BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN
|
2023
|
411616434
|
2024-01-08
|
BLUE EARTH VALLEY EYE CLINIC, LTD.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5075262222
|
Plan sponsor’s
address |
435 S GROVE STREET, SUITE 2, BLUE EARTH, MN, 56013
|
Signature of
Role |
Plan administrator |
Date |
2024-01-08 |
Name of individual signing |
BRENT JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-01-08 |
Name of individual signing |
BRENT JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN
|
2022
|
411616434
|
2023-09-11
|
BLUE EARTH VALLEY EYE CLINIC, LTD.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5075262222
|
Plan sponsor’s
address |
435 S GROVE STREET, SUITE 2, BLUE EARTH, MN, 56013
|
Signature of
Role |
Plan administrator |
Date |
2023-09-11 |
Name of individual signing |
BRENT JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-11 |
Name of individual signing |
BRENT JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN
|
2021
|
411616434
|
2022-07-21
|
BLUE EARTH VALLEY EYE CLINIC, LTD.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5075262222
|
Plan sponsor’s
address |
435 S GROVE STREET, SUITE 2, BLUE EARTH, MN, 56013
|
Signature of
Role |
Plan administrator |
Date |
2022-07-12 |
Name of individual signing |
BRENT JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-12 |
Name of individual signing |
BRENT JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN
|
2020
|
411616434
|
2021-02-12
|
BLUE EARTH VALLEY EYE CLINIC, LTD.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5075262222
|
Plan sponsor’s
address |
435 S GROVE STREET, SUITE 2, BLUE EARTH, MN, 56013
|
Signature of
Role |
Plan administrator |
Date |
2021-02-11 |
Name of individual signing |
BRENT JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-02-11 |
Name of individual signing |
BRENT JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN
|
2019
|
411616434
|
2020-08-11
|
BLUE EARTH VALLEY EYE CLINIC, LTD.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5075262222
|
Plan sponsor’s
address |
435 S GROVE STREET, SUITE 2, BLUE EARTH, MN, 56013
|
Signature of
Role |
Plan administrator |
Date |
2020-08-11 |
Name of individual signing |
BRENT JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-08-11 |
Name of individual signing |
BRENT JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN
|
2017
|
411616434
|
2018-06-19
|
BLUE EARTH VALLEY EYE CLINIC, LTD.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5075262222
|
Plan sponsor’s
address |
435 S. GROVE ST., STE 2, BLUE EARTH, MN, 56013
|
Signature of
Role |
Plan administrator |
Date |
2018-06-19 |
Name of individual signing |
BRENT JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN
|
2016
|
411616434
|
2017-04-13
|
BLUE EARTH VALLEY EYE CLINIC, LTD.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5075262222
|
Plan sponsor’s
address |
435 S. GROVE ST., STE 2, BLUE EARTH, MN, 56013
|
Signature of
Role |
Plan administrator |
Date |
2017-04-13 |
Name of individual signing |
BRENT JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN
|
2015
|
411616434
|
2016-09-29
|
BLUE EARTH VALLEY EYE CLINIC, LTD.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5075262222
|
Plan sponsor’s
address |
435 S. GROVE ST., STE 2, BLUE EARTH, MN, 56013
|
Signature of
Role |
Plan administrator |
Date |
2016-09-29 |
Name of individual signing |
BRENT JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN
|
2014
|
411616434
|
2015-07-15
|
BLUE EARTH VALLEY EYE CLINIC, LTD.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5075262222
|
Plan sponsor’s
address |
435 S. GROVE ST., STE 2, BLUE EARTH, MN, 56013
|
Signature of
Role |
Plan administrator |
Date |
2015-07-15 |
Name of individual signing |
BRENT JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE EARTH VALLEY EYE CLINIC, LTD. 401(K) PLAN
|
2013
|
411616434
|
2014-06-14
|
BLUE EARTH VALLEY EYE CLINIC, LTD.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
5075262222
|
Plan sponsor’s
address |
435 S. GROVE ST., STE 2, BLUE EARTH, MN, 56013
|
Signature of
Role |
Plan administrator |
Date |
2014-06-14 |
Name of individual signing |
BRENT JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|