LAKEVILLE EYE ASSOCIATES, LLC 401-K PLAN
|
2023
|
263040149
|
2024-05-07
|
LAKEVILLE EYE ASSOCIATES, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604350072
|
Plan sponsor’s
address |
31 PORTER STREET P.O. BOX 548, LAKEVILLE, CT, 060391214
|
Signature of
Role |
Plan administrator |
Date |
2024-05-07 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-05-07 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEVILLE EYE ASSOCIATES, LLC 401-K PLAN
|
2023
|
263040149
|
2024-03-14
|
LAKEVILLE EYE ASSOCIATES, LLC
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604350072
|
Plan sponsor’s
address |
31 PORTER STREET P.O. BOX 548, LAKEVILLE, CT, 060391214
|
Signature of
Role |
Plan administrator |
Date |
2024-03-14 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-03-14 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEVILLE EYE ASSOCIATES, LLC 401-K PLAN
|
2022
|
263040149
|
2023-05-25
|
LAKEVILLE EYE ASSOCIATES, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604350072
|
Plan sponsor’s
address |
31 PORTER STREET P.O. BOX 548, LAKEVILLE, CT, 060391214
|
Signature of
Role |
Plan administrator |
Date |
2023-05-25 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-25 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEVILLE EYE ASSOCIATES, LLC 401-K PLAN
|
2021
|
263040149
|
2022-04-28
|
LAKEVILLE EYE ASSOCIATES, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604350072
|
Plan sponsor’s
address |
31 PORTER STREET P.O. BOX 548, LAKEVILLE, CT, 060391214
|
Signature of
Role |
Plan administrator |
Date |
2022-04-28 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-04-28 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEVILLE EYE ASSOCIATES, LLC 401-K PLAN
|
2020
|
263040149
|
2021-04-08
|
LAKEVILLE EYE ASSOCIATES, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604350072
|
Plan sponsor’s
address |
31 PORTER STREET P.O. BOX 548, LAKEVILLE, CT, 060391214
|
Signature of
Role |
Plan administrator |
Date |
2021-04-08 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-04-08 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEVILLE EYE ASSOCIATES, LLC 401-K PLAN
|
2019
|
263040149
|
2020-04-17
|
LAKEVILLE EYE ASSOCIATES, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604350072
|
Plan sponsor’s
address |
31 PORTER STREET P.O. BOX 548, LAKEVILLE, CT, 060391214
|
Signature of
Role |
Plan administrator |
Date |
2020-04-17 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-04-17 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEVILLE EYE ASSOCIATES, LLC 401-K PLAN
|
2018
|
263040149
|
2019-04-17
|
LAKEVILLE EYE ASSOCIATES, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604350072
|
Plan sponsor’s
address |
31 PORTER STREET P.O. BOX 548, LAKEVILLE, CT, 060391214
|
Signature of
Role |
Plan administrator |
Date |
2019-04-17 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-17 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEVILLE EYE ASSOCIATES, LLC 401-K PLAN
|
2017
|
263040149
|
2018-05-31
|
LAKEVILLE EYE ASSOCIATES, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604350072
|
Plan sponsor’s
address |
31 PORTER STREET P.O. BOX 548, LAKEVILLE, CT, 060391214
|
Signature of
Role |
Plan administrator |
Date |
2018-05-31 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-31 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEVILLE EYE ASSOCIATES, LLC 401-K PLAN
|
2016
|
263040149
|
2017-03-22
|
LAKEVILLE EYE ASSOCIATES, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604350072
|
Plan sponsor’s
address |
31 PORTER STREET P.O. BOX 548, LAKEVILLE, CT, 060391214
|
Signature of
Role |
Plan administrator |
Date |
2017-03-22 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-03-22 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKEVILLE EYE ASSOCIATES, LLC 401-K PLAN
|
2015
|
263040149
|
2016-04-04
|
LAKEVILLE EYE ASSOCIATES, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604350072
|
Plan sponsor’s
address |
31 PORTER STREET P.O. BOX 548, LAKEVILLE, CT, 060391214
|
Signature of
Role |
Plan administrator |
Date |
2016-04-04 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-04 |
Name of individual signing |
WILLIAM KIRBER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|