PHOENIX OPTIX, INC. 401(K) PROFIT SHARING PLAN
|
2014
|
204262795
|
2015-10-13
|
PHOENIX OPTIX
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
333900
|
Sponsor’s telephone number |
4016374600
|
Plan sponsor’s
address |
16 GRAY LANE, SUITE 109, ASHAWAY, RI, 02804
|
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
WILLIAM NARDONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHOENIX OPTIX, INC. 401(K) PROFIT SHARING PLAN
|
2013
|
204262795
|
2014-08-25
|
PHOENIX OPTIX, INC.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
333900
|
Sponsor’s telephone number |
4016374600
|
Plan sponsor’s
address |
15 GRAY LANE, SUITE 109, ASHAWAY, RI, 02804
|
Signature of
Role |
Plan administrator |
Date |
2014-08-25 |
Name of individual signing |
WILLIAM A. NARDONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-25 |
Name of individual signing |
WILLIAM A. NARDONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHOENIX OPTIX, INC. 401(K) PROFIT SHARING PLAN
|
2012
|
204262795
|
2013-06-11
|
PHOENIX OPTIX, INC.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
333900
|
Sponsor’s telephone number |
4016374600
|
Plan sponsor’s
address |
15 GRAY LANE, SUITE 109, ASHAWAY, RI, 02804
|
Signature of
Role |
Plan administrator |
Date |
2013-06-11 |
Name of individual signing |
FRANK RAVENELLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-11 |
Name of individual signing |
FRANK RAVENELLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHOENIX OPTIX, INC. 401(K) PROFIT SHARING PLAN
|
2011
|
204262795
|
2012-10-15
|
PHOENIX OPTIX, INC.
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
333900
|
Sponsor’s telephone number |
4016374600
|
Plan sponsor’s
address |
15 GRAY LANE, SUITE 109, ASHAWAY, RI, 02804
|
Plan administrator’s name and address
Administrator’s EIN |
204262795 |
Plan administrator’s name |
PHOENIX OPTIX, INC. |
Plan administrator’s
address |
15 GRAY LANE, SUITE 109, ASHAWAY, RI, 02804 |
Administrator’s telephone number |
4016374600 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
FRANK RAVENELLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-15 |
Name of individual signing |
FRANK RAVENELLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHOENIX OPTIX, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
204262795
|
2011-10-13
|
PHOENIX OPTIX, INC.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
333900
|
Sponsor’s telephone number |
4016374600
|
Plan sponsor’s
address |
15 GRAY LANE, SUITE 109, ASHAWAY, RI, 02804
|
Plan administrator’s name and address
Administrator’s EIN |
204262795 |
Plan administrator’s name |
PHOENIX OPTIX, INC. |
Plan administrator’s
address |
15 GRAY LANE, SUITE 109, ASHAWAY, RI, 02804 |
Administrator’s telephone number |
4016374600 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
FRANK RAVENELLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-13 |
Name of individual signing |
FRANK RAVENELLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHOENIX OPTIX, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
204262795
|
2010-09-23
|
PHOENIX OPTIX, INC.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
333900
|
Sponsor’s telephone number |
4016374600
|
Plan sponsor’s
address |
15 GRAY LANE, SUITE 109, ASHAWAY, RI, 02804
|
Plan administrator’s name and address
Administrator’s EIN |
204262795 |
Plan administrator’s name |
PHOENIX OPTIX, INC. |
Plan administrator’s
address |
15 GRAY LANE, SUITE 109, ASHAWAY, RI, 02804 |
Administrator’s telephone number |
4016374600 |
Signature of
Role |
Plan administrator |
Date |
2010-09-23 |
Name of individual signing |
FRANK RAVENELLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-23 |
Name of individual signing |
FRANK RAVENELLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|