|
SOUTHEAST EYE ASSOCIATES, PLLC, 401 (K) RETIREMENT PLAN
|
2013
|
300106012
|
2014-04-22
|
SOUTHEAST EYE ASSOCIATES, PLLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6062482549
|
| Plan sponsor’s
address |
1403 E CUMBERLAND AVENUE, P O BOX 979, MIDDLESBORO, KY, 40965
|
Signature of
| Role |
Plan administrator |
| Date |
2014-04-22 |
| Name of individual signing |
LISA HOWARD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-04-22 |
| Name of individual signing |
LISA HOWARD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SOUTHEAST EYE ASSOCIATES, PLLC, 401 (K) RETIREMENT PLAN
|
2012
|
300106012
|
2013-10-09
|
SOUTHEAST EYE ASSOCIATES, PLLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6062482549
|
| Plan sponsor’s
address |
1403 E CUMBERLAND AVENUE, P O BOX 979, MIDDLESBORO, KY, 40965
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-09 |
| Name of individual signing |
LISA HOWARD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-10-09 |
| Name of individual signing |
LISA HOWARD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SOUTHEAST EYE ASSOCIATES, PLLC, 401 (K) RETIREMENT PLAN
|
2011
|
300106012
|
2012-03-15
|
SOUTHEAST EYE ASSOCIATES, PLLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6062482549
|
| Plan sponsor’s
address |
1403 E CUMBERLAND AVENUE, P O BOX 979, MIDDLESBORO, KY, 40965
|
Plan administrator’s name and address
| Administrator’s EIN |
300106012 |
| Plan administrator’s name |
SOUTHEAST EYE ASSOCIATES, PLLC |
| Plan administrator’s
address |
1403 E CUMBERLAND AVENUE, P O BOX 979, MIDDLESBORO, KY, 40965 |
| Administrator’s telephone number |
6062482549 |
Signature of
| Role |
Plan administrator |
| Date |
2012-03-15 |
| Name of individual signing |
LISA HOWARD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-03-15 |
| Name of individual signing |
LISA HOWARD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
