LIFETIME VISION SOURCE, LTD 401(K) PROFIT SHARING PLAN & TRU
|
2015
|
841205904
|
2016-12-22
|
LIFETIME VISION SOURCE, LTD
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3038418243
|
Plan sponsor’s
address |
10521 S PARKER ROAD, PARKER, CO, 80134
|
Signature of
Role |
Plan administrator |
Date |
2016-12-22 |
Name of individual signing |
THOMAS LESJAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-12-22 |
Name of individual signing |
THOMAS LESJAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFETIME VISION SOURCE, LTD 401(K) PROFIT SHARING PLAN & TRU
|
2015
|
841205904
|
2016-12-21
|
LIFETIME VISION SOURCE, LTD
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3038418243
|
Plan sponsor’s
address |
10521 S PARKER ROAD, PARKER, CO, 80134
|
Signature of
Role |
Plan administrator |
Date |
2016-12-21 |
Name of individual signing |
THOMAS LESJAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFETIME VISION SOURCE, LTD 401(K) PROFIT SHARING PLAN & TRU
|
2014
|
841205904
|
2015-10-05
|
LIFETIME VISION SOURCE, LTD
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3038418243
|
Plan sponsor’s
address |
10521 S PARKER ROAD, PARKER, CO, 80134
|
Signature of
Role |
Plan administrator |
Date |
2015-10-05 |
Name of individual signing |
TINA NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFETIME VISION SOURCE, LTD 401(K) PROFIT SHARING PLAN & TRU
|
2013
|
841205904
|
2014-07-11
|
LIFETIME VISION SOURCE, LTD
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3038418243
|
Plan sponsor’s
address |
10521 S PARKER ROAD, PARKER, CO, 80134
|
Signature of
Role |
Plan administrator |
Date |
2014-07-11 |
Name of individual signing |
TINA NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFETIME VISION SOURCE, LTD 401(K) PROFIT SHARING PLAN & TRU
|
2012
|
841205904
|
2013-06-05
|
LIFETIME VISION SOURCE, LTD
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3038418243
|
Plan sponsor’s
address |
10521 S PARKER ROAD, PARKER, CO, 80134
|
Signature of
Role |
Plan administrator |
Date |
2013-06-05 |
Name of individual signing |
TINA NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFETIME VISION SOURCE, LTD 401(K) PROFIT SHARING PLAN & TRU
|
2011
|
841205904
|
2012-06-18
|
LIFETIME VISION SOURCE, LTD
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3038418243
|
Plan sponsor’s
address |
10521 S PARKER ROAD, PARKER, CO, 80134
|
Plan administrator’s name and address
Administrator’s EIN |
841205904 |
Plan administrator’s name |
LIFETIME VISION SOURCE, LTD |
Plan administrator’s
address |
10521 S PARKER ROAD, PARKER, CO, 80134 |
Administrator’s telephone number |
3038418243 |
Signature of
Role |
Plan administrator |
Date |
2012-06-18 |
Name of individual signing |
TINA NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFETIME VISION SOURCE, LTD 401(K) PROFIT SHARING PLAN & TRU
|
2010
|
841205904
|
2011-07-01
|
LIFETIME VISION SOURCE, LTD
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3038418243
|
Plan sponsor’s
address |
10521 S PARKER ROAD, PARKER, CO, 80134
|
Plan administrator’s name and address
Administrator’s EIN |
841205904 |
Plan administrator’s name |
LIFETIME VISION SOURCE, LTD |
Plan administrator’s
address |
10521 S PARKER ROAD, PARKER, CO, 80134 |
Administrator’s telephone number |
3038418243 |
Signature of
Role |
Plan administrator |
Date |
2011-07-01 |
Name of individual signing |
TINA NICHOLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|