|
BLUEGRASS EYECARE CENTER 401(K) PLAN
|
2014
|
261966203
|
2015-05-12
|
BLUEGRASS EYECARE CENTER, PLLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8592788443
|
| Plan sponsor’s
address |
715 SHAKER DRIVE, SUITE 120, LEXINGTON, KY, 40504
|
Plan administrator’s name and address
| Administrator’s EIN |
261966203 |
| Plan administrator’s name |
BLUEGRASS EYECARE CENTER, PLLC |
| Plan administrator’s
address |
715 SHAKER DRIVE, SUITE 120, LEXINGTON, KY, 40504 |
| Administrator’s telephone number |
8592788443 |
Signature of
| Role |
Plan administrator |
| Date |
2015-05-12 |
| Name of individual signing |
C. RICHARD BOWERS, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BLUEGRASS EYECARE CENTER 401(K) PLAN
|
2013
|
261966203
|
2014-07-10
|
BLUEGRASS EYECARE CENTER, PLLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8592788443
|
| Plan sponsor’s
address |
715 SHAKER DRIVE, SUITE 120, LEXINGTON, KY, 40504
|
Plan administrator’s name and address
| Administrator’s EIN |
261966203 |
| Plan administrator’s name |
BLUEGRASS EYECARE CENTER, PLLC |
| Plan administrator’s
address |
715 SHAKER DRIVE, SUITE 120, LEXINGTON, KY, 40504 |
| Administrator’s telephone number |
8592788443 |
Signature of
| Role |
Plan administrator |
| Date |
2014-07-10 |
| Name of individual signing |
C. RICHARD BOWERS, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BLUEGRASS EYECARE CENTER 401(K) PLAN
|
2012
|
261966203
|
2013-07-23
|
BLUEGRASS EYECARE CENTER, PLLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8592788443
|
| Plan sponsor’s
address |
715 SHAKER DRIVE, SUITE 120, LEXINGTON, KY, 40504
|
Plan administrator’s name and address
| Administrator’s EIN |
261966203 |
| Plan administrator’s name |
BLUEGRASS EYECARE CENTER, PLLC |
| Plan administrator’s
address |
715 SHAKER DRIVE, SUITE 120, LEXINGTON, KY, 40504 |
| Administrator’s telephone number |
8592788443 |
Signature of
| Role |
Plan administrator |
| Date |
2013-07-23 |
| Name of individual signing |
C. RICHARD BOWERS, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BLUEGRASS EYECARE CENTER 401(K) PLAN
|
2011
|
261966203
|
2012-07-24
|
BLUEGRASS EYECARE CENTER, PLLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8592788443
|
| Plan sponsor’s
address |
715 SHAKER DRIVE, SUITE 120, LEXINGTON, KY, 40504
|
Plan administrator’s name and address
| Administrator’s EIN |
261966203 |
| Plan administrator’s name |
BLUEGRASS EYECARE CENTER, PLLC |
| Plan administrator’s
address |
715 SHAKER DRIVE, SUITE 120, LEXINGTON, KY, 40504 |
| Administrator’s telephone number |
8592788443 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-24 |
| Name of individual signing |
W. DOUGLAS BACK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
