|
ELMORE COUNTY EYECARE 401(K) PLAN
|
2023
|
820472975
|
2024-10-03
|
ELMORE COUNTY EYECARE, PA
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
2085872020
|
| Plan sponsor’s
address |
855 AIRBASE ROAD, MOUNTAIN HOME, ID, 83647
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-03 |
| Name of individual signing |
DR. JEFFREY GIBBONS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELMORE COUNTY EYECARE 401(K) PLAN
|
2022
|
820472975
|
2023-10-04
|
ELMORE COUNTY EYECARE, PA
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
2085872020
|
| Plan sponsor’s
address |
855 AIRBASE ROAD, MOUNTAIN HOME, ID, 83647
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-04 |
| Name of individual signing |
DR. JEFFREY GIBBONS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELMORE COUNTY EYECARE 401(K) PLAN
|
2021
|
820472975
|
2022-10-11
|
ELMORE COUNTY EYECARE, PA
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
2085872020
|
| Plan sponsor’s
address |
855 AIRBASE ROAD, MOUNTAIN HOME, ID, 83647
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-11 |
| Name of individual signing |
DR. JEFFREY GIBBONS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELMORE COUNTY EYECARE 401(K) PLAN
|
2020
|
820472975
|
2021-10-04
|
ELMORE COUNTY EYECARE, PA
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
2085872020
|
| Plan sponsor’s
address |
855 AIRBASE ROAD, MOUNTAIN HOME, ID, 83647
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-04 |
| Name of individual signing |
DR. JEFFREY GIBBONS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELMORE COUNTY EYECARE 401(K) PLAN
|
2019
|
820472975
|
2020-09-10
|
ELMORE COUNTY EYECARE, PA
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
2085872020
|
| Plan sponsor’s
address |
855 AIRBASE ROAD, MOUNTAIN HOME, ID, 83647
|
Signature of
| Role |
Plan administrator |
| Date |
2020-09-10 |
| Name of individual signing |
DR. JEFFREY GIBBONS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELMORE COUNTY EYECARE 401(K) PLAN
|
2018
|
820472975
|
2019-07-19
|
ELMORE COUNTY EYECARE, PA
|
9
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
2085872020
|
| Plan sponsor’s
address |
855 AIRBASE ROAD, MOUNTAIN HOME, ID, 83647
|
Signature of
| Role |
Plan administrator |
| Date |
2019-07-18 |
| Name of individual signing |
DR. JEFFREY GIBBONS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ELMORE COUNTY EYECARE 401(K) PLAN
|
2017
|
820472975
|
2018-10-03
|
ELMORE COUNTY EYECARE, PA
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
2085872020
|
| Plan sponsor’s
address |
855 AIRBASE ROAD, MOUNTAIN HOME, ID, 83647
|
Signature of
| Role |
Plan administrator |
| Date |
2018-10-03 |
| Name of individual signing |
DR. JEFFREY GIBBONS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
