GROOM EYE CENTER PLLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
260290997
|
2019-10-31
|
GROOM EYE CENTER PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
2395975700
|
Plan sponsor’s
address |
3455 PINE RIDGE RD STE 101, NAPLES, FL, 341093824
|
Signature of
Role |
Plan administrator |
Date |
2019-10-31 |
Name of individual signing |
MIMI GROOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROOM EYE CENTER PLLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
260290997
|
2019-05-10
|
GROOM EYE CENTER PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
2395975700
|
Plan sponsor’s
address |
3455 PINE RIDGE RD STE 101, NAPLES, FL, 341093824
|
Signature of
Role |
Plan administrator |
Date |
2019-05-10 |
Name of individual signing |
MIMI GROOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROOM EYE CENTER PLLC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
260290997
|
2018-04-13
|
GROOM EYE CENTER PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
2395975700
|
Plan sponsor’s
address |
3455 PINE RIDGE RD STE 101, NAPLES, FL, 341093824
|
Signature of
Role |
Plan administrator |
Date |
2018-04-13 |
Name of individual signing |
MIMI GROOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROOM EYE CENTER PLLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
260290997
|
2017-05-17
|
GROOM EYE CENTER PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
2395975700
|
Plan sponsor’s
address |
3455 PINE RIDGE RD STE 101, NAPLES, FL, 341093824
|
Signature of
Role |
Plan administrator |
Date |
2017-05-17 |
Name of individual signing |
MIMI GROOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROOM EYE CENTER PLLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
260290997
|
2016-05-24
|
GROOM EYE CENTER PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
2395975700
|
Plan sponsor’s
address |
3455 PINE RIDGE RD STE 101, NAPLES, FL, 341093824
|
Signature of
Role |
Plan administrator |
Date |
2016-05-24 |
Name of individual signing |
MIMI GROOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROOM EYE CENTER PLLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
260290997
|
2015-05-22
|
GROOM EYE CENTER PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
2395975700
|
Plan sponsor’s
address |
3455 PINE RIDGE RD STE 101, NAPLES, FL, 341093824
|
Signature of
Role |
Plan administrator |
Date |
2015-05-22 |
Name of individual signing |
MIMI GROOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROOM EYE CENTER PLLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
260290997
|
2014-05-08
|
GROOM EYE CENTER PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
2395975700
|
Plan sponsor’s
address |
3455 PINE RIDGE RD STE 101, NAPLES, FL, 341093824
|
Signature of
Role |
Plan administrator |
Date |
2014-05-08 |
Name of individual signing |
MIMI GROOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROOM EYE CENTER PLLC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
260290997
|
2013-06-14
|
GROOM EYE CENTER PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
2395975700
|
Plan sponsor’s
address |
3455 PINE RIDGE RD STE 101, NAPLES, FL, 341093824
|
Signature of
Role |
Plan administrator |
Date |
2013-06-14 |
Name of individual signing |
GROOM EYE CENTER PLLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROOM EYE CENTER PLLC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
260290997
|
2012-06-01
|
GROOM EYE CENTER PLLC
|
7
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
2395975700
|
Plan sponsor’s
address |
3455 PINE RIDGE RD STE 101, NAPLES, FL, 341093824
|
Plan administrator’s name and address
Administrator’s EIN |
260290997 |
Plan administrator’s name |
GROOM EYE CENTER PLLC |
Plan administrator’s
address |
3455 PINE RIDGE RD STE 101, NAPLES, FL, 341093824 |
Administrator’s telephone number |
2395975700 |
Signature of
Role |
Plan administrator |
Date |
2012-06-01 |
Name of individual signing |
GROOM EYE CENTER PLLC |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
GROOM EYE CENTER PLLC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
260290997
|
2012-06-01
|
GROOM EYE CENTER PLLC
|
7
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
2395975700
|
Plan sponsor’s
address |
3455 PINE RIDGE RD STE 101, NAPLES, FL, 341093824
|
Plan administrator’s name and address
Administrator’s EIN |
260290997 |
Plan administrator’s name |
GROOM EYE CENTER PLLC |
Plan administrator’s
address |
3455 PINE RIDGE RD STE 101, NAPLES, FL, 341093824 |
Administrator’s telephone number |
2395975700 |
Signature of
Role |
Plan administrator |
Date |
2012-06-01 |
Name of individual signing |
GROOM EYE CENTER PLLC |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|