JOHN R. HARRISON, DDS, PA RETIREMENT PLAN
|
2019
|
592608671
|
2020-10-15
|
JOHN R. HARRISON, D.D.S., P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-04-25
|
Business code |
621210
|
Sponsor’s telephone number |
4072913600
|
Plan sponsor’s
address |
PO BOX 560328, MONTVERDE, FL, 34756
|
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
JOHN R. HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-15 |
Name of individual signing |
JOHN R. HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN R. HARRISON, DDS, PA RETIREMENT PLAN
|
2018
|
592608671
|
2019-03-09
|
JOHN R. HARRISON, D.D.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-04-25
|
Business code |
621210
|
Sponsor’s telephone number |
4072913600
|
Plan sponsor’s
address |
PO BOX 560328, MONTVERDE, FL, 34756
|
Signature of
Role |
Plan administrator |
Date |
2019-03-09 |
Name of individual signing |
JOHN R. HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-03-09 |
Name of individual signing |
JOHN R. HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN R. HARRISON, DDS, PA RETIREMENT PLAN
|
2017
|
592608671
|
2018-07-30
|
JOHN R. HARRISON, D.D.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-04-25
|
Business code |
621210
|
Sponsor’s telephone number |
4072913600
|
Plan sponsor’s
address |
PO BOX 560328, MONTVERDE, FL, 34756
|
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
JOHN R. HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-30 |
Name of individual signing |
JOHN R. HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN R. HARRISON, DDS, PA RETIREMENT PLAN
|
2016
|
592608671
|
2017-07-25
|
JOHN R. HARRISON, D.D.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-04-25
|
Business code |
621210
|
Sponsor’s telephone number |
4072913600
|
Plan sponsor’s
address |
PO BOX 560328, MONTVERDE, FL, 34756
|
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
JOHN R. HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-25 |
Name of individual signing |
JOHN R. HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN R. HARRISON, DDS, PA RETIREMENT PLAN
|
2015
|
592608671
|
2016-08-31
|
JOHN R. HARRISON, D.D.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-04-25
|
Business code |
621210
|
Sponsor’s telephone number |
4072913600
|
Plan sponsor’s
address |
PO BOX 560328, MONTVERDE, FL, 34756
|
Signature of
Role |
Plan administrator |
Date |
2016-08-31 |
Name of individual signing |
JOHN R. HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-31 |
Name of individual signing |
JOHN R. HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN R. HARRISON, DDS, PA RETIREMENT PLAN
|
2014
|
592608671
|
2015-09-03
|
JOHN R. HARRISON, D.D.S., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-04-25
|
Business code |
621210
|
Sponsor’s telephone number |
4072913600
|
Plan sponsor’s
address |
PO BOX 560328, MONTVERDE, FL, 34756
|
Signature of
Role |
Plan administrator |
Date |
2015-09-03 |
Name of individual signing |
JOHN R. HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-03 |
Name of individual signing |
JOHN R. HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN R. HARRISON, DDS, PA RETIREMENT PLAN
|
2013
|
592608671
|
2014-09-26
|
JOHN R. HARRISON, D.D.S., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-04-25
|
Business code |
621210
|
Sponsor’s telephone number |
4072913600
|
Plan sponsor’s
address |
PO BOX 560328, MONTVERDE, FL, 34756
|
Signature of
Role |
Plan administrator |
Date |
2014-09-26 |
Name of individual signing |
JOHN R HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-26 |
Name of individual signing |
JOHN R HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN R. HARRISON, DDS, PA RETIREMENT PLAN
|
2012
|
592608671
|
2013-10-07
|
JOHN R. HARRISON, D.D.S., P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-04-25
|
Business code |
621210
|
Sponsor’s telephone number |
4072913600
|
Plan sponsor’s
address |
PO BOX 560328, MONTVERDE, FL, 34756
|
Signature of
Role |
Plan administrator |
Date |
2013-10-07 |
Name of individual signing |
JOHN R HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-07 |
Name of individual signing |
JOHN R HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN R. HARRISON, DDS, PA RETIREMENT PLAN
|
2011
|
592608671
|
2012-07-26
|
JOHN R. HARRISON, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-04-25
|
Business code |
621210
|
Sponsor’s telephone number |
4072913600
|
Plan sponsor’s
address |
PO BOX 560328, MONTVERDE, FL, 34756
|
Plan administrator’s name and address
Administrator’s EIN |
592608671 |
Plan administrator’s name |
JOHN R. HARRISON, D.D.S., P.A. |
Plan administrator’s
address |
PO BOX 560328, MONTVERDE, FL, 34756 |
Administrator’s telephone number |
4072913600 |
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
JOHN R. HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN R. HARRISON, DDS, PA RETIREMENT PLAN
|
2010
|
592608671
|
2011-08-03
|
JOHN R. HARRISON, D.D.S., P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-04-25
|
Business code |
621210
|
Sponsor’s telephone number |
4072913600
|
Plan sponsor’s
address |
PO BOX 560328, MONTVERDE, FL, 34756
|
Plan administrator’s name and address
Administrator’s EIN |
592608671 |
Plan administrator’s name |
JOHN R. HARRISON, D.D.S., P.A. |
Plan administrator’s
address |
PO BOX 560328, MONTVERDE, FL, 34756 |
Administrator’s telephone number |
4072913600 |
Signature of
Role |
Plan administrator |
Date |
2011-08-03 |
Name of individual signing |
JOHN R. HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|