FALCK EYE CENTER, LLC PROFIT SHARING PLAN
|
2023
|
043197976
|
2024-05-05
|
FALCK EYE CENTER, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605722020
|
Plan sponsor’s
address |
35 WASHINGTON STREET, MYSTIC, CT, 06355
|
Signature of
Role |
Plan administrator |
Date |
2024-05-05 |
Name of individual signing |
FRANCIS FALCK JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-05-05 |
Name of individual signing |
FRANCIS FALCK JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FALCK EYE CENTER, LLC PROFIT SHARING PLAN
|
2022
|
043197976
|
2023-06-26
|
FALCK EYE CENTER, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605722020
|
Plan sponsor’s
address |
35 WASHINGTON STREET, MYSTIC, CT, 06355
|
Signature of
Role |
Plan administrator |
Date |
2023-06-26 |
Name of individual signing |
FRANCIS FALCK JR., MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-26 |
Name of individual signing |
FRANCIS FALCK JR., MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FALCK EYE CENTER, LLC PROFIT SHARING PLAN
|
2021
|
043197976
|
2022-08-09
|
FALCK EYE CENTER, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605722020
|
Plan sponsor’s
address |
35 WASHINGTON STREET, MYSTIC, CT, 06355
|
Signature of
Role |
Plan administrator |
Date |
2022-08-09 |
Name of individual signing |
FRANCIS FALCK, JR., MD, PHD, MS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-08-09 |
Name of individual signing |
FRANCIS FALCK, JR., MD, PHD, MS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FALCK EYE CENTER, LLC PROFIT SHARING PLAN
|
2020
|
043197976
|
2021-05-30
|
FALCK EYE CENTER, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605722020
|
Plan sponsor’s
address |
35 WASHINGTON STREET, MYSTIC, CT, 06355
|
Signature of
Role |
Plan administrator |
Date |
2021-05-30 |
Name of individual signing |
FRANCIS FALCK, JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-30 |
Name of individual signing |
FRANCIS FALCK, JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FALCK EYE CENTER, LLC PROFIT SHARING PLAN
|
2019
|
043197976
|
2020-04-20
|
FALCK EYE CENTER, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605722020
|
Plan sponsor’s
address |
35 WASHINGTON STREET, MYSTIC, CT, 06355
|
Signature of
Role |
Plan administrator |
Date |
2020-04-20 |
Name of individual signing |
FRANCIS FALCK, JR., MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-04-20 |
Name of individual signing |
FRANCIS FALCK, JR., MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FALCK EYE CENTER, LLC PROFIT SHARING PLAN
|
2018
|
043197976
|
2019-05-02
|
FALCK EYE CENTER, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605722020
|
Plan sponsor’s
address |
35 WASHINGTON STREET, MYSTIC, CT, 06355
|
Signature of
Role |
Plan administrator |
Date |
2019-05-02 |
Name of individual signing |
FRANCIS FALCK, JR., MD, DIRECTOR FE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-02 |
Name of individual signing |
FRANCIS FALCK, JR., MD, DIRECTOR FE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FALCK EYE CENTER, LLC PROFIT SHARING PLAN
|
2017
|
043197976
|
2018-03-24
|
FALCK EYE CENTER, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605722020
|
Plan sponsor’s
address |
35 WASHINGTON STREET, MYSTIC, CT, 06355
|
Signature of
Role |
Plan administrator |
Date |
2018-03-24 |
Name of individual signing |
FRANCIS FALCK, JR., MD, PHD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-24 |
Name of individual signing |
FRANCIS FALCK, JR., MD, PHD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FALCK EYE CENTER, LLC PROFIT SHARING PLAN
|
2016
|
043197976
|
2017-05-19
|
FALCK EYE CENTER, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605722020
|
Plan sponsor’s
address |
35 WASHINGTON STREET, MYSTIC, CT, 06355
|
Signature of
Role |
Plan administrator |
Date |
2017-05-19 |
Name of individual signing |
FRANCIS FALCK, JR., MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-19 |
Name of individual signing |
FRANCIS FALCK, JR., MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FALCK EYE CENTER, LLC PROFIT SHARING PLAN
|
2015
|
043197976
|
2016-07-18
|
FALCK EYE CENTER, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605722020
|
Plan sponsor’s
address |
35 WASHINGTON STREET, MYSTIC, CT, 06355
|
Signature of
Role |
Plan administrator |
Date |
2016-07-18 |
Name of individual signing |
FRANCIS FALCK, JR, MD, DIRECTOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-18 |
Name of individual signing |
FRANCIS FALCK, JR, MD, DIRECTOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FALCK EYE CENTER, LLC PROFIT SHARING PLAN
|
2014
|
043197976
|
2015-07-12
|
FALCK EYE CENTER, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605722020
|
Plan sponsor’s
address |
35 WASHINGTON STREET, MYSTIC, CT, 06355
|
Signature of
Role |
Plan administrator |
Date |
2015-07-12 |
Name of individual signing |
FRANCIS FALCK, JR., MD ADMINISTRATO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-12 |
Name of individual signing |
FRANCIS FALCK, JR., MD ADMINISTRATO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|