|
LAURIS L JOHNSON DMD PLLC 401(K) P/S PLAN
|
2021
|
472479335
|
2022-08-25
|
LAURIS L JOHNSON DMD PLLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4072583262
|
| Plan sponsor’s
address |
7848 WINTER GARDEN VINELAND RD, STE 100, WINDERMERE, FL, 34786
|
Plan administrator’s name and address
| Administrator’s EIN |
472479335 |
| Plan administrator’s name |
LAURIS L JOHNSON DMD PLLC |
| Plan administrator’s
address |
7848 WINTER GARDEN VINELAND RD, STE 100, WINDERMERE, FL, 34786 |
| Administrator’s telephone number |
4072583262 |
Signature of
| Role |
Plan administrator |
| Date |
2022-08-25 |
| Name of individual signing |
LAWRENCE JOHNSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LAURIS L JOHNSON DMD PLLC 401(K) P/S PLAN
|
2020
|
472479335
|
2021-07-22
|
LAURIS L JOHNSON DMD PLLC
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4072583262
|
| Plan sponsor’s
address |
7848 WINTER GARDEN VINELAND RD, STE 100, WINDERMERE, FL, 34786
|
Plan administrator’s name and address
| Administrator’s EIN |
472479335 |
| Plan administrator’s name |
LAURIS L JOHNSON DMD PLLC |
| Plan administrator’s
address |
7848 WINTER GARDEN VINELAND RD, STE 100, WINDERMERE, FL, 34786 |
| Administrator’s telephone number |
4072583262 |
Signature of
| Role |
Plan administrator |
| Date |
2021-07-22 |
| Name of individual signing |
LAWRENCE JOHNSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LAURIS L JOHNSON DMD PLLC 401(K) P/S PLAN