EUPORA EYE CLINIC, INC. PROFIT SHARING PLAN & SAFE HARBOR MATCH PLAN
|
2020
|
640839354
|
2021-10-13
|
EUPORA EYE CLINIC, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6622582020
|
Plan sponsor’s
address |
840 CR 53, US HOUSTON, MS, 38851
|
Signature of
Role |
Plan administrator |
Date |
2021-10-13 |
Name of individual signing |
CHARLIE TILLMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EUPORA EYE CLINIC, INC. PROFIT SHARING PLAN & SAFE HARBOR MATCH PLAN
|
2019
|
640839354
|
2020-09-03
|
EUPORA EYE CLINIC, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6622582020
|
Plan sponsor’s
address |
840 CR 53, US HOUSTON, MS, 38851
|
Signature of
Role |
Plan administrator |
Date |
2020-09-03 |
Name of individual signing |
CHARLIE TILLMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EUPORA EYE CLINIC, INC. PROFIT SHARING PLAN & SAFE HARBOR MATCH PLAN
|
2018
|
640839354
|
2020-02-25
|
EUPORA EYE CLINIC, INC.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6622582020
|
Plan sponsor’s
address |
840 CR 53, US HOUSTON, MS, 38851
|
Signature of
Role |
Plan administrator |
Date |
2020-02-25 |
Name of individual signing |
CHARLIE TILLMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EUPORA EYE CLINIC, INC. PROFIT SHARING PLAN & SAFE HARBOR MATCH PLAN
|
2017
|
640839354
|
2018-10-15
|
EUPORA EYE CLINIC, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6622582020
|
Plan sponsor’s
address |
840 CR 53, US HOUSTON, MS, 38851
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
CHARLIE TILLMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EUPORA EYE CLINIC, INC. PROFIT SHARING PLAN & SAFE HARBOR MATCH PLAN
|
2016
|
640839354
|
2017-10-12
|
EUPORA EYE CLINIC, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6622582020
|
Plan sponsor’s
address |
840 CR 53, US HOUSTON, MS, 38851
|
Signature of
Role |
Plan administrator |
Date |
2017-10-12 |
Name of individual signing |
CHARLIE TILLMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EUPORA EYE CLINIC, INC. PSP & SHM PLAN
|
2015
|
640839354
|
2016-05-09
|
EUPORA EYE CLINIC, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6622582020
|
Plan sponsor’s
address |
840 CR 53, HOUSTON, MS, 38851
|
|
EUPORA EYE CLINIC, INC. PSP & SHM PLAN
|
2014
|
640839354
|
2015-04-30
|
EUPORA EYE CLINIC, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6622582020
|
Plan sponsor’s
address |
840 CR 53, HOUSTON, MS, 38851
|
|
EUPORA EYE CLINIC, INC. PSP & SHM PLAN
|
2013
|
640839354
|
2014-09-03
|
EUPORA EYE CLINIC, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6622582020
|
Plan sponsor’s
address |
840 CR 53, HOUSTON, MS, 38851
|
|
EUPORA EYE CLINIC, INC. PSP & SHM PLAN
|
2012
|
640839354
|
2013-07-15
|
EUPORA EYE CLINIC, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6622582020
|
Plan sponsor’s
address |
840 CR 53, HOUSTON, MS, 38851
|
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
DR. CHARLES TILLMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-15 |
Name of individual signing |
DR. CHARLES TILLMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EUPORA EYE CLINIC, INC. PSP & SHM PLAN
|
2011
|
640839354
|
2012-09-19
|
EUPORA EYE CLINIC, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6622582020
|
Plan sponsor’s
address |
840 CR 53, HOUSTON, MS, 38851
|
Plan administrator’s name and address
Administrator’s EIN |
640839354 |
Plan administrator’s name |
EUPORA EYE CLINIC, INC. |
Plan administrator’s
address |
840 CR 53, HOUSTON, MS, 38851 |
Administrator’s telephone number |
6622582020 |
Signature of
Role |
Plan administrator |
Date |
2012-09-19 |
Name of individual signing |
JULIE BOSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EUPORA EYE CLINIC, INC. PSP & SHM PLAN
|
2010
|
640839354
|
2011-10-13
|
EUPORA EYE CLINIC, INC.
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/10/13/20111013094840P030148071025001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2002-10-01 |
Business code |
621320 |
Sponsor’s telephone number |
6622582020 |
Plan sponsor’s
address |
840 CR 53, HOUSTON, MS, 38851 |
Plan administrator’s name and address
Administrator’s EIN |
640839354 |
Plan administrator’s name |
EUPORA EYE CLINIC, INC. |
Plan administrator’s
address |
840 CR 53, HOUSTON, MS, 38851 |
Administrator’s telephone number |
6622582020 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
JULIE BOSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EUPORA EYE CLINIC, INC. PSP & SHM PLAN
|
2009
|
640839354
|
2010-06-24
|
EUPORA EYE CLINIC, INC.
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/06/24/20100624092824P040107947538001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2002-10-01 |
Business code |
621320 |
Sponsor’s telephone number |
6622582020 |
Plan sponsor’s
address |
840 CR 53, HOUSTON, MS, 38851 |
Plan administrator’s name and address
Administrator’s EIN |
640839354 |
Plan administrator’s name |
EUPORA EYE CLINIC, INC. |
Plan administrator’s
address |
840 CR 53, HOUSTON, MS, 38851 |
Administrator’s telephone number |
6622582020 |
Signature of
Role |
Plan administrator |
Date |
2010-06-24 |
Name of individual signing |
CHARLES TILLMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|