|
OPHTHALMOLOGY ASSOCIATES, P. S. C.
|
2022
|
610927174
|
2023-12-26
|
OPHTHALMOLOGY ASSOCIATES, P. S. C.
|
45
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1978-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5028979801
|
| Plan sponsor’s
address |
3810 SPRINGHURST BLVD. #100, LOUISVILLE, KY, 40241
|
Signature of
| Role |
Plan administrator |
| Date |
2023-12-19 |
| Name of individual signing |
THOMAS HARPER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OPHTHALMOLOGY ASSOCIATES, P. S. C.
|
2021
|
610927174
|
2022-12-16
|
OPHTHALMOLOGY ASSOCIATES, P. S. C.
|
42
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1978-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5028979801
|
| Plan sponsor’s
address |
3810 SPRINGHURST BLVD #100, LOUISVILLE, KY, 40241
|
Signature of
| Role |
Plan administrator |
| Date |
2022-12-16 |
| Name of individual signing |
THOMAS HARPER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OPHTHALMOLOGY ASSOCIATES, P. S. C.
|
2020
|
610927174
|
2021-11-10
|
OPHTHALMOLOGY ASSOCIATES, P. S. C.
|
36
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1978-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5028979801
|
| Plan sponsor’s
address |
3810 SPRINGHURST BLVD #100, LOUISVILLE, KY, 40241
|
Signature of
| Role |
Plan administrator |
| Date |
2021-11-10 |
| Name of individual signing |
CRAIG DOUGLAS, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OPHTHALMOLOGY ASSOCIATES, P. S. C.
|
2019
|
610927174
|
2021-03-26
|
OPHTHALMOLOGY ASSOCIATES, P. S. C.
|
36
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1978-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5028979801
|
| Plan sponsor’s
address |
3810 SPRINGHURST BLVD #100, LOUISVILLE, KY, 40241
|
Signature of
| Role |
Plan administrator |
| Date |
2021-03-26 |
| Name of individual signing |
CRAIG DOUGLAS, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-03-26 |
| Name of individual signing |
CRAIG DOUGLAS, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OPHTHALMOLOGY ASSOCIATES, P. S. C. 401(K) RETIREMENT PLAN
|
2018
|
610927174
|
2020-02-10
|
OPHTHALMOLOGY ASSOCIATES, P. S. C.
|
30
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1978-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
5028979801
|
| Plan sponsor’s
address |
3810 SPRINGHURST BLVD #100, LOUISVILLE, KY, 40241
|
Signature of
| Role |
Plan administrator |
| Date |
2020-02-10 |
| Name of individual signing |
CRAIG DOUGLAS, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-02-10 |
| Name of individual signing |
CRAIG DOUGLAS, MD |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
OPHTHALMOLOGY ASSOCIATES, P. S. C. MONEY PURCHASE PENSION PLAN
|
2018
|
610927174
|
2020-02-10
|
OPHTHALMOLOGY ASSOCIATES, P. S. C.
|
31
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1978-09-02
|
| Business code |
621111
|
| Sponsor’s telephone number |
5028979801
|
| Plan sponsor’s
address |
3810 SPRINGHURST BLVD #100, LOUISVILLE, KY, 40241
|
Signature of
| Role |
Plan administrator |
| Date |
2020-02-10 |
| Name of individual signing |
CRAIG DOUGLAS, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-02-10 |
| Name of individual signing |
CRAIG DOUGLAS, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
