BASDEN EYE CARE 401(K) PLAN
|
2023
|
203844953
|
2024-08-30
|
BASDEN EYE CARE
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3348870772
|
Plan sponsor’s
address |
780 N. DEAN RD, AUBURN, AL, 36830
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2024-08-30 |
Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
|
|
BASDEN EYE CARE 401(K) PLAN
|
2022
|
203844953
|
2023-09-22
|
BASDEN EYE CARE
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3348870772
|
Plan sponsor’s
address |
780 N. DEAN RD, AUBURN, AL, 36830
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2023-09-22 |
Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
|
|
BASDEN EYE CARE 401(K) PLAN
|
2021
|
203844953
|
2022-09-23
|
BASDEN EYE CARE
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3348870772
|
Plan sponsor’s
address |
780 N. DEAN RD, AUBURN, AL, 36830
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2022-09-23 |
Name of individual signing |
TARA EVANS |
|
|
BASDEN EYE CARE 401(K) PLAN
|
2021
|
203844953
|
2023-08-18
|
BASDEN EYE CARE
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3348870772
|
Plan sponsor’s
address |
780 N. DEAN RD, AUBURN, AL, 36830
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2023-08-18 |
Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
|
|
BASDEN EYE CARE 401(K) PLAN
|
2020
|
203844953
|
2021-05-25
|
BASDEN EYE CARE
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3348870772
|
Plan sponsor’s
address |
780 N. DEAN RD, AUBURN, AL, 36830
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2021-05-25 |
Name of individual signing |
PHIL TISUE |
|
|
BASDEN EYE CARE 401(K) PLAN
|
2019
|
203844953
|
2020-08-29
|
BASDEN EYE CARE
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3348870772
|
Plan sponsor’s
address |
780 N. DEAN RD, AUBURN, AL, 36830
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2020-08-29 |
Name of individual signing |
PHIL TISUE |
|
|
BASDEN EYE CARE 401(K) PLAN
|
2018
|
203844953
|
2019-06-18
|
BASDEN EYE CARE
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3348870772
|
Plan sponsor’s
address |
780 N. DEAN RD, AUBURN, AL, 36830
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2019-06-18 |
Name of individual signing |
PHIL TISUE |
|
|
BASDEN EYE CARE 401(K) PLAN
|
2017
|
203844953
|
2018-09-10
|
BASDEN EYE CARE
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3348870772
|
Plan sponsor’s
address |
780 N. DEAN RD, AUBURN, AL, 36830
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2018-09-10 |
Name of individual signing |
PHIL TISUE |
|
|
BASDEN EYE CARE 401(K) PLAN
|
2016
|
203844953
|
2017-09-28
|
BASDEN EYE CARE
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621320
|
Sponsor’s telephone number |
3348870772
|
Plan sponsor’s
address |
780 N. DEAN RD, AUBURN, AL, 36830
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2017-09-28 |
Name of individual signing |
PHIL TISUE |
|
|