|
INSIGHT LASIK LTD 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
841587771
|
2012-10-15
|
INSIGHT LASIK LTD
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7208807851
|
| Plan sponsor’s
address |
11960 LIONESS WAY, SUITE 190, PARKER, CO, 80134
|
Plan administrator’s name and address
| Administrator’s EIN |
841587771 |
| Plan administrator’s name |
INSIGHT LASIK LTD |
| Plan administrator’s
address |
11960 LIONESS WAY, SUITE 190, PARKER, CO, 80134 |
| Administrator’s telephone number |
7208807851 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-15 |
| Name of individual signing |
SCOTT NEILSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INSIGHT LASIK LTD 401 K PROFIT SHARING PLAN TRUST
|
2011
|
841587771
|
2012-10-15
|
INSIGHT LASIK LTD
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3036657577
|
| Plan sponsor’s
address |
1120 W SOUTH BOULDER ROAD, SUITE 102, LAFAYETTE, CO, 80026
|
Plan administrator’s name and address
| Administrator’s EIN |
841587771 |
| Plan administrator’s name |
INSIGHT LASIK LTD |
| Plan administrator’s
address |
1120 W SOUTH BOULDER ROAD, SUITE 102, LAFAYETTE, CO, 80026 |
| Administrator’s telephone number |
3036657577 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-15 |
| Name of individual signing |
SCOTT NEILSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INSIGHT LASIK LTD 401 K PROFIT SHARING PLAN TRUST
|
2010
|
841587771
|
2011-07-21
|
INSIGHT LASIK LTD
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
3036657577
|
| Plan sponsor’s
address |
1120 W SOUTH BOULDER ROAD, SUITE 102, LAFAYETTE, CO, 80026
|
Plan administrator’s name and address
| Administrator’s EIN |
841587771 |
| Plan administrator’s name |
INSIGHT LASIK LTD |
| Plan administrator’s
address |
1120 W SOUTH BOULDER ROAD, SUITE 102, LAFAYETTE, CO, 80026 |
| Administrator’s telephone number |
3036657577 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-21 |
| Name of individual signing |
INSIGHT LASIK LTD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
