NORDIN EYE CARE INC. 401(K) PLAN
|
2023
|
202290131
|
2024-07-31
|
NORDIN EYE CARE ASSOCIATES, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9528532234
|
Plan sponsor’s mailing address |
1650 WEST 82ND ST, SUITE 650, BLOOMINGTON, MN, 55431
|
Plan sponsor’s
address |
256 JOHNSON PARKWAY, ST PAUL, MN, 55106
|
Plan administrator’s name and address
Administrator’s EIN |
260025032 |
Plan administrator’s name |
LISA GUZEK MONTAGNE |
Plan administrator’s
address |
1650 WEST 82ND ST, SUITE 650, BLOOMINGTON, MN, 55431 |
Administrator’s telephone number |
9528532234 |
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
Role |
Plan administrator |
Date |
2024-07-30 |
Name of individual signing |
LISA GUZEK MONTAGNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORDIN EYE CARE INC. 401(K) PLAN
|
2022
|
202290131
|
2023-07-30
|
NORDIN EYE CARE ASSOCIATES, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9528532234
|
Plan sponsor’s mailing address |
1650 WEST 82ND ST, SUITE 650, BLOOMINGTON, MN, 55431
|
Plan sponsor’s
address |
256 JOHNSON PARKWAY, ST PAUL, MN, 55106
|
Plan administrator’s name and address
Administrator’s EIN |
260025032 |
Plan administrator’s name |
LISA GUZEK MONTAGNE |
Plan administrator’s
address |
1650 WEST 82ND ST, SUITE 650, BLOOMINGTON, MN, 55431 |
Administrator’s telephone number |
9528532234 |
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
Role |
Plan administrator |
Date |
2023-07-30 |
Name of individual signing |
LISA GUZEK MONTAGNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORDIN EYE CARE INC. 401(K) PLAN
|
2021
|
202290131
|
2022-07-21
|
NORDIN EYE CARE ASSOCIATES, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9528532234
|
Plan sponsor’s mailing address |
1650 WEST 82ND ST, SUITE 650, BLOOMINGTON, MN, 55431
|
Plan sponsor’s
address |
256 JOHNSON PARKWAY, ST PAUL, MN, 55106
|
Plan administrator’s name and address
Administrator’s EIN |
260025032 |
Plan administrator’s name |
LISA GUZEK MONTAGNE |
Plan administrator’s
address |
1650 WEST 82ND ST, SUITE 650, BLOOMINGTON, MN, 55431 |
Administrator’s telephone number |
9528532234 |
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
Role |
Plan administrator |
Date |
2022-07-21 |
Name of individual signing |
LISA GUZEK MONTAGNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORDIN EYE CARE INC. 401(K) PLAN
|
2020
|
202290131
|
2021-07-30
|
NORDIN EYE CARE ASSOCIATES, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9528532234
|
Plan sponsor’s mailing address |
1650 WEST 82ND ST, SUITE 650, BLOOMINGTON, MN, 55431
|
Plan sponsor’s
address |
256 JOHNSON PARKWAY, ST PAUL, MN, 55106
|
Plan administrator’s name and address
Administrator’s EIN |
260025032 |
Plan administrator’s name |
LISA GUZEK MONTAGNE |
Plan administrator’s
address |
1650 WEST 82ND ST, SUITE 650, BLOOMINGTON, MN, 55431 |
Administrator’s telephone number |
9528532234 |
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
Role |
Plan administrator |
Date |
2021-07-30 |
Name of individual signing |
LISA GUZEK MONTAGNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORDIN EYE CARE INC. 401(K) PLAN
|
2019
|
202290131
|
2020-08-04
|
NORDIN EYE CARE ASSOCIATES, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9528532234
|
Plan sponsor’s mailing address |
3800 AMERICAN BLVD W, SUITE 1400, BLOOMINGTON, MN, 55431
|
Plan sponsor’s
address |
256 JOHNSON PARKWAY, ST PAUL, MN, 55106
|
Plan administrator’s name and address
Administrator’s EIN |
260025032 |
Plan administrator’s name |
LISA GUZEK MONTAGNE |
Plan administrator’s
address |
3800 AMERICAN BLVD W, SUITE 1400, BLOOMINGTON, MN, 55431 |
Administrator’s telephone number |
9528532234 |
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-08-04 |
Name of individual signing |
