BENEFIELD EYE CARE 401(K) RETIREMENT PLAN
|
2010
|
954896128
|
2011-10-11
|
BENEFIELD EYE CARE
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
2283280972
|
Plan sponsor’s
address |
11240 HIGHWAY 49 NORTH STE 300, GULFPORT, MS, 39503
|
Plan administrator’s name and address
Administrator’s EIN |
954896128 |
Plan administrator’s name |
GINGER KUHN |
Plan administrator’s
address |
11240 HIGHWAY 49 NORTH STE 300, GULFPORT, MS, 39503 |
Administrator’s telephone number |
2283280972 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
GINGER KUHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-11 |
Name of individual signing |
GINGER KUHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BENEFIELD EYE CARE 401(K) RETIREMENT PLAN
|
2009
|
954896128
|
2010-09-21
|
BENEFIELD EYE CARE
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621320
|
Plan sponsor’s
address |
11240 HIGHWAY 49 NORTH STE 300, GULFPORT, MS, 39503
|
Plan administrator’s name and address
Administrator’s EIN |
954896128 |
Plan administrator’s name |
DONALD W BENEFIELD, MD |
Plan administrator’s
address |
11240 HIGHWAY 49 NORTH STE 300, GULFPORT, MS, 39503 |
Administrator’s telephone number |
2283280972 |
Signature of
Role |
Plan administrator |
Date |
2010-09-14 |
Name of individual signing |
DON BENEFIELD |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-14 |
Name of individual signing |
DON BENEFIELD |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BENEFIELD EYE CARE 401(K) RETIREMENT PLAN
|
2009
|
954896128
|
2010-09-30
|
BENEFIELD EYE CARE
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621320
|
Plan sponsor’s
address |
11240 HIGHWAY 49 NORTH STE 300, GULFPORT, MS, 39503
|
Plan administrator’s name and address
Administrator’s EIN |
954896128 |
Plan administrator’s name |
GINGER KUHN |
Plan administrator’s
address |
11240 HIGHWAY 49 NORTH STE 300, GULFPORT, MS, 39503 |
Administrator’s telephone number |
2283280972 |
Signature of
Role |
Plan administrator |
Date |
2010-09-30 |
Name of individual signing |
GINGER KUHN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BENEFIELD EYE CARE 401(K) RETIREMENT PLAN
|
2009
|
954896128
|
2010-09-30
|
BENEFIELD EYE CARE
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621320
|
Plan sponsor’s
address |
11240 HIGHWAY 49 NORTH STE 300, GULFPORT, MS, 39503
|
Plan administrator’s name and address
Administrator’s EIN |
954896128 |
Plan administrator’s name |
GINGER KUHN |
Plan administrator’s
address |
11240 HIGHWAY 49 NORTH STE 300, GULFPORT, MS, 39503 |
Administrator’s telephone number |
2283280972 |
Signature of
Role |
Plan administrator |
Date |
2010-09-30 |
Name of individual signing |
GINGER KUHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BENEFIELD EYE CARE 401(K) RETIREMENT PLAN
|
2009
|
954896128
|
2010-09-29
|
BENEFIELD EYE CARE
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621320
|
Plan sponsor’s
address |
11240 HIGHWAY 49 NORTH STE 300, GULFPORT, MS, 39503
|
Plan administrator’s name and address
Administrator’s EIN |
954896128 |
Plan administrator’s name |
DONALD W BENEFIELD, MD |
Plan administrator’s
address |
11240 HIGHWAY 49 NORTH STE 300, GULFPORT, MS, 39503 |
Administrator’s telephone number |
2283280972 |
Signature of
Role |
Plan administrator |
Date |
2010-09-28 |
Name of individual signing |
DONALD W. BENEFIELD |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-28 |
Name of individual signing |
DONALD W. BENEFIELD |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BENEFIELD EYE CARE 401(K) RETIREMENT PLAN
|
2009
|
954896128
|
2010-09-15
|
BENEFIELD EYE CARE
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621320
|
Plan sponsor’s
address |
11240 HIGHWAY 49 NORTH STE 300, GULFPORT, MS, 39503
|
Plan administrator’s name and address
Administrator’s EIN |
954896128 |
Plan administrator’s name |
DONALD W BENEFIELD, MD |
Plan administrator’s
address |
11240 HIGHWAY 49 NORTH STE 300, GULFPORT, MS, 39503 |
Administrator’s telephone number |
2283280972 |
Signature of
Role |
Plan administrator |
Date |
2010-09-14 |
Name of individual signing |
DON BENEFIELD |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-14 |
Name of individual signing |
DON BENEFIELD |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|