LAKE REGION EYE CENTER 401K PS PLAN
|
2019
|
411608341
|
2020-06-02
|
LAKE REGION EYE CENTER, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3207637055
|
Plan sponsor’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
|
Plan administrator’s name and address
Administrator’s EIN |
411608341 |
Plan administrator’s name |
LAKE REGION EYE CENTER, INC |
Plan administrator’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426 |
Administrator’s telephone number |
3207637055 |
Signature of
Role |
Plan administrator |
Date |
2020-06-02 |
Name of individual signing |
DAVID SCHNEIDERHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE REGION EYE CENTER 401K PS PLAN
|
2018
|
411608341
|
2019-04-10
|
LAKE REGION EYE CENTER, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3207637055
|
Plan sponsor’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
|
Plan administrator’s name and address
Administrator’s EIN |
411608341 |
Plan administrator’s name |
LAKE REGION EYE CENTER, INC |
Plan administrator’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426 |
Administrator’s telephone number |
3207637055 |
Signature of
Role |
Plan administrator |
Date |
2019-04-10 |
Name of individual signing |
DAVID SCHNEIDERHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE REGION EYE CENTER 401K PS PLAN
|
2017
|
411608341
|
2018-06-21
|
LAKE REGION EYE CENTER, INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3207637055
|
Plan sponsor’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
|
Plan administrator’s name and address
Administrator’s EIN |
411608341 |
Plan administrator’s name |
LAKE REGION EYE CENTER, INC |
Plan administrator’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426 |
Administrator’s telephone number |
3207637055 |
Signature of
Role |
Plan administrator |
Date |
2018-06-21 |
Name of individual signing |
DAVID SCHNEIDERHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE REGION EYE CENTER 401K PS PLAN
|
2016
|
411608341
|
2017-05-22
|
LAKE REGION EYE CENTER, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3207637055
|
Plan sponsor’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
|
Plan administrator’s name and address
Administrator’s EIN |
411608341 |
Plan administrator’s name |
LAKE REGION EYE CENTER, INC |
Plan administrator’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426 |
Administrator’s telephone number |
3207637055 |
Signature of
Role |
Plan administrator |
Date |
2017-05-22 |
Name of individual signing |
DAVID SCHNEIDERHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE REGION EYE CENTER 401K PS PLAN
|
2015
|
411608341
|
2016-07-21
|
LAKE REGION EYE CENTER, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3207637055
|
Plan sponsor’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
|
Plan administrator’s name and address
Administrator’s EIN |
411608341 |
Plan administrator’s name |
LAKE REGION EYE CENTER, INC |
Plan administrator’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426 |
Administrator’s telephone number |
3207637055 |
Signature of
Role |
Plan administrator |
Date |
2016-07-21 |
Name of individual signing |
DAVID SCHNEIDERHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE REGION EYE CENTER 401K PS PLAN
|
2014
|
411608341
|
2015-07-20
|
LAKE REGION EYE CENTER, INC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3207637055
|
Plan sponsor’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
|
Plan administrator’s name and address
Administrator’s EIN |
411608341 |
Plan administrator’s name |
LAKE REGION EYE CENTER, INC |
Plan administrator’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426 |
Administrator’s telephone number |
3207637055 |
Signature of
Role |
Plan administrator |
Date |
2015-07-20 |
Name of individual signing |
DAVID SCHNEIDERHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE REGION EYE CENTER 401K PS PLAN
|
2013
|
411608341
|
2014-07-17
|
LAKE REGION EYE CENTER, INC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3207637055
|
Plan sponsor’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
|
Plan administrator’s name and address
Administrator’s EIN |
411608341 |
Plan administrator’s name |
LAKE REGION EYE CENTER, INC |
Plan administrator’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426 |
Administrator’s telephone number |
3207637055 |
Signature of
Role |
Plan administrator |
Date |
2014-07-17 |
Name of individual signing |
DAVID SCHNEIDERHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE REGION EYE CENTER 401K PS PLAN
|
2012
|
411608341
|
2013-07-31
|
LAKE REGION EYE CENTER, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3207637055
|
Plan sponsor’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
|
Plan administrator’s name and address
Administrator’s EIN |
411608341 |
Plan administrator’s name |
LAKE REGION EYE CENTER, INC |
Plan administrator’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426 |
Administrator’s telephone number |
3207637055 |
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
DAVID SCHNEIDERHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE REGION EYE CENTER 401K PS PLAN
|
2011
|
411608341
|
2012-09-12
|
LAKE REGION EYE CENTER, INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3207637055
|
Plan sponsor’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
|
Plan administrator’s name and address
Administrator’s EIN |
411608341 |
Plan administrator’s name |
LAKE REGION EYE CENTER, INC |
Plan administrator’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426 |
Administrator’s telephone number |
3207637055 |
Signature of
Role |
Plan administrator |
Date |
2012-09-12 |
Name of individual signing |
DAVID SCHNEIDERHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE REGION EYE CENTER 401K PS PLAN
|
2010
|
411608341
|
2011-10-13
|
LAKE REGION EYE CENTER, INC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3207637055
|
Plan sponsor’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426
|
Plan administrator’s name and address
Administrator’s EIN |
411608341 |
Plan administrator’s name |
LAKE REGION EYE CENTER, INC |
Plan administrator’s
address |
610 30TH AVE W STE 200, ALEXANDRIA, MN, 563083426 |
Administrator’s telephone number |
3207637055 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
DAVID SCHNEIDERHAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|