JASON W MOORE OPTOMETRIST LLC 401(K) PROFIT SHARING PLAN & TRUST
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2017
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201888440
|
2019-11-18
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JASON W MOORE OPTOMETRIST LLC
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3
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
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Business code |
621320
|
Sponsor’s telephone number |
5852717613
|
Plan sponsor’s
address |
PO BOX 635, FAIRPORT, NY, 144500635
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Signature of
Role |
Plan administrator |
Date |
2019-11-18 |
Name of individual signing |
JASON MOORE |
|
Role |
Employer/plan sponsor |
Date |
2019-11-18 |
Name of individual signing |
JASON MOORE |
|
|
JASON W MOORE OPTOMETRIST LLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
201888440
|
2017-05-11
|
JASON W MOORE OPTOMETRIST LLC
|
4
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5852717613
|
Plan sponsor’s
address |
1924 MONROE AVE, ROCHESTER, NY, 146181920
|
Signature of
Role |
Plan administrator |
Date |
2017-05-11 |
Name of individual signing |
JASON MOORE |
|
|
JASON W MOORE OPTOMETRIST LLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
201888440
|
2016-06-06
|
JASON W MOORE OPTOMETRIST LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5852717613
|
Plan sponsor’s
address |
1924 MONROE AVE, ROCHESTER, NY, 146181920
|
Signature of
Role |
Plan administrator |
Date |
2016-06-06 |
Name of individual signing |
JASON MOORE |
|
|
JASON W MOORE OPTOMETRIST LLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
201888440
|
2015-06-03
|
JASON W MOORE OPTOMETRIST LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5852717613
|
Plan sponsor’s
address |
1924 MONROE AVE, ROCHESTER, NY, 146181920
|
Signature of
Role |
Plan administrator |
Date |
2015-06-03 |
Name of individual signing |
JASON MOORE |
|
|
JASON W MOORE OPTOMETRIST LLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
201888440
|
2014-05-13
|
JASON W MOORE OPTOMETRIST LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5852717613
|
Plan sponsor’s
address |
1924 MONROE AVE, ROCHESTER, NY, 146181920
|
Signature of
Role |
Plan administrator |
Date |
2014-05-13 |
Name of individual signing |
JASON MOORE |
|
|
JASON W MOORE OPTOMETRIST LLC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
201888440
|
2013-05-17
|
JASON W MOORE OPTOMETRIST LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5852717613
|
Plan sponsor’s
address |
1924 MONROE AVE, ROCHESTER, NY, 146181920
|
Signature of
Role |
Plan administrator |
Date |
2013-05-17 |
Name of individual signing |
JASON W MOORE OPTOMETRIST LLC |
|
|
JASON W MOORE OPTOMETRIST LLC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
201888440
|
2012-05-21
|
JASON W MOORE OPTOMETRIST LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5852717613
|
Plan sponsor’s
address |
1966 MONROE AVE, ROCHESTER, NY, 146181920
|
Plan administrator’s name and address
Administrator’s EIN |
201888440 |
Plan administrator’s name |
JASON W MOORE OPTOMETRIST LLC |
Plan administrator’s
address |
1966 MONROE AVE, ROCHESTER, NY, 146181920 |
Administrator’s telephone number |
5852717613 |
Signature of
Role |
Plan administrator |
Date |
2012-05-21 |
Name of individual signing |
JASON W MOORE OPTOMETRIST LLC |
|
|
JASON W MOORE OPTOMETRIST LLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
201888440
|
2012-02-14
|
JASON W MOORE OPTOMETRIST LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5852717613
|
Plan sponsor’s
address |
1966 MONROE AVENUE, ROCHESTER, NY, 14618
|
Plan administrator’s name and address
Administrator’s EIN |
201888440 |
Plan administrator’s name |
JASON W MOORE OPTOMETRIST LLC |
Plan administrator’s
address |
1966 MONROE AVENUE, ROCHESTER, NY, 14618 |
Administrator’s telephone number |
5852717613 |
Signature of
Role |
Plan administrator |
Date |
2012-02-13 |
Name of individual signing |
JASON W MOORE OPTOMETRIST LLC |
|
|
JASON W MOORE OPTOMETRIST LLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
201888440
|
2012-02-14
|
JASON W MOORE OPTOMETRIST LLC
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5852717613
|
Plan sponsor’s
address |
1966 MONROE AVENUE, ROCHESTER, NY, 14618
|
Plan administrator’s name and address
Administrator’s EIN |
201888440 |
Plan administrator’s name |
JASON W MOORE OPTOMETRIST LLC |
Plan administrator’s
address |
1966 MONROE AVENUE, ROCHESTER, NY, 14618 |
Administrator’s telephone number |
5852717613 |
Signature of
Role |
Plan administrator |
Date |
2012-02-14 |
Name of individual signing |
JASON W MOORE OPTOMETRIST LLC |
|
|
JASON W MOORE OPTOMETRIST LLC 401 K PROFIT SHARING PLAN TRUST
|
2009
|
201888440
|
2012-02-14
|
JASON W MOORE OPTOMETRIST LLC
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5852717613
|
Plan sponsor’s
address |
1966 MONROE AVENUE, ROCHESTER, NY, 14618
|
Plan administrator’s name and address
Administrator’s EIN |
201888440 |
Plan administrator’s name |
JASON W MOORE OPTOMETRIST LLC |
Plan administrator’s
address |
1966 MONROE AVENUE, ROCHESTER, NY, 14618 |
Administrator’s telephone number |
5852717613 |
Signature of
Role |
Plan administrator |
Date |
2012-02-14 |
Name of individual signing |
JASON W MOORE OPTOMETRIST LLC |
|
|