|
BALLANTYNE VISION CARE 401(K) PLAN & TRUST
|
2023
|
272802092
|
2024-10-11
|
BALLANTYNE VISION CARE, LLC
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
7193451440
|
| Plan sponsor’s
address |
302 WEST 3RD STREET, LA JUNTA, CO, 81050
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-11 |
| Name of individual signing |
MICHELLE BALLANTYNE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BALLANTYNE VISION CARE 401(K) PLAN & TRUST
|
2022
|
272802092
|
2023-10-13
|
BALLANTYNE VISION CARE, LLC
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
7193451440
|
| Plan sponsor’s
address |
302 WEST 3RD STREET, LA JUNTA, CO, 81050
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-13 |
| Name of individual signing |
MICHELLE BALLANTYNE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BALLANTYNE VISION CARE 401(K) PLAN & TRUST
|
2021
|
272802092
|
2022-10-03
|
BALLANTYNE VISION CARE, LLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
7193830134
|
| Plan sponsor’s
address |
302 WEST 3RD STREET, LA JUNTA, CO, 81050
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-03 |
| Name of individual signing |
JORDAN BALLANTYNE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BALLANTYNE VISION CARE 401(K) PLAN & TRUST
|
2020
|
272802092
|
2021-09-23
|
BALLANTYNE VISION CARE, LLC
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
7193830134
|
| Plan sponsor’s
address |
302 WEST 3RD STREET, LA JUNTA, CO, 81050
|
Signature of
| Role |
Plan administrator |
| Date |
2021-09-23 |
| Name of individual signing |
JORDAN BALLANTYNE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BALLANTYNE VISION CARE 401(K) PLAN & TRUST
|
2019
|
272802092
|
2020-10-15
|
BALLANTYNE VISION CARE, LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
7193830134
|
| Plan sponsor’s
address |
302 WEST 3RD STREET, LA JUNTA, CO, 81050
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-15 |
| Name of individual signing |
JORDAN BALLANTYNE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BALLANTYNE VISION CARE 401(K) PLAN & TRUST
|
2018
|
272802092
|
2019-09-27
|
BALLANTYNE VISION CARE, LLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621320
|
| Sponsor’s telephone number |
7193830134
|
| Plan sponsor’s
address |
302 WEST 3RD STREET, LA JUNTA, CO, 81050
|
Signature of
| Role |
Plan administrator |
| Date |
2019-09-27 |
| Name of individual signing |
JORDAN BALLANTYNE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
