JAMESTOWN OPTOMETRIC GROUP, P.C. PROFIT SHARING PLAN
|
2015
|
161364552
|
2016-05-19
|
JAMESTOWN OPTOMETRIC GROUP, P.C.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166647601
|
Plan sponsor’s
address |
555 FAIRMOUNT AVEUNE, JAMESTOWN, NY, 147012750
|
Signature of
Role |
Plan administrator |
Date |
2016-05-19 |
Name of individual signing |
HENRY MOLE |
|
Role |
Employer/plan sponsor |
Date |
2016-05-19 |
Name of individual signing |
HENRY MOLE |
|
|
JAMESTOWN OPTOMETRIC GROUP, P.C. PROFIT SHARING PLAN
|
2014
|
161364552
|
2015-04-08
|
JAMESTOWN OPTOMETRIC GROUP, P.C.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166647601
|
Plan sponsor’s
address |
555 FAIRMOUNT AVEUNE, JAMESTOWN, NY, 147012750
|
Signature of
Role |
Plan administrator |
Date |
2015-04-08 |
Name of individual signing |
HENRY MOLE |
|
Role |
Employer/plan sponsor |
Date |
2015-04-08 |
Name of individual signing |
HENRY MOLE |
|
|
JAMESTOWN OPTOMETRIC GROUP, P.C. PROFIT SHARING PLAN
|
2013
|
161364552
|
2014-05-07
|
JAMESTOWN OPTOMETRIC GROUP, P.C.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166647601
|
Plan sponsor’s
address |
555 FAIRMOUNT AVEUNE, JAMESTOWN, NY, 147012750
|
Signature of
Role |
Plan administrator |
Date |
2014-05-07 |
Name of individual signing |
HENRY MOLE |
|
Role |
Employer/plan sponsor |
Date |
2014-05-07 |
Name of individual signing |
HENRY MOLE |
|
|
JAMESTOWN OPTOMETRIC GROUP, P.C. PROFIT SHARING PLAN
|
2012
|
161364552
|
2013-07-16
|
JAMESTOWN OPTOMETRIC GROUP, P.C.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166647601
|
Plan sponsor’s
address |
555 FAIRMOUNT AVEUNE, JAMESTOWN, NY, 147012750
|
Signature of
Role |
Plan administrator |
Date |
2013-07-16 |
Name of individual signing |
HENRY MOLE |
|
Role |
Employer/plan sponsor |
Date |
2013-07-16 |
Name of individual signing |
HENRY MOLE |
|
|
JAMESTOWN OPTOMETRIC GROUP, P.C. PROFIT SHARING PLAN
|
2011
|
161364552
|
2012-07-25
|
JAMESTOWN OPTOMETRIC GROUP, P.C.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166647601
|
Plan sponsor’s
address |
555 FAIRMOUNT AVEUNE, JAMESTOWN, NY, 147012750
|
Plan administrator’s name and address
Administrator’s EIN |
161364552 |
Plan administrator’s name |
JAMESTOWN OPTOMETRIC GROUP, P.C. |
Plan administrator’s
address |
555 FAIRMOUNT AVEUNE, JAMESTOWN, NY, 147012750 |
Administrator’s telephone number |
7166647601 |
Signature of
Role |
Plan administrator |
Date |
2012-07-25 |
Name of individual signing |
HENRY MOLE |
|
Role |
Employer/plan sponsor |
Date |
2012-07-25 |
Name of individual signing |
HENRY MOLE |
|
|
JAMESTOWN OPTOMETRIC GROUP, P.C. PROFIT SHARING PLAN
|
2010
|
161364552
|
2011-08-19
|
JAMESTOWN OPTOMETRIC GROUP, P.C.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166647601
|
Plan sponsor’s
address |
555 FAIRMOUNT AVEUNE, JAMESTOWN, NY, 147012750
|
Plan administrator’s name and address
Administrator’s EIN |
161364552 |
Plan administrator’s name |
JAMESTOWN OPTOMETRIC GROUP, P.C. |
Plan administrator’s
address |
555 FAIRMOUNT AVEUNE, JAMESTOWN, NY, 147012750 |
Administrator’s telephone number |
7166647601 |
Signature of
Role |
Plan administrator |
Date |
2011-08-19 |
Name of individual signing |
HENRY MOLE |
|
Role |
Employer/plan sponsor |
Date |
2011-08-19 |
Name of individual signing |
HENRY MOLE |
|
|
JAMESTOWN OPTOMETRIC GROUP, P.C. PROFIT SHARING PLAN
|
2010
|
161364552
|
2011-07-27
|
JAMESTOWN OPTOMETRIC GROUP, P.C.
