|
FALLS CITY EYE CARE 401(K) SAFE HARBOR PROFIT SHARING PLAN
|
2023
|
811531366
|
2024-07-04
|
FALLS CITY EYE CARE
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
5024689865
|
| Plan sponsor’s
address |
1562 BARDSTOWN RD, LOUISVILLE, KY, 40205
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-04 |
| Name of individual signing |
SHIRLEY HORNER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FALLS CITY EYE CARE 401(K) SAFE HARBOR PROFIT SHARING PLAN
|
2022
|
811531366
|
2023-07-27
|
FALLS CITY EYE CARE
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
5029157794
|
| Plan sponsor’s
address |
1562 BARDSTOWN RD, LOUISVILLE, KY, 40205
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-27 |
| Name of individual signing |
SHIRLEY HORNER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FALLS CITY EYE CARE, LLC CBS BENEFIT PLAN
|
2022
|
811531366
|
2023-12-27
|
FALLS CITY EYE CARE, LLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-06-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
5024689865
|
| Plan sponsor’s
address |
1562 BARDSTOWN RD, LOUISVILLE, KY, 40205
|
Plan administrator’s name and address
| Administrator’s EIN |
846429706 |
| Plan administrator’s name |
SHAWNA BURTON |
| Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number |
5026954700 |
Signature of
| Role |
Plan administrator |
| Date |
2023-12-27 |
| Name of individual signing |
SHAWNA BURTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FALLS CITY EYE CARE 401(K) SAFE HARBOR PROFIT SHARING PLAN
|
2021
|
811531366
|
2022-06-30
|
FALLS CITY EYE CARE
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
5024689865
|
| Plan sponsor’s
address |
1562 BARDSTOWN RD, LOUISVILLE, KY, 40205
|
Signature of
| Role |
Plan administrator |
| Date |
2022-06-30 |
| Name of individual signing |
MICHAEL MARTORANA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FALLS CITY EYE CARE, LLC CBS BENEFIT PLAN
|
2021
|
811531366
|
2022-12-29
|
FALLS CITY EYE CARE, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-06-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
5024689865
|
| Plan sponsor’s
address |
1562 BARDSTOWN RD, LOUISVILLE, KY, 40205
|
Plan administrator’s name and address
| Administrator’s EIN |
846429706 |
| Plan administrator’s name |
SHAWNA BURTON |
| Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number |
5026954700 |
Signature of
| Role |
Plan administrator |
| Date |
2022-12-29 |
| Name of individual signing |
SHAWNA BURTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FALLS CITY EYE CARE, LLC CBS BENEFIT PLAN
|
2020
|
811531366
|
2021-12-14
|
FALLS CITY EYE CARE, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-06-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
5024689865
|
| Plan sponsor’s
address |
1562 BARDSTOWN RD, LOUISVILLE, KY, 40205
|
Plan administrator’s name and address
| Administrator’s EIN |
846429706 |
| Plan administrator’s name |
SHAWNA BURTON |
| Plan administrator’s
address |
464 CHENAULT RD, FRANKFORT, KY, 40601 |
| Administrator’s telephone number |
5026954700 |
Signature of
| Role |
Plan administrator |
| Date |
2021-12-14 |
| Name of individual signing |
SHAWNA BURTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
