DR. DAVID W. FERRIS & ASSOC. INC PROFIT SHARING PLAN
|
2014
|
050469463
|
2015-07-28
|
DR DAVID W FERRIS & ASSOC INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
4017322350
|
Plan sponsor’s
address |
WEST BAY EYE ASSOCIATES, 222 JEFFERSON BLVD, WARWICK, RI, 02888
|
Signature of
Role |
Plan administrator |
Date |
2015-07-28 |
Name of individual signing |
STEPHEN M. MONTAQUILA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-28 |
Name of individual signing |
STEPHEN M. MONTAQUILA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. DAVID W. FERRIS & ASSOC. INC PROFIT SHARING PLAN
|
2013
|
050469463
|
2014-06-18
|
DR DAVID W FERRIS & ASSOC INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
4017322350
|
Plan sponsor’s
address |
WEST BAY EYE ASSOCIATES, 222 JEFFERSON BLVD, WARWICK, RI, 02888
|
Signature of
Role |
Plan administrator |
Date |
2014-06-18 |
Name of individual signing |
STEPHEN M. MONTAQUILA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-18 |
Name of individual signing |
STEPHEN M. MONTAQUILA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. DAVID W. FERRIS & ASSOC. INC PROFIT SHARING PLAN
|
2012
|
050469463
|
2013-02-19
|
DR DAVID W FERRIS & ASSOC INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
4017322350
|
Plan sponsor’s
address |
WEST BAY EYE ASSOCIATES, 222 JEFFERSON BLVD, WARWICK, RI, 02888
|
Signature of
Role |
Plan administrator |
Date |
2013-02-19 |
Name of individual signing |
STEPHEN M. MONTAQUILA, O.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-02-19 |
Name of individual signing |
STEPHEN M. MONTAQUILA, O.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. DAVID W. FERRIS & ASSOC. INC PROFIT SHARING PLAN
|
2011
|
050469463
|
2012-07-26
|
DR DAVID W FERRIS & ASSOC INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
4017322350
|
Plan sponsor’s
address |
WEST BAY EYE ASSOCIATES, 222 JEFFERSON BLVD, WARWICK, RI, 02888
|
Plan administrator’s name and address
Administrator’s EIN |
050469463 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
WEST BAY EYE ASSOCIATES, 222 JEFFERSON BLVD, WARWICK, RI, 02888 |
Administrator’s telephone number |
4017322350 |
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
STEPHEN M. MONTAQUILA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-26 |
Name of individual signing |
STEPHEN M. MONTAQUILA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. DAVID W. FERRIS & ASSOC. INC PROFIT SHARING PLAN
|
2010
|
050469463
|
2011-06-14
|
DR DAVID W FERRIS & ASSOC INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
4017322350
|
Plan sponsor’s
address |
WEST BAY EYE ASSOCIATES, 222 JEFFERSON BLVD, WARWICK, RI, 02888
|
Plan administrator’s name and address
Administrator’s EIN |
050469463 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
WEST BAY EYE ASSOCIATES, 222 JEFFERSON BLVD, WARWICK, RI, 02888 |
Administrator’s telephone number |
4017322350 |
Signature of
Role |
Plan administrator |
Date |
2011-06-14 |
Name of individual signing |
STEPHEN M. MONTAQUILA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-14 |
Name of individual signing |
STEPHEN M. MONTAQUILA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. DAVID W. FERRIS & ASSOC. INC PROFIT SHARING PLAN
|
2009
|
050469463
|
2010-09-28
|
DR DAVID W FERRIS & ASSOC INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
4017322350
|
Plan sponsor’s
address |
WEST BAY EYE ASSOCIATES, 222 JEFFERSON BLVD, WARWICK, RI, 02888
|
Plan administrator’s name and address
Administrator’s EIN |
050469463 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
WEST BAY EYE ASSOCIATES, 222 JEFFERSON BLVD, WARWICK, RI, 02888 |
Administrator’s telephone number |
4017322350 |
Signature of
Role |
Plan administrator |
Date |
2010-09-28 |
Name of individual signing |
STEPHEN M. MONTAQUILA, O.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-28 |
Name of individual signing |
STEPHEN M. MONTAQUILA, O.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|