EYE SITE VISION CENTER, INC. 401(K) PLAN
|
2023
|
650414574
|
2024-07-29
|
EYE SITE VISION CENTER, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9545573937
|
Plan sponsor’s
address |
2344 N UNIVERSITY DR, CORAL SPRINGS, FL, 33065
|
Signature of
Role |
Plan administrator |
Date |
2024-07-29 |
Name of individual signing |
GARY GOBERVILLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE SITE VISION CENTER, INC. 401(K) PLAN
|
2019
|
650414574
|
2020-09-30
|
EYE SITE VISION CENTER, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9545573937
|
Plan sponsor’s
address |
2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065
|
Plan administrator’s name and address
Administrator’s EIN |
650414574 |
Plan administrator’s name |
EYE SITE VISION CENTER, INC. |
Plan administrator’s
address |
2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065 |
Administrator’s telephone number |
9545573937 |
Signature of
Role |
Plan administrator |
Date |
2020-09-30 |
Name of individual signing |
GARY GOBERVILLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE SITE VISION CENTER, INC. 401(K) PLAN
|
2018
|
650414574
|
2019-07-30
|
EYE SITE VISION CENTER, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9545573937
|
Plan sponsor’s
address |
2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065
|
Plan administrator’s name and address
Administrator’s EIN |
650414574 |
Plan administrator’s name |
EYE SITE VISION CENTER, INC. |
Plan administrator’s
address |
2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065 |
Administrator’s telephone number |
9545573937 |
Signature of
Role |
Plan administrator |
Date |
2019-07-30 |
Name of individual signing |
GARY GOBERVILLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE SITE VISION CENTER, INC. 401(K) PLAN
|
2017
|
650414574
|
2018-07-16
|
EYE SITE VISION CENTER, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9545570942
|
Plan sponsor’s
address |
2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065
|
Plan administrator’s name and address
Administrator’s EIN |
650414574 |
Plan administrator’s name |
EYE SITE VISION CENTER, INC. |
Plan administrator’s
address |
2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065 |
Administrator’s telephone number |
9545570942 |
Signature of
Role |
Plan administrator |
Date |
2018-07-16 |
Name of individual signing |
GARY GOBERVILLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE SITE VISION CENTER, INC. 401(K) PLAN
|
2016
|
650414574
|
2017-05-17
|
EYE SITE VISION CENTER, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9545570942
|
Plan sponsor’s
address |
2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065
|
Plan administrator’s name and address
Administrator’s EIN |
650414574 |
Plan administrator’s name |
EYE SITE VISION CENTER, INC. |
Plan administrator’s
address |
2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065 |
Administrator’s telephone number |
9545570942 |
Signature of
Role |
Plan administrator |
Date |
2017-05-17 |
Name of individual signing |
GARY GOBERVILLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE SITE VISION CENTER, INC. 401(K) PLAN
|
2015
|
650414574
|
2016-06-29
|
EYE SITE VISION CENTER, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9547830721
|
Plan sponsor’s
address |
2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065
|
Plan administrator’s name and address
Administrator’s EIN |
650414574 |
Plan administrator’s name |
EYE SITE VISION CENTER, INC. |
Plan administrator’s
address |
2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065 |
Administrator’s telephone number |
9547830721 |
Signature of
Role |
Plan administrator |
Date |
2016-06-29 |
Name of individual signing |
GARY GOBERVILLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE SITE VISION CENTER, INC. 401(K) PLAN
|
2014
|
650414574
|
2015-07-14
|
EYE SITE VISION CENTER, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9547830721
|
Plan sponsor’s
address |
2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065
|
Plan administrator’s name and address
Administrator’s EIN |
650414574 |
Plan administrator’s name |
EYE SITE VISION CENTER, INC. |
Plan administrator’s
address |
2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065 |
Administrator’s telephone number |
9547830721 |
Signature of
Role |
Plan administrator |
Date |
2015-07-14 |
Name of individual signing |
GARY GOBERVILLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE SITE VISION CENTER, INC. 401(K) PLAN
|
2013
|
650414574
|
2014-05-27
|
EYE SITE VISION CENTER, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9547830721
|
Plan sponsor’s
address |
2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065
|
Plan administrator’s name and address
Administrator’s EIN |
650414574 |
Plan administrator’s name |
EYE SITE VISION CENTER, INC. |
Plan administrator’s
address |
2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065 |
Administrator’s telephone number |
9547830721 |
Signature of
Role |
Plan administrator |
Date |
2014-05-27 |
Name of individual signing |
GARY GOBERVILLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE SITE VISION CENTER, INC. 401(K) PLAN
|
2012
|
650414574
|
2013-07-01
|
EYE SITE VISION CENTER, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9547830721
|
Plan sponsor’s
address |
2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065
|
Plan administrator’s name and address
Administrator’s EIN |
650414574 |
Plan administrator’s name |
EYE SITE VISION CENTER, INC. |
Plan administrator’s
address |
2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065 |
Administrator’s telephone number |
9547830721 |
Signature of
Role |
Plan administrator |
Date |
2013-07-01 |
Name of individual signing |
TAWNIE GOBERVILLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EYE SITE VISION CENTER, INC. 401(K) PLAN
|
2011
|
650414574
|
2012-04-30
|
EYE SITE VISION CENTER, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
9547830721
|
Plan sponsor’s
address |
2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065
|
Plan administrator’s name and address
Administrator’s EIN |
650414574 |
Plan administrator’s name |
EYE SITE VISION CENTER, INC. |
Plan administrator’s
address |
2344 UNIVERSITY DRIVE, CORAL SPRING, FL, 33065 |
Administrator’s telephone number |
9547830721 |
Signature of
Role |
Plan administrator |
Date |
2012-04-30 |
Name of individual signing |
TAWNIE GOBERVILLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|