|
PARKWAY EYECARE, P.C., 401(K) PLAN
|
2010
|
200908675
|
2011-02-28
|
PARKWAY EYECARE, P.C.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-04-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
2083575733
|
| Plan sponsor’s
address |
P.O. BOX 547, SHELLEY, ID, 83274
|
Plan administrator’s name and address
| Administrator’s EIN |
200908675 |
| Plan administrator’s name |
PARKWAY EYECARE, P.C. |
| Plan administrator’s
address |
P.O. BOX 547, SHELLEY, ID, 83274 |
| Administrator’s telephone number |
2083575733 |
Signature of
| Role |
Plan administrator |
| Date |
2011-02-28 |
| Name of individual signing |
NATHAN G. KOHLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-02-28 |
| Name of individual signing |
NATHAN G. KOHLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PARKWAY EYECARE, P.C., 401(K) PLAN
|
2009
|
200908675
|
2010-10-06
|
PARKWAY EYECARE, P.C.
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-04-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
2083575733
|
| Plan sponsor’s
address |
P.O. BOX 547, SHELLEY, ID, 83274
|
Plan administrator’s name and address
| Administrator’s EIN |
200908675 |
| Plan administrator’s name |
PARKWAY EYECARE, P.C. |
| Plan administrator’s
address |
P.O. BOX 547, SHELLEY, ID, 83274 |
| Administrator’s telephone number |
2083575733 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-06 |
| Name of individual signing |
NATHAN G. KOHLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-06 |
| Name of individual signing |
NATHAN G. KOHLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
