MODEL OPTICS INC 401(K) PROFIT SHARING PLAN
|
2014
|
141515187
|
2017-06-20
|
MODEL OPTICS INC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
327210
|
Sponsor’s telephone number |
8453328562
|
Plan sponsor’s
address |
315 TANGLEWOOD COURT, WEST HURLEY, NY, 12491
|
Signature of
Role |
Plan administrator |
Date |
2017-06-20 |
Name of individual signing |
MONICA KIM |
|
|
MODEL OPTICS INC 401(K) PROFIT SHARING PLAN
|
2013
|
141515187
|
2014-11-04
|
MODEL OPTICS INC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
327210
|
Sponsor’s telephone number |
8456847084
|
Plan sponsor’s
address |
315 TANGLEWOOD COURT, WEST HURLEY, NY, 12491
|
Signature of
Role |
Plan administrator |
Date |
2014-11-04 |
Name of individual signing |
MONICA KIM |
|
Role |
Employer/plan sponsor |
Date |
2014-11-04 |
Name of individual signing |
MONICA KIM |
|
|
MODEL OPTICS INC 401(K) PROFIT SHARING PLAN
|
2012
|
141515187
|
2014-11-04
|
MODEL OPTICS INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
327210
|
Sponsor’s telephone number |
8456847084
|
Plan sponsor’s
address |
315 TANGLEWOOD COURT, WEST HURLEY, NY, 12491
|
Signature of
Role |
Plan administrator |
Date |
2014-11-04 |
Name of individual signing |
MONICA KIM |
|
Role |
Employer/plan sponsor |
Date |
2014-11-04 |
Name of individual signing |
MONICA KIM |
|
|
MODEL OPTICS INC. EMPLOYEE STOCK OPTION PLAN AND TRUST
|
2012
|
141515187
|
2013-10-15
|
MODEL OPTICS
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
8453328562
|
Plan sponsor’s mailing address |
315 TANGLEWOOD COURT, WEST HURLEY, NY, 12491
|
Plan sponsor’s
address |
10 DIXON AVE, WOODSTOCK, NY, 12498
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
MONICA KIM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MODEL OPTICS INC 401(K) PROFIT SHARING PLAN
|
2011
|
141515187
|
2014-11-04
|
MODEL OPTICS INC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
327210
|
Sponsor’s telephone number |
8456847084
|
Plan sponsor’s
address |
315 TANGLEWOOD COURT, WEST HURLEY, NY, 12491
|
Plan administrator’s name and address
Administrator’s EIN |
141515187 |
Plan administrator’s name |
MODEL OPTICS INC |
Plan administrator’s
address |
315 TANGLEWOOD COURT, WEST HURLEY, NY, 12491 |
Administrator’s telephone number |
8456847084 |
Signature of
Role |
Plan administrator |
Date |
2014-11-04 |
Name of individual signing |
MONICA KIM |
|
Role |
Employer/plan sponsor |
Date |
2014-11-04 |
Name of individual signing |
MONICA KIM |
|
|
MODEL OPTICS, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
141515187
|
2011-10-10
|
MODEL OPTICS, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
327210
|
Sponsor’s telephone number |
8456797386
|
Plan sponsor’s
address |
10 DIXON AVENUE, WOODSTOCK, NY, 12498
|
Plan administrator’s name and address
Administrator’s EIN |
141515187 |
Plan administrator’s name |
MODEL OPTICS, INC. |
Plan administrator’s
address |
10 DIXON AVENUE, WOODSTOCK, NY, 12498 |
Administrator’s telephone number |
8456797386 |
Signature of
Role |
Plan administrator |
Date |
2011-10-10 |
Name of individual signing |
LAWRENCE KIM |
|
|