|
DEKALB OPTOMETRIC ASSOCIATES, P.C. SALARY REDUCTION PLAN
|
2011
|
362741920
|
2012-10-01
|
DEKALB OPTOMETRIC ASSOCIATES, P.C.
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1989-06-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
8157566388
|
| Plan sponsor’s
address |
121 E. LOCUST STREET, DEKALB, IL, 60115
|
Plan administrator’s name and address
| Administrator’s EIN |
362741920 |
| Plan administrator’s name |
DEKALB OPTOMETRIC ASSOCIATES, P.C. |
| Plan administrator’s
address |
121 E. LOCUST STREET, DEKALB, IL, 60115 |
| Administrator’s telephone number |
8157566388 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-28 |
| Name of individual signing |
VICTOR VERBIC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DEKALB OPTOMETRIC ASSOCIATES, P.C. SALARY REDUCTION PLAN
|
2010
|
362741920
|
2011-06-06
|
DEKALB OPTOMETRIC ASSOCIATES, P.C.
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1989-06-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
8157566388
|
| Plan sponsor’s
address |
121 E. LOCUST STREET, DEKALB, IL, 60115
|
Plan administrator’s name and address
| Administrator’s EIN |
362741920 |
| Plan administrator’s name |
DEKALB OPTOMETRIC ASSOCIATES, P.C. |
| Plan administrator’s
address |
121 E. LOCUST STREET, DEKALB, IL, 60115 |
| Administrator’s telephone number |
8157566388 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-04 |
| Name of individual signing |
VICTOR VERBIC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DEKALB OPTOMETRIC ASSOCIATES, P.C. SALARY REDUCTION PLAN
|
2009
|
362741920
|
2011-01-11
|
DEKALB OPTOMETRIC ASSOCIATES, P.C.
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1989-06-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
8157566388
|
| Plan sponsor’s
address |
121 E. LOCUST STREET, DEKALB, IL, 60115
|
Plan administrator’s name and address
| Administrator’s EIN |
362741920 |
| Plan administrator’s name |
DEKALB OPTOMETRIC ASSOCIATES, P.C. |
| Plan administrator’s
address |
121 E. LOCUST STREET, DEKALB, IL, 60115 |
| Administrator’s telephone number |
8157566388 |
Signature of
| Role |
Plan administrator |
| Date |
2011-01-10 |
| Name of individual signing |
VICTOR VERBIC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
