KENNEDY EYE ASSOCIATES 401(K) PLAN
|
2019
|
411422731
|
2020-05-18
|
KENNEDY EYE ASSOCIATES, P.A.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
6514886771
|
Plan sponsor’s
address |
1790 LEXINGTON AVENUE NORTH, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2020-05-18 |
Name of individual signing |
MARY CHRISTIANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNEDY EYE ASSOCIATES 401(K) PLAN
|
2018
|
411422731
|
2019-10-09
|
KENNEDY EYE ASSOCIATES, P.A.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
6514886771
|
Plan sponsor’s
address |
1790 LEXINGTON AVENUE NORTH, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2019-10-09 |
Name of individual signing |
MARY CHRISTIANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNEDY EYE ASSOCIATES 401(K) PLAN
|
2017
|
411422731
|
2018-10-15
|
KENNEDY EYE ASSOCIATES, P.A.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
6514886771
|
Plan sponsor’s
address |
1790 LEXINGTON AVENUE NORTH, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
MARY CHRISTIANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNEDY EYE ASSOCIATES 401(K) PLAN
|
2016
|
411422731
|
2017-02-09
|
KENNEDY EYE ASSOCIATES, P.A.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
6514886771
|
Plan sponsor’s
address |
1790 LEXINGTON AVENUE NORTH, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2017-02-09 |
Name of individual signing |
MARY CHRISTIANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNEDY EYE ASSOCIATES 401(K) PLAN
|
2015
|
411422731
|
2016-07-11
|
KENNEDY EYE ASSOCIATES, P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
6514886771
|
Plan sponsor’s
address |
1790 LEXINGTON AVENUE NORTH, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2016-07-11 |
Name of individual signing |
MARY CHRISTIANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNEDY EYE ASSOCIATES 401K PLAN
|
2014
|
411422731
|
2015-05-18
|
KENNEDY EYE ASSOCIATES, P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
6514886771
|
Plan sponsor’s
address |
1790 LEXINGTON AVENUE NORTH, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2015-05-18 |
Name of individual signing |
MARY CHRISTIANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNEDY EYE ASSOCIATES 401K PLAN
|
2013
|
411422731
|
2014-04-23
|
KENNEDY EYE ASSOCIATES, P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
6514886771
|
Plan sponsor’s
address |
1790 LEXINGTON AVENUE NORTH, ROSEVILLE, MN, 55113
|
Signature of
Role |
Plan administrator |
Date |
2014-04-23 |
Name of individual signing |
MARY CHRISTIANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNEDY EYE ASSOCIATES 401K PLAN
|
2012
|
411422731
|
2013-07-31
|
KENNEDY EYE ASSOCIATES, P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
6514886771
|
Plan sponsor’s
address |
1790 LEXINGTON AVENUE NORTH, ROSEVILLE, MN, 55113
|
Plan administrator’s name and address
Administrator’s EIN |
411422731 |
Plan administrator’s name |
KENNEDY EYE ASSOCIATES, P.A. |
Plan administrator’s
address |
1790 LEXINGTON AVENUE NORTH, ROSEVILLE, MN, 55113 |
Administrator’s telephone number |
6514886771 |
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
MARY CHRISTIANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNEDY EYE ASSOCIATES 401K PLAN
|
2011
|
411422731
|
2012-05-16
|
KENNEDY EYE ASSOCIATES, P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
6514886771
|
Plan sponsor’s
address |
1790 LEXINGTON AVENUE NORTH, ROSEVILLE, MN, 55113
|
Plan administrator’s name and address
Administrator’s EIN |
411422731 |
Plan administrator’s name |
KENNEDY EYE ASSOCIATES, P.A. |
Plan administrator’s
address |
1790 LEXINGTON AVENUE NORTH, ROSEVILLE, MN, 55113 |
Administrator’s telephone number |
6514886771 |
Signature of
Role |
Plan administrator |
Date |
2012-05-16 |
Name of individual signing |
BRIAN KURZHAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KENNEDY EYE ASSOCIATES 401K PLAN
|
2010
|
411422731
|
2011-05-18
|
KENNEDY EYE ASSOCIATES, P.A.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
6514886771
|
Plan sponsor’s
address |
1790 LEXINGTON AVENUE NORTH, ROSEVILLE, MN, 55113
|
Plan administrator’s name and address
Administrator’s EIN |
411422731 |
Plan administrator’s name |
KENNEDY EYE ASSOCIATES, P.A. |
Plan administrator’s
address |
1790 LEXINGTON AVENUE NORTH, ROSEVILLE, MN, 55113 |
Administrator’s telephone number |
6514886771 |
Signature of
Role |
Plan administrator |
Date |
2011-05-18 |
Name of individual signing |
BRIAN KURZHAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|