|
35
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166647601
|
Plan sponsor’s
address |
555 FAIRMOUNT AVEUNE, JAMESTOWN, NY, 147012750
|
Plan administrator’s name and address
Administrator’s EIN |
161364552 |
Plan administrator’s name |
JAMESTOWN OPTOMETRIC GROUP, P.C. |
Plan administrator’s
address |
555 FAIRMOUNT AVEUNE, JAMESTOWN, NY, 147012750 |
Administrator’s telephone number |
7166647601 |
Signature of
Role |
Plan administrator |
Date |
2011-07-27 |
Name of individual signing |
HENRY MOLE |
|
Role |
Employer/plan sponsor |
Date |
2011-07-27 |
Name of individual signing |
HENRY MOLE |
|
|
JAMESTOWN OPTOMETRIC GROUP, P.C. PROFIT SHARING PLAN
|
2009
|
161364552
|
2010-07-21
|
JAMESTOWN OPTOMETRIC GROUP, P.C.
|
31
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166647601
|
Plan sponsor’s
address |
555 FAIRMOUNT AVEUNE, JAMESTOWN, NY, 147012750
|
Plan administrator’s name and address
Administrator’s EIN |
161364552 |
Plan administrator’s name |
JAMESTOWN OPTOMETRIC GROUP, P.C. |
Plan administrator’s
address |
555 FAIRMOUNT AVEUNE, JAMESTOWN, NY, 147012750 |
Administrator’s telephone number |
7166647601 |
Signature of
Role |
Plan administrator |
Date |
2010-07-21 |
Name of individual signing |
HENRY W. MOLE |
|
Role |
Employer/plan sponsor |
Date |
2010-07-21 |
Name of individual signing |
HENRY W. MOLE |
|
|
JAMESTOWN OPTOMETRIC GROUP, P.C. PROFIT SHARING PLAN
|
2009
|
161364552
|
2010-09-02
|
JAMESTOWN OPTOMETRIC GROUP, P.C.
|
31
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166647601
|
Plan sponsor’s
address |
555 FAIRMOUNT AVEUNE, JAMESTOWN, NY, 147012750
|
Plan administrator’s name and address
Administrator’s EIN |
161364552 |
Plan administrator’s name |
JAMESTOWN OPTOMETRIC GROUP, P.C. |
Plan administrator’s
address |
555 FAIRMOUNT AVEUNE, JAMESTOWN, NY, 147012750 |
Administrator’s telephone number |
7166647601 |
Signature of
Role |
Plan administrator |
Date |
2010-09-02 |
Name of individual signing |
HENRY MOLE |
|
Role |
Employer/plan sponsor |
Date |
2010-09-02 |
Name of individual signing |
HENRY MOLE |
|
|
JAMESTOWN OPTOMETRIC GROUP, P.C. PROFIT SHARING PLAN
|
2009
|
161364552
|
2010-09-02
|
JAMESTOWN OPTOMETRIC GROUP, P.C.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
7166647601
|
Plan sponsor’s
address |
555 FAIRMOUNT AVEUNE, JAMESTOWN, NY, 147012750
|
Plan administrator’s name and address
Administrator’s EIN |
161364552 |
Plan administrator’s name |
JAMESTOWN OPTOMETRIC GROUP, P.C. |
Plan administrator’s
address |
555 FAIRMOUNT AVEUNE, JAMESTOWN, NY, 147012750 |
Administrator’s telephone number |
7166647601 |
Signature of
Role |
Plan administrator |
Date |
2010-09-02 |
Name of individual signing |
HENRY MOLE |
|
Role |
Employer/plan sponsor |
Date |
2010-09-02 |
Name of individual signing |
HENRY MOLE |
|
|