KIRK HOWARD, O.D., P.A. EMPLOYEES' 401(K) PLAN
|
2013
|
591544061
|
2014-10-01
|
KIRK HOWARD, O.D., P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1974-12-31
|
Business code |
621320
|
Sponsor’s telephone number |
8506829286
|
Plan sponsor’s
address |
4645 MEADOW LAKE DRIVE, CRESTVIEW, FL, 32539
|
Signature of
Role |
Plan administrator |
Date |
2014-10-01 |
Name of individual signing |
KIRK HOWARD, O.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIRK HOWARD, O.D., P.A. EMPLOYEES 401(K) PLAN
|
2013
|
591544061
|
2014-10-01
|
KIRK HOWARD, O.D., P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1974-12-31
|
Business code |
621320
|
Sponsor’s telephone number |
8506824014
|
Plan sponsor’s
address |
4645 MEADOW LAKE DR, CRESTVIEW, FL, 32539
|
Signature of
Role |
Plan administrator |
Date |
2014-10-01 |
Name of individual signing |
KIRK HOWARD, O.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIRK HOWARD, O.D., P.A. EMPLOYEES 401(K) PLAN
|
2012
|
591544061
|
2013-10-15
|
KIRK HOWARD, O.D., P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1974-12-31
|
Business code |
621320
|
Sponsor’s telephone number |
8506824014
|
Plan sponsor’s
address |
2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
KIRK HOWARD, O.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIRK HOWARD, O.D., P.A. EMPLOYEES 401(K) PLAN
|
2011
|
591544061
|
2012-07-13
|
KIRK HOWARD, O.D., P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1974-12-31
|
Business code |
621320
|
Sponsor’s telephone number |
8506824014
|
Plan sponsor’s
address |
2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536
|
Plan administrator’s name and address
Administrator’s EIN |
591544061 |
Plan administrator’s name |
KIRK HOWARD, O.D., P.A. |
Plan administrator’s
address |
2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536 |
Administrator’s telephone number |
8506824014 |
Signature of
Role |
Plan administrator |
Date |
2012-07-13 |
Name of individual signing |
KIRK HOWARD, O.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIRK HOWARD, O.D., P.A. EMPLOYEES 401(K) PLAN
|
2010
|
591544061
|
2012-05-15
|
KIRK HOWARD, O.D., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1974-12-31
|
Business code |
621320
|
Sponsor’s telephone number |
8506824014
|
Plan sponsor’s
address |
2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536
|
Plan administrator’s name and address
Administrator’s EIN |
591544061 |
Plan administrator’s name |
KIRK HOWARD, O.D., P.A. |
Plan administrator’s
address |
2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536 |
Administrator’s telephone number |
8506824014 |
Signature of
Role |
Plan administrator |
Date |
2012-05-15 |
Name of individual signing |
KIRK HOWARD, O.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-15 |
Name of individual signing |
KIRK HOWARD, O.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIRK HOWARD, O.D., P.A. EMPLOYEES 401(K) PLAN
|
2010
|
591544061
|
2011-10-14
|
KIRK HOWARD, O.D., P.A.
|
9
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1974-12-31
|
Business code |
621320
|
Sponsor’s telephone number |
8506824014
|
Plan sponsor’s
address |
2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536
|
Plan administrator’s name and address
Administrator’s EIN |
591544061 |
Plan administrator’s name |
KIRK HOWARD, O.D., P.A. |
Plan administrator’s
address |
2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536 |
Administrator’s telephone number |
8506824014 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
KIRK HOWARD, O.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIRK HOWARD, O.D., P.A. EMPLOYEES 401(K) PLAN
|
2009
|
591544061
|
2010-08-17
|
KIRK HOWARD, O.D., P.A.
|
11
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1974-12-31
|
Business code |
621320
|
Sponsor’s telephone number |
8506824014
|
Plan sponsor’s
address |
2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536
|
Plan administrator’s name and address
Administrator’s EIN |
591544061 |
Plan administrator’s name |
KIRK HOWARD, O.D., P.A. |
Plan administrator’s
address |
2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536 |
Administrator’s telephone number |
8506824014 |
Signature of
Role |
Plan administrator |
Date |
2010-08-17 |
Name of individual signing |
KIRK HOWARD, O.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
KIRK HOWARD, O.D., P.A. EMPLOYEES 401(K) PLAN
|
2009
|
591544061
|
2010-08-17
|
KIRK HOWARD, O.D., P.A.
|
11
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1974-12-31
|
Business code |
621320
|
Sponsor’s telephone number |
8506824014
|
Plan sponsor’s
address |
2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536
|
Plan administrator’s name and address
Administrator’s EIN |
591544061 |
Plan administrator’s name |
KIRK HOWARD, O.D., P.A. |
Plan administrator’s
address |
2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536 |
Administrator’s telephone number |
8506824014 |
Signature of
Role |
Plan administrator |
Date |
2010-08-17 |
Name of individual signing |
KIRK HOWARD, O.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-17 |
Name of individual signing |
KIRK HOWARD, O.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
KIRK HOWARD, O.D., P.A. EMPLOYEES 401(K) PLAN
|
2009
|
591544061
|
2010-08-18
|
KIRK HOWARD, O.D., P.A.
|
11
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1974-12-31
|
Business code |
621320
|
Sponsor’s telephone number |
8506824014
|
Plan sponsor’s
address |
2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536
|
Plan administrator’s name and address
Administrator’s EIN |
591544061 |
Plan administrator’s name |
KIRK HOWARD, O.D., P.A. |
Plan administrator’s
address |
2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536 |
Administrator’s telephone number |
8506824014 |
Signature of
Role |
Plan administrator |
Date |
2010-08-18 |
Name of individual signing |
CHARLES HOWARD |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-18 |
Name of individual signing |
CHARLES HOWARD |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
KIRK HOWARD, O.D., P.A. EMPLOYEES 401(K) PLAN
|
2009
|
591544061
|
2010-08-19
|
KIRK HOWARD, O.D., P.A.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1974-12-31
|
Business code |
621320
|
Sponsor’s telephone number |
8506824014
|
Plan sponsor’s
address |
2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536
|
Plan administrator’s name and address
Administrator’s EIN |
591544061 |
Plan administrator’s name |
KIRK HOWARD, O.D., P.A. |
Plan administrator’s
address |
2491 S. FERDON BOULEVARD, CRESTVIEW, FL, 32536 |
Administrator’s telephone number |
8506824014 |
Signature of
Role |
Plan administrator |
Date |
2010-08-19 |
Name of individual signing |
KIRK HOWARD O.D. P.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-19 |
Name of individual signing |
KIRK HOWARD O.D. P.A. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|