KASSON EYE CARE, P.A. PROFIT SHARING PLAN
|
2021
|
411932816
|
2022-02-01
|
KASSON EYE CARE, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5076344445
|
Plan sponsor’s
address |
504 S MANTORVILLE AVE, SUITE 1, KASSON, MN, 55944
|
Signature of
Role |
Plan administrator |
Date |
2022-02-01 |
Name of individual signing |
CHRISTINE LESKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KASSON EYE CARE, P.A. PROFIT SHARING PLAN
|
2020
|
411932816
|
2021-04-26
|
KASSON EYE CARE, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5076344445
|
Plan sponsor’s
address |
504 S MANTORVILLE AVE, SUITE 1, KASSON, MN, 55944
|
Signature of
Role |
Plan administrator |
Date |
2021-04-26 |
Name of individual signing |
CHRISTINE LESKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KASSON EYE CARE, P.A. PROFIT SHARING PLAN
|
2019
|
411932816
|
2020-04-22
|
KASSON EYE CARE, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5076344445
|
Plan sponsor’s
address |
504 S MANTORVILLE AVE, SUITE 1, KASSON, MN, 55944
|
Signature of
Role |
Plan administrator |
Date |
2020-04-22 |
Name of individual signing |
CHRISTINE LESKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KASSON EYE CARE, P.A. PROFIT SHARING PLAN
|
2018
|
411932816
|
2019-06-12
|
KASSON EYE CARE, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5076344445
|
Plan sponsor’s
address |
504 S MANTORVILLE AVE, SUITE 1, KASSON, MN, 55944
|
Signature of
Role |
Plan administrator |
Date |
2019-06-12 |
Name of individual signing |
CHRISTINE LESKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KASSON EYE CARE, P.A. PROFIT SHARING PLAN
|
2017
|
411932816
|
2018-06-12
|
KASSON EYE CARE, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5076344445
|
Plan sponsor’s
address |
504 S MANTORVILLE AVE, SUITE 1, KASSON, MN, 55944
|
Signature of
Role |
Plan administrator |
Date |
2018-06-12 |
Name of individual signing |
CHRISTINE LESKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KASSON EYE CARE, P.A. PROFIT SHARING PLAN
|
2016
|
411932816
|
2017-07-18
|
KASSON EYE CARE, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5076344445
|
Plan sponsor’s
address |
504 S MANTORVILLE AVE, SUITE 1, KASSON, MN, 55944
|
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
CHRISTINE LESKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KASSON EYE CARE, P.A. PROFIT SHARING PLAN
|
2015
|
411932816
|
2016-07-31
|
KASSON EYE CARE, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5076344445
|
Plan sponsor’s
address |
504 S MANTORVILLE AVE, SUITE 1, KASSON, MN, 55944
|
Signature of
Role |
Plan administrator |
Date |
2016-07-31 |
Name of individual signing |
CHRISTINE LESKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KASSON EYE CARE, P.A. PROFIT SHARING PLAN
|
2009
|
411932816
|
2010-03-21
|
KASSON EYE CARE, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5076344445
|
Plan sponsor’s
address |
504 S MANTORVILLE AVE, SUITE 1, KASSON, MN, 55944
|
Plan administrator’s name and address
Administrator’s EIN |
411932816 |
Plan administrator’s name |
KASSON EYE CARE, P.A. |
Plan administrator’s
address |
504 S MANTORVILLE AVE, SUITE 1, KASSON, MN, 55944 |
Administrator’s telephone number |
5076344445 |
Signature of
Role |
Plan administrator |
Date |
2010-03-21 |
Name of individual signing |
CHRISTINE LESKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-03-21 |
Name of individual signing |
CHRISTINE LESKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|