OPTICAL OUTLETS - LAKELAND 401(K) PLAN
|
2023
|
592929687
|
2024-07-25
|
EYE DOCTORS OPTICAL OUTLET OF LAKELAND, P.A.
|
83
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-07-01
|
Business code |
446130
|
Sponsor’s telephone number |
8138853937
|
Plan sponsor’s
address |
5607 JOHNS ROAD, TAMPA, FL, 33634
|
Signature of
Role |
Plan administrator |
Date |
2024-07-25 |
Name of individual signing |
SHEYRLE BAINE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTICAL OUTLETS - LAKELAND 401(K) PLAN
|
2022
|
592929687
|
2023-07-14
|
EYE DOCTORS OPTICAL OUTLET OF LAKELAND, P.A.
|
83
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-07-01
|
Business code |
446130
|
Sponsor’s telephone number |
8138853937
|
Plan sponsor’s
address |
5607 JOHNS ROAD, TAMPA, FL, 33634
|
Signature of
Role |
Plan administrator |
Date |
2023-07-14 |
Name of individual signing |
SHERYLE BAINE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-14 |
Name of individual signing |
SHERYLE BAINE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTICAL OUTLETS - LAKELAND 401(K) PLAN
|
2021
|
592929687
|
2022-09-14
|
EYE DOCTORS OPTICAL OUTLET OF LAKELAND, P.A.
|
86
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-07-01
|
Business code |
446130
|
Sponsor’s telephone number |
8138853937
|
Plan sponsor’s
address |
5607 JOHNS ROAD, TAMPA, FL, 33634
|
Signature of
Role |
Plan administrator |
Date |
2022-09-14 |
Name of individual signing |
SHERYLE BAINE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-14 |
Name of individual signing |
SHERYLE BAINE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTICAL OUTLETS - LAKELAND 401(K) PLAN
|
2020
|
592929687
|
2021-10-07
|
EYE DOCTORS OPTICAL OUTLET OF LAKELAND, P.A.
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-07-01
|
Business code |
446130
|
Sponsor’s telephone number |
8138853937
|
Plan sponsor’s
address |
5607 JOHNS ROAD, TAMPA, FL, 33634
|
Signature of
Role |
Plan administrator |
Date |
2021-10-07 |
Name of individual signing |
SHERYLE BAINE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTICAL OUTLETS - LAKELAND 401(K) PLAN
|
2019
|
592929687
|
2020-09-24
|
EYE DOCTORS OPTICAL OUTLET OF LAKELAND, P.A.
|
95
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-07-01
|
Business code |
446130
|
Sponsor’s telephone number |
8138853937
|
Plan sponsor’s
address |
5607 JOHNS ROAD, TAMPA, FL, 33634
|
Signature of
Role |
Plan administrator |
Date |
2020-09-24 |
Name of individual signing |
SHERYLE BAINE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-09-24 |
Name of individual signing |
SHERYLE BAINE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTICAL OUTLETS - LAKELAND 401(K) PLAN
|
2018
|
592929687
|
2019-06-21
|
EYE DOCTORS OPTICAL OUTLET OF LAKELAND, P.A.
|
86
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-07-01
|
Business code |
446130
|
Sponsor’s telephone number |
8138853937
|
Plan sponsor’s
address |
5607 JOHNS ROAD, TAMPA, FL, 33634
|
Signature of
Role |
Plan administrator |
Date |
2019-06-21 |
Name of individual signing |
SHERYLE BAINE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|