|
BEACHES EYE CENTER RETIREMENT SAVINGS PLAN
|
2018
|
270990095
|
2019-05-31
|
BEACHES EYE CENTER P.A.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9042463937
|
| Plan sponsor’s
address |
1351 13TH AVE, SOUTH, SUITE 120-A, JACKSONVILLE BEACH, FL, 32250
|
Signature of
| Role |
Plan administrator |
| Date |
2019-05-31 |
| Name of individual signing |
RICHARD TEN HULZEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BEACHES EYE CENTER RETIREMENT SAVINGS PLAN
|
2017
|
270990095
|
2018-06-18
|
BEACHES EYE CENTER P.A.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9042463937
|
| Plan sponsor’s
address |
1351 13TH AVE, SOUTH, SUITE 120-A, JACKSONVILLE BEACH, FL, 32250
|
Signature of
| Role |
Plan administrator |
| Date |
2018-06-18 |
| Name of individual signing |
RICHARD TEN HULZEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BEACHES EYE CENTER
|
2016
|
270990095
|
2017-05-01
|
BEACHES EYE CENTER P.A.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9042463937
|
| Plan sponsor’s
address |
1351 13TH AVE, SOUTH, SUITE 120-A, JACKSONVILLE BEACH, FL, 32250
|
Signature of
| Role |
Plan administrator |
| Date |
2017-05-01 |
| Name of individual signing |
RICHARD TEN HULZEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
