PEDIATRIC EYE CARE, LLC 401(K) PROFIT SHARING PLAN
|
2016
|
061633299
|
2017-07-28
|
PEDIATRIC EYE CARE, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034644343
|
Plan sponsor’s
address |
206 CHURCH STREET, GUILFORD, CT, 06437
|
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
MARTHA A HOWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC EYE CARE, LLC 401K PROFIT SHARING PLAN
|
2015
|
061633299
|
2016-07-20
|
PEDIATRIC EYE CARE, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034644343
|
Plan sponsor’s
address |
206 CHURCH STREET, GUILFORD, CT, 06437
|
Signature of
Role |
Plan administrator |
Date |
2016-07-20 |
Name of individual signing |
MARTHA HOWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-20 |
Name of individual signing |
MARTHA HOWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC EYE CARE, LLC 401K PROFIT SHARING PLAN
|
2014
|
061633299
|
2015-06-26
|
PEDIATRIC EYE CARE, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034644343
|
Plan sponsor’s
address |
206 CHURCH STREET, GUILFORD, CT, 06437
|
Signature of
Role |
Plan administrator |
Date |
2015-06-26 |
Name of individual signing |
MARTHA A. HOWARD, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC EYE CARE, LLC 401K PROFIT SHARING PLAN
|
2013
|
061633299
|
2014-10-03
|
PEDIATRIC EYE CARE, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034644343
|
Plan sponsor’s
address |
206 CHURCH STREET, GUILFORD, CT, 06437
|
Signature of
Role |
Plan administrator |
Date |
2014-10-03 |
Name of individual signing |
MARTHA A. HOWARD, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC EYE CARE, LLC 401K PROFIT SHARING PLAN
|
2012
|
061633299
|
2013-04-24
|
PEDIATRIC EYE CARE, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034644343
|
Plan sponsor’s
address |
206 CHURCH STREET, GUILFORD, CT, 06437
|
Signature of
Role |
Plan administrator |
Date |
2013-04-24 |
Name of individual signing |
MARTHA A. HOWARD, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC EYE CARE, LLC 401K PROFIT SHARING PLAN
|
2011
|
061633299
|
2012-06-28
|
PEDIATRIC EYE CARE, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034644343
|
Plan sponsor’s
address |
206 CHURCH STREET, GUILFORD, CT, 06437
|
Plan administrator’s name and address
Administrator’s EIN |
061633299 |
Plan administrator’s name |
PEDIATRIC EYE CARE, LLC |
Plan administrator’s
address |
206 CHURCH STREET, GUILFORD, CT, 06437 |
Administrator’s telephone number |
2034644343 |
Signature of
Role |
Plan administrator |
Date |
2012-06-28 |
Name of individual signing |
MARTHA A. HOWARD, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC EYE CARE, LLC 401(K) PROFIT SHARING PLAN
|
2010
|
061633299
|
2011-09-06
|
PEDIATRIC EYE CARE, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034644343
|
Plan sponsor’s
address |
206 CHURCH STREET, GUILFORD, CT, 06437
|
Plan administrator’s name and address
Administrator’s EIN |
061633299 |
Plan administrator’s name |
PEDIATRIC EYE CARE, LLC |
Plan administrator’s
address |
206 CHURCH STREET, GUILFORD, CT, 06437 |
Administrator’s telephone number |
2034644343 |
Signature of
Role |
Plan administrator |
Date |
2011-09-06 |
Name of individual signing |
MARTHA HOWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|