DEBBY BURK OPTICAL LTD 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
113407012
|
2022-05-30
|
DEBBY BURK OPTICAL LTD
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-01-01
|
Business code |
446130
|
Sponsor’s telephone number |
5169354584
|
Plan sponsor’s
address |
7 OVERLOOK LANE, PLAINVIEW, NY, 11803
|
Signature of
Role |
Plan administrator |
Date |
2022-05-30 |
Name of individual signing |
FARRELL BURK |
|
|
DEBBY BURK OPTICAL LTD 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
113407012
|
2022-09-26
|
DEBBY BURK OPTICAL LTD
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-01-01
|
Business code |
446130
|
Sponsor’s telephone number |
5169354584
|
Plan sponsor’s
address |
7 OVERLOOK LANE, PLAINVIEW, NY, 11803
|
Signature of
Role |
Plan administrator |
Date |
2022-09-26 |
Name of individual signing |
FARRELL BURK |
|
|
DEBBY BURK OPTICAL LTD 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
113407012
|
2022-03-11
|
DEBBY BURK OPTICAL LTD
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-01-01
|
Business code |
446130
|
Sponsor’s telephone number |
5169354584
|
Plan sponsor’s
address |
7 OVERLOOK LANE, PLAINVIEW, NY, 11803
|
Signature of
Role |
Plan administrator |
Date |
2022-03-11 |
Name of individual signing |
FARRELL BURK |
|
|
DEBBY BURK OPTICAL LTD 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
113407012
|
2021-11-01
|
DEBBY BURK OPTICAL LTD
|
13
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-01-01
|
Business code |
446130
|
Sponsor’s telephone number |
5169354584
|
Plan sponsor’s
address |
7 OVERLOOK LANE, PLAINVIEW, NY, 11803
|
Signature of
Role |
Plan administrator |
Date |
2021-11-01 |
Name of individual signing |
FARRELL BURK |
|
|
DEBBY BURK OPTICAL LTD 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
113407012
|
2020-04-14
|
DEBBY BURK OPTICAL LTD
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-01-01
|
Business code |
446130
|
Sponsor’s telephone number |
5169354584
|
Plan sponsor’s
address |
7 OVERLOOK LANE, PLAINVIEW, NY, 11803
|
Signature of
Role |
Plan administrator |
Date |
2020-04-14 |
Name of individual signing |
FARRELL BURK |
|
|
DEBBY BURK OPTICAL LTD 401 K PROFIT SHARING PLAN TRUST
|
2018
|
113407012
|
2019-05-21
|
DEBBY BURK OPTICAL LTD
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-01-01
|
Business code |
446130
|
Sponsor’s telephone number |
5169354584
|
Plan sponsor’s
address |
7 OVERLOOK LANE, PLAINVIEW, NY, 11803
|
Signature of
Role |
Plan administrator |
Date |
2019-05-21 |
Name of individual signing |
FARRELL BURK |
|
|
DEBBY BURK OPTICAL LTD 401 K PROFIT SHARING PLAN TRUST
|
2017
|
113407012
|
2018-10-16
|
DEBBY BURK OPTICAL LTD
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-01-01
|
Business code |
446130
|
Sponsor’s telephone number |
5169354584
|
Plan sponsor’s
address |
7 OVERLOOK LANE, PLAINVIEW, NY, 11803
|
Signature of
Role |
Plan administrator |
Date |
2018-10-16 |
Name of individual signing |
FARRELL BURK |
|
|
DEBBY BURK OPTICAL, LTD. PENSION PLAN
|
2016
|
113407012
|
2017-10-11
|
DEBBY BURK OPTICAL, LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5169354584
|
Plan sponsor’s
address |
7 OVERLOOK LANE, PLAINVIEW, NY, 118033227
|
Signature of
Role |
Plan administrator |
Date |
2017-10-11 |
Name of individual signing |
FARRELL BURK |
|
Role |
Employer/plan sponsor |
Date |
2017-10-11 |
Name of individual signing |
FARRELL BURK |
|
|
DEBBY BURK OPTICAL LTD 401 K PROFIT SHARING PLAN TRUST
|
2016
|
113407012
|
2017-07-07
|
DEBBY BURK OPTICAL LTD
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2012-01-01
|
Business code |
446130
|
Sponsor’s telephone number |
5169354584
|
Plan sponsor’s
address |
7 OVERLOOK LANE, PLAINVIEW, NY, 11803
|
Signature of
Role |
Plan administrator |
Date |
2017-07-07 |
Name of individual signing |
FARRELL BURK |
|
|
DEBBY BURK OPTICAL, LTD. PENSION PLAN
|
2015
|
113407012
|
2016-10-05
|
DEBBY BURK OPTICAL, LTD.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5169354584
|
Plan sponsor’s
address |
7 OVERLOOK LANE, PLAINVIEW, NY, 118033227
|
Signature of
Role |
Plan administrator |
Date |
2016-10-05 |
Name of individual signing |
FARRELL BURK |
|
Role |
Employer/plan sponsor |
Date |
2016-10-05 |
Name of individual signing |
FARRELL BURK |
|
|