LINDSTROM EYE CLINIC, P.A. 401K PROFIT SHARING PLAN AND TRUST
|
2019
|
640750944
|
2020-07-23
|
LINDSTROM EYE CLINIC, P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014280999
|
Plan sponsor’s
address |
P.O. BOX 407, LAUREL, MS, 394410407
|
Signature of
Role |
Plan administrator |
Date |
2020-07-23 |
Name of individual signing |
JUDITH BRADLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDSTROM EYE CLINIC, P.A. 401K PROFIT SHARING PLAN AND TRUST
|
2018
|
640750944
|
2019-07-28
|
LINDSTROM EYE CLINIC, P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014280999
|
Plan sponsor’s
address |
P.O. BOX 407, LAUREL, MS, 394410407
|
Signature of
Role |
Plan administrator |
Date |
2019-07-28 |
Name of individual signing |
JUDITH BRADLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDSTROM EYE CLINIC, P.A. 401K PROFIT SHARING PLAN AND TRUST
|
2017
|
640750944
|
2018-10-15
|
LINDSTROM EYE CLINIC, P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014280999
|
Plan sponsor’s
address |
P.O. BOX 407, LAUREL, MS, 394410407
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
JUDITH BRADLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDSTROM EYE CLINIC, P.A. 401K PROFIT SHARING PLAN AND TRUST
|
2016
|
640750944
|
2017-10-16
|
LINDSTROM EYE CLINIC, P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014280999
|
Plan sponsor’s
address |
P.O. BOX 407, LAUREL, MS, 394410407
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
JUDITH BRADLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDSTROM EYE CLINIC, P.A. 401K PROFIT SHARING PLAN AND TRUST
|
2015
|
640750944
|
2016-10-17
|
LINDSTROM EYE CLINIC, P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014280999
|
Plan sponsor’s
address |
P.O. BOX 407, LAUREL, MS, 394410407
|
Plan administrator’s name and address
Administrator’s EIN |
640750944 |
Plan administrator’s name |
LINDSTROM EYE CLINIC, P.A. |
Plan administrator’s
address |
P.O. BOX 407, LAUREL, MS, 394410407 |
Administrator’s telephone number |
6014280999 |
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
JUDITH BRADLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDSTROM EYE CLINIC, P.A. 401K PROFIT SHARING PLAN AND TRUST
|
2014
|
640750944
|
2015-07-31
|
LINDSTROM EYE CLINIC, P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014280999
|
Plan sponsor’s
address |
P.O. BOX 407, LAUREL, MS, 394410407
|
Plan administrator’s name and address
Administrator’s EIN |
640750944 |
Plan administrator’s name |
LINDSTROM EYE CLINIC, P.A. |
Plan administrator’s
address |
P.O. BOX 407, LAUREL, MS, 394410407 |
Administrator’s telephone number |
6014280999 |
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
JUDITH BRADLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDSTROM EYE CLINIC, P.A. 401K PROFIT SHARING PLAN AND TRUST
|
2013
|
640750944
|
2014-10-15
|
LINDSTROM EYE CLINIC, P.A.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014280999
|
Plan sponsor’s
address |
P.O. BOX 407, LAUREL, MS, 394410407
|
Plan administrator’s name and address
Administrator’s EIN |
640750944 |
Plan administrator’s name |
LINDSTROM EYE CLINIC, P.A. |
Plan administrator’s
address |
P.O. BOX 407, LAUREL, MS, 394410407 |
Administrator’s telephone number |
6014280999 |
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
JUDITH BRADLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDSTROM EYE CLINIC, P.A. 401K PROFIT SHARING PLAN AND TRUST
|
2012
|
640750944
|
2013-10-15
|
LINDSTROM EYE CLINIC, P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014280999
|
Plan sponsor’s
address |
P.O. BOX 407, LAUREL, MS, 394410407
|
Plan administrator’s name and address
Administrator’s EIN |
640750944 |
Plan administrator’s name |
LINDSTROM EYE CLINIC, P.A. |
Plan administrator’s
address |
P.O. BOX 407, LAUREL, MS, 394410407 |
Administrator’s telephone number |
6014280999 |
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
JUDITH BRADLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDSTROM EYE CLINIC, P.A. 401K PROFIT SHARING PLAN AND TRUST
|
2011
|
640750944
|
2012-10-08
|
LINDSTROM EYE CLINIC, P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014280999
|
Plan sponsor’s
address |
P.O. BOX 407, LAUREL, MS, 394410407
|
Plan administrator’s name and address
Administrator’s EIN |
640750944 |
Plan administrator’s name |
LINDSTROM EYE CLINIC, P.A. |
Plan administrator’s
address |
P.O. BOX 407, LAUREL, MS, 394410407 |
Administrator’s telephone number |
6014280999 |
Signature of
Role |
Plan administrator |
Date |
2012-10-08 |
Name of individual signing |
JUDITH BRADLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDSTROM EYE CLINIC, P.A. 401K PROFIT SHARING PLAN AND TRUST
|
2010
|
640750944
|
2011-10-11
|
LINDSTROM EYE CLINIC, P.A.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6014280999
|
Plan sponsor’s
address |
P.O. BOX 407, LAUREL, MS, 394410407
|
Plan administrator’s name and address
Administrator’s EIN |
640750944 |
Plan administrator’s name |
LINDSTROM EYE CLINIC, P.A. |
Plan administrator’s
address |
P.O. BOX 407, LAUREL, MS, 394410407 |
Administrator’s telephone number |
6014280999 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
JUDITH BRADLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDSTROM EYE CLINIC, P.A. 401K PROFIT SHARING PLAN AND TRUST
|
2009
|
640750944
|
2010-10-12
|
LINDSTROM EYE CLINIC, P.A.
|
15
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/12/20101012191743P030023327985001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
2004-01-01 |
Business code |
621111 |
Sponsor’s telephone number |
6014280999 |
Plan sponsor’s
address |
P.O. BOX 407, LAUREL, MS, 394410407 |
Plan administrator’s name and address
Administrator’s EIN |
640750944 |
Plan administrator’s name |
LINDSTROM EYE CLINIC, P.A. |
Plan administrator’s
address |
P.O. BOX 407, LAUREL, MS, 394410407 |
Administrator’s telephone number |
6014280999 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
JUDITH BRADLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-12 |
Name of individual signing |
JUDITH BRADLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|