ROBERTS ROBERTS 401 K PROFIT SHARING PLAN TRUST
|
2015
|
150528947
|
2016-06-17
|
ROBERTS EYECARE ASSOCIATES
|
44
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-03-01
|
Business code |
621320
|
Sponsor’s telephone number |
6077222020
|
Plan sponsor’s
address |
3455 VESTAL PKWY E, VESTAL, NY, 138502147
|
Signature of
Role |
Plan administrator |
Date |
2016-06-17 |
Name of individual signing |
KATHI ROBERTS |
|
|
ROBERTS ROBERTS 401 K PROFIT SHARING PLAN TRUST
|
2014
|
150528947
|
2015-07-08
|
ROBERTS EYECARE ASSOCIATES
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-03-01
|
Business code |
621320
|
Sponsor’s telephone number |
6077222020
|
Plan sponsor’s
address |
3455 VESTAL PKWY E, VESTAL, NY, 138502147
|
Signature of
Role |
Plan administrator |
Date |
2015-07-08 |
Name of individual signing |
KATHI ROBERTS |
|
|
ROBERTS ROBERTS 401 K PROFIT SHARING PLAN TRUST
|
2013
|
150528947
|
2014-07-28
|
ROBERTS EYECARE ASSOCIATES
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-03-01
|
Business code |
621320
|
Sponsor’s telephone number |
6077222020
|
Plan sponsor’s
address |
3455 VESTAL PKWY E, VESTAL, NY, 138502147
|
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
KATHI ROBERTS |
|
|
ROBERTS ROBERTS 401 K PROFIT SHARING PLAN TRUST
|
2012
|
150528947
|
2013-07-05
|
ROBERTS EYECARE ASSOCIATES
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-03-01
|
Business code |
621320
|
Sponsor’s telephone number |
6077222020
|
Plan sponsor’s
address |
3455 VESTAL PKWY E, VESTAL, NY, 138502147
|
Signature of
Role |
Plan administrator |
Date |
2013-07-05 |
Name of individual signing |
ROBERTS EYECARE ASSOCIATES |
|
|
ROBERTS ROBERTS 401 K PROFIT SHARING PLAN TRUST
|
2011
|
150528947
|
2012-06-08
|
ROBERTS EYECARE ASSOCIATES
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-03-01
|
Business code |
621320
|
Sponsor’s telephone number |
6077222020
|
Plan sponsor’s
address |
3455 VESTAL PKWY E, VESTAL, NY, 138502147
|
Plan administrator’s name and address
Administrator’s EIN |
150528947 |
Plan administrator’s name |
ROBERTS EYECARE ASSOCIATES |
Plan administrator’s
address |
3455 VESTAL PKWY E, VESTAL, NY, 138502147 |
Administrator’s telephone number |
6077222020 |
Signature of
Role |
Plan administrator |
Date |
2012-06-08 |
Name of individual signing |
ROBERTS EYECARE ASSOCIATES |
|
|
DR. GEORGE T ROBERTS PLLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
150528947
|
2011-07-11
|
ROBERTS EYECARE ASSOCIATES
|
50
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-03-01
|
Business code |
621320
|
Sponsor’s telephone number |
6077222020
|
Plan sponsor’s
address |
3455 VESTAL PARKWAY EAST, VESTAL, NY, 13850
|
Plan administrator’s name and address
Administrator’s EIN |
150528947 |
Plan administrator’s name |
ROBERTS EYECARE ASSOCIATES |
Plan administrator’s
address |
3455 VESTAL PARKWAY EAST, VESTAL, NY, 13850 |
Administrator’s telephone number |
6077222020 |
Signature of
Role |
Plan administrator |
Date |
2011-07-11 |
Name of individual signing |
ROBERTS EYECARE ASSOCIATES |
|
|
DR. GEORGE T ROBERTS PLLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
150528947
|
2011-07-11
|
ROBERTS EYECARE ASSOCIATES
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-03-01
|
Business code |
621320
|
Sponsor’s telephone number |
6077222020
|
Plan sponsor’s
address |
3455 VESTAL PARKWAY EAST, VESTAL, NY, 13850
|
Plan administrator’s name and address
Administrator’s EIN |
150528947 |
Plan administrator’s name |
ROBERTS EYECARE ASSOCIATES |
Plan administrator’s
address |
3455 VESTAL PARKWAY EAST, VESTAL, NY, 13850 |
Administrator’s telephone number |
6077222020 |
Signature of
Role |
Plan administrator |
Date |
2011-07-11 |
Name of individual signing |
ROBERTS EYECARE ASSOCIATES |
|
|
ROBERTS EYECARE ASSOCIATES 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
150528947
|
2010-07-27
|
ROBERTS EYECARE ASSOCIATES
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-03-01
|
Business code |
812990
|
Sponsor’s telephone number |
6077222020
|
Plan sponsor’s
address |
3455 VESTAL PARKWAY EAST, VESTAL, NY, 13850
|
Plan administrator’s name and address
Administrator’s EIN |
150528947 |
Plan administrator’s name |
ROBERTS EYECARE ASSOCIATES |
Plan administrator’s
address |
3455 VESTAL PARKWAY EAST, VESTAL, NY, 13850 |
Administrator’s telephone number |
6077222020 |
Signature of
Role |
Plan administrator |
Date |
2010-07-27 |
Name of individual signing |
AUTHORIZED SIGNER |
|
|