COLDWATER VISION CENTER 401(K) PLAN
|
2022
|
200529057
|
2023-07-19
|
COLDWATER VISION CENTER
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6626225173
|
Plan sponsor’s
address |
412 CENTRAL AVE, COLDWATER, MS, 386183843
|
Signature of
Role |
Plan administrator |
Date |
2023-07-19 |
Name of individual signing |
DEBORAH ELLIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-19 |
Name of individual signing |
DEBORAH ELLIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLDWATER VISION CENTER 401(K) PLAN
|
2021
|
200529057
|
2022-05-25
|
COLDWATER VISION CENTER
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6626225173
|
Plan sponsor’s
address |
412 CENTRAL AVE, COLDWATER, MS, 386183843
|
Signature of
Role |
Plan administrator |
Date |
2022-05-25 |
Name of individual signing |
DEBORAH ELLIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-25 |
Name of individual signing |
DEBORAH ELLIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLDWATER VISION CENTER 401(K) PLAN
|
2020
|
200529057
|
2022-04-11
|
COLDWATER VISION CENTER
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6626225173
|
Plan sponsor’s
address |
412 CENTRAL AVE, COLDWATER, MS, 386183843
|
Signature of
Role |
Plan administrator |
Date |
2022-04-11 |
Name of individual signing |
DEBORAH ELLIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-04-11 |
Name of individual signing |
DEBORAH ELLIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLDWATER VISION CENTER 401(K) PLAN
|
2019
|
200529057
|
2020-07-17
|
COLDWATER VISION CENTER
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6626225173
|
Plan sponsor’s
address |
412 CENTRAL AVE, COLDWATER, MS, 386183843
|
Signature of
Role |
Plan administrator |
Date |
2020-07-17 |
Name of individual signing |
DEBORAH ELLIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLDWATER VISION CENTER 401K PLAN
|
2018
|
200529057
|
2019-04-03
|
COLDWATER VISION CENTER
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6626225173
|
Plan sponsor’s
address |
412 CENTRAL AVE, COLDWATER, MS, 386183843
|
Signature of
Role |
Plan administrator |
Date |
2019-04-03 |
Name of individual signing |
DEBORAH ELLIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-03 |
Name of individual signing |
DEBORAH ELLIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLDWATER VISION CENTER 401(K) PLAN
|
2017
|
200529057
|
2018-05-15
|
COLDWATER VISION CENTER
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6626225173
|
Plan sponsor’s
address |
412 CENTRAL AVE, COLDWATER, MS, 386183843
|
Signature of
Role |
Plan administrator |
Date |
2018-05-15 |
Name of individual signing |
COLDWATER VISIONCENTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-15 |
Name of individual signing |
COLDWATER VISIONCENTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLDWATER VISION CENTER 401(K) PLAN
|
2016
|
200529057
|
2017-03-17
|
COLDWATER VISION CENTER
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6626225173
|
Plan sponsor’s
address |
412 CENTRAL AVE, COLDWATER, MS, 386183843
|
Signature of
Role |
Plan administrator |
Date |
2017-03-17 |
Name of individual signing |
DEBORAH ELLIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-03-17 |
Name of individual signing |
DEBORAH ELLIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLDWATER VISION CENTER 401(K) PLAN
|
2015
|
200529057
|
2016-04-21
|
COLDWATER VISION CENTER
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6626225173
|
Plan sponsor’s
address |
412 CENTRAL AVE, COLDWATER, MS, 386183843
|
Signature of
Role |
Plan administrator |
Date |
2016-04-21 |
Name of individual signing |
KRISTOPHER MAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-21 |
Name of individual signing |
KRISTOPHER MAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLDWATER VISION CENTER 401(K) PLAN
|
2014
|
200529057
|
2015-06-29
|
COLDWATER VISION CENTER
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6626225173
|
Plan sponsor’s
address |
412 CENTRAL AVE, COLDWATER, MS, 386183843
|
Signature of
Role |
Plan administrator |
Date |
2015-06-29 |
Name of individual signing |
KRISTOPHER MAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-29 |
Name of individual signing |
KRISTOPHER MAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLDWATER VISION CENTER 401(K) PLAN
|
2013
|
200529057
|
2014-07-24
|
COLDWATER VISION CENTER
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-10-01
|
Business code |
621320
|
Sponsor’s telephone number |
6626225173
|
Plan sponsor’s
address |
412 CENTRAL AVE, COLDWATER, MS, 386183843
|
Signature of
Role |
Plan administrator |
Date |
2014-07-24 |
Name of individual signing |
KRISTOPHER MAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-24 |
Name of individual signing |
KRISTOPHER MAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLDWATER VISION CENTER 401(K) PLAN
|
2012
|
200529057
|
2013-07-30
|
COLDWATER VISION CENTER
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/30/20130730162119P040120213781001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2011-10-01 |
Business code |
621320 |
Sponsor’s telephone number |
6626225173 |
Plan sponsor’s
address |
412 CENTRAL AVE, COLDWATER, MS, 386183843 |
Signature of
Role |
Plan administrator |
Date |
2013-07-30 |
Name of individual signing |
KRISTOPHER MAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-30 |
Name of individual signing |
KRISTOPHER MAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLDWATER VISION CENTER 401K PLAN
|
2011
|
200529057
|
2012-07-24
|
COLDWATER VISION CENTER, LLC
|
14
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/24/20120724154802P030001062884001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
2011-10-01 |
Business code |
621320 |
Sponsor’s telephone number |
6626225173 |
Plan sponsor’s
address |
412 CENTRAL AVE, COLDWATER, MS, 38618 |
Plan administrator’s name and address
Administrator’s EIN |
200529057 |
Plan administrator’s name |
COLDWATER VISION CENTER, LLC |
Plan administrator’s
address |
412 CENTRAL AVE, COLDWATER, MS, 38618 |
Administrator’s telephone number |
6626225173 |
Signature of
Role |
Plan administrator |
Date |
2012-07-24 |
Name of individual signing |
KRISTOPHE MAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|