LISA GUZEK MONTAGNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORDIN EYE CARE INC. 401(K) PLAN
|
2018
|
202290131
|
2019-07-30
|
NORDIN EYE CARE ASSOCIATES, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9528532234
|
Plan sponsor’s mailing address |
3800 AMERICAN BLVD W, SUITE 1400, BLOOMINGTON, MN, 55431
|
Plan sponsor’s
address |
256 JOHNSON PARKWAY, ST PAUL, MN, 55106
|
Plan administrator’s name and address
Administrator’s EIN |
260025032 |
Plan administrator’s name |
LISA GUZEK MONTAGNE |
Plan administrator’s
address |
3800 AMERICAN BLVD W, SUITE 1400, BLOOMINGTON, MN, 55431 |
Administrator’s telephone number |
9528532234 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-30 |
Name of individual signing |
LISA GUZEK MONTAGNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORDIN EYE CARE INC. 401(K) PLAN
|
2017
|
202290131
|
2018-07-31
|
NORDIN EYE CARE ASSOCIATES, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9528532234
|
Plan sponsor’s mailing address |
3800 AMERICAN BLVD W, SUITE 1400, BLOOMINGTON, MN, 55431
|
Plan sponsor’s
address |
256 JOHNSON PARKWAY, ST PAUL, MN, 55106
|
Plan administrator’s name and address
Administrator’s EIN |
260025032 |
Plan administrator’s name |
LISA GUZEK MONTAGNE |
Plan administrator’s
address |
3800 AMERICAN BLVD W, SUITE 1400, BLOOMINGTON, MN, 55431 |
Administrator’s telephone number |
9528532234 |
Signature of
Role |
Plan administrator |
Date |
2018-07-31 |
Name of individual signing |
LISA GUZEK MONTAGNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORDIN EYE CARE INC. 401(K) PLAN
|
2016
|
202290131
|
2017-07-31
|
NORDIN EYE CARE ASSOCIATES, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9528532234
|
Plan sponsor’s mailing address |
3800 AMERICAN BLVD W, SUITE 1400, BLOOMINGTON, MN, 55431
|
Plan sponsor’s
address |
256 JOHNSON PARKWAY, ST PAUL, MN, 55106
|
Plan administrator’s name and address
Administrator’s EIN |
260025032 |
Plan administrator’s name |
LISA GUZEK MONTAGNE |
Plan administrator’s
address |
3800 AMERICAN BLVD W, SUITE 1400, BLOOMINGTON, MN, 55431 |
Administrator’s telephone number |
9528532234 |
Signature of
Role |
Plan administrator |
Date |
2017-07-30 |
Name of individual signing |
LISA GUZEK MONTAGNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORDIN EYE CARE INC. 401(K) PLAN
|
2015
|
202290131
|
2016-07-29
|
NORDIN EYE CARE ASSOCIATES, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9528532234
|
Plan sponsor’s mailing address |
3800 AMERICAN BLVD W, SUITE 1400, BLOOMINGTON, MN, 55431
|
Plan sponsor’s
address |
256 JOHNSON PARKWAY, ST PAUL, MN, 55106
|
Plan administrator’s name and address
Administrator’s EIN |
260025032 |
Plan administrator’s name |
LISA GUZEK MONTAGNE |
Plan administrator’s
address |
3800 AMERICAN BLVD W, SUITE 1400, BLOOMINGTON, MN, 55431 |
Administrator’s telephone number |
9528532234 |
Signature of
Role |
Plan administrator |
Date |
2016-07-29 |
Name of individual signing |
LISA GUZEK MONTAGNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORDIN EYE CARE INC. 401(K) PLAN
|
2014
|
202290131
|
2015-07-29
|
NORDIN EYE CARE ASSOCIATES, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9528532234
|
Plan sponsor’s mailing address |
3800 AMERICAN BLVD W, SUITE 1400, BLOOMINGTON, MN, 55431
|
Plan sponsor’s
address |
256 JOHNSON PARKWAY, ST PAUL, MN, 55106
|
Plan administrator’s name and address
Administrator’s EIN |
260025032 |
Plan administrator’s name |
LISA GUZEK MONTAGNE |
Plan administrator’s
address |
3800 AMERICAN BLVD W, SUITE 1400, BLOOMINGTON, MN, 55431 |
Administrator’s telephone number |
9528532234 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-29 |
Name of individual signing |
LISA GUZEK MONTAGNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|