PRISM EYE CARE, INC. 401(K) PLAN
|
2023
|
208780000
|
2024-08-10
|
PRISM EYE CARE, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3123427007
|
Plan sponsor’s
address |
4552 N. LAWNDALE AVE, CHICAGO, IL, 60625
|
Signature of
Role |
Plan administrator |
Date |
2024-08-10 |
Name of individual signing |
NICK RICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRISM EYE CARE, INC. 401(K) PLAN
|
2022
|
208780000
|
2023-07-21
|
PRISM EYE CARE, INC.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7085529006
|
Plan sponsor’s
address |
3448 NORTH MONTICELLO AVENUE, CHICAGO, IL, 60618
|
Signature of
Role |
Plan administrator |
Date |
2023-07-20 |
Name of individual signing |
EIMAN GAFOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRISM EYE CARE, INC. 401(K) PLAN
|
2021
|
208780000
|
2022-09-20
|
PRISM EYE CARE, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3123427007
|
Plan sponsor’s
address |
3448 NORTH MONTICELLO AVENUE, CHICAGO, IL, 60618
|
|
PRISM EYE CARE, INC. 401(K) PLAN
|
2020
|
208780000
|
2021-09-27
|
PRISM EYE CARE, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3123427007
|
Plan sponsor’s
address |
3448 NORTH MONTICELLO AVENUE, CHICAGO, IL, 60618
|
Signature of
Role |
Plan administrator |
Date |
2021-09-27 |
Name of individual signing |
EIMAN GAFOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRISM EYE CARE, INC. 401(K) PLAN
|
2019
|
208780000
|
2020-07-23
|
PRISM EYE CARE, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3123427007
|
Plan sponsor’s
address |
3448 NORTH MONTICELLO AVENUE, CHICAGO, IL, 60618
|
Signature of
Role |
Plan administrator |
Date |
2020-07-23 |
Name of individual signing |
EIMAN GAFOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRISM EYE CARE, INC. 401(K) PLAN
|
2018
|
208780000
|
2019-10-01
|
PRISM EYE CARE, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3123427007
|
Plan sponsor’s
address |
3448 NORTH MONTICELLO AVENUE, CHICAGO, IL, 60618
|
Signature of
Role |
Plan administrator |
Date |
2019-10-01 |
Name of individual signing |
EIMAN GAFOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRISM EYE CARE, INC. 401(K) PLAN
|
2017
|
208780000
|
2018-10-02
|
PRISM EYE CARE, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3123427007
|
Plan sponsor’s
address |
3448 NORTH MONTICELLO AVENUE, CHICAGO, IL, 60618
|
Signature of
Role |
Plan administrator |
Date |
2018-10-02 |
Name of individual signing |
EIMAN GAFOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRISM EYE CARE, INC. 401(K) PLAN
|
2016
|
208780000
|
2017-07-21
|
PRISM EYE CARE, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3123427007
|
Plan sponsor’s
address |
3448 NORTH MONTICELLO AVENUE, CHICAGO, IL, 60618
|
Signature of
Role |
Plan administrator |
Date |
2017-07-21 |
Name of individual signing |
EIMAN GAFOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRISM EYE CARE, INC. 401(K) PLAN
|
2015
|
208780000
|
2016-07-21
|
PRISM EYE CARE, INC.
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3123427007
|
Plan sponsor’s
address |
3448 NORTH MONTICELLO AVENUE, CHICAGO, IL, 60618
|
Signature of
Role |
Plan administrator |
Date |
2016-07-20 |
Name of individual signing |
EIMAN GAFOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRISM EYE CARE, INC. 401(K) PLAN
|
2013
|
208780000
|
2014-07-29
|
PRISM EYE CARE, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7085529006
|
Plan sponsor’s
address |
3448 NORTH MONTICELLO AVENUE, CHICAGO, IL, 60618
|
Signature of
Role |
Plan administrator |
Date |
2014-07-29 |
Name of individual signing |
EIMAN GAFOUR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|