GLACIER OPTICAL PROFIT SHARING PLAN
|
2014
|
920129131
|
2015-10-05
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Sponsor |
GLACIER OPTICAL OF JUNEAU, INC.
|
Business code |
621320
|
Sponsor’s telephone number |
9075861818
|
Plan sponsor’s
address |
3268 HOSPITAL DR., SUITE F, JUNEAU, AK, 99801
|
Signature of
Role |
Plan administrator |
Date |
2015-10-05 |
Name of individual signing |
ROBERT A. BREFFEILH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GLACIER OPTICAL PROFIT SHARING PLAN
|
2013
|
920129131
|
2014-10-08
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Sponsor |
GLACIER OPTICAL OF JUNEAU, INC.
|
Business code |
621320
|
Sponsor’s telephone number |
9075861818
|
Plan sponsor’s
address |
3268 HOSPITAL DR., SUITE F, JUNEAU, AK, 99801
|
Signature of
Role |
Plan administrator |
Date |
2014-10-08 |
Name of individual signing |
ROBERT A. BREFFEILH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GLACIER OPTICAL PROFIT SHARING PLAN
|
2012
|
920129131
|
2013-07-01
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Sponsor |
GLACIER OPTICAL OF JUNEAU, INC.
|
Business code |
621320
|
Sponsor’s telephone number |
9075861818
|
Plan sponsor’s
address |
3268 HOSPITAL DR., SUITE F, JUNEAU, AK, 99801
|
Signature of
Role |
Plan administrator |
Date |
2013-07-01 |
Name of individual signing |
ROBERT A. BREFFEILH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GLACIER OPTICAL PROFIT SHARING PLAN
|
2011
|
920129131
|
2012-06-21
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Sponsor |
GLACIER OPTICAL OF JUNEAU, INC.
|
Business code |
621320
|
Sponsor’s telephone number |
9075861818
|
Plan sponsor’s
address |
3268 HOSPITAL DR., SUITE F, JUNEAU, AK, 99801
|
Plan administrator’s name and address
Administrator’s EIN |
920129131 |
Plan administrator’s name |
GLACIER OPTICAL OF JUNEAU, INC. |
Plan administrator’s
address |
3268 HOSPITAL DR., SUITE F, JUNEAU, AK, 99801 |
Administrator’s telephone number |
9075861818 |
Signature of
Role |
Plan administrator |
Date |
2012-06-21 |
Name of individual signing |
GORDON R. PREECS, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GLACIER OPTICAL PROFIT SHARING PLAN
|
2010
|
920129131
|
2011-10-06
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Sponsor |
GLACIER OPTICAL OF JUNEAU, INC.
|
Business code |
621320
|
Sponsor’s telephone number |
9075861818
|
Plan sponsor’s
address |
3268 HOSPITAL DR., SUITE F, JUNEAU, AK, 99801
|
Plan administrator’s name and address
Administrator’s EIN |
920129131 |
Plan administrator’s name |
GLACIER OPTICAL OF JUNEAU, INC. |
Plan administrator’s
address |
3268 HOSPITAL DR., SUITE F, JUNEAU, AK, 99801 |
Administrator’s telephone number |
9075861818 |
Signature of
Role |
Plan administrator |
Date |
2011-10-06 |
Name of individual signing |
GORDON R. PREECS, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|