE HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-14 |
Name of individual signing |
D. WADE HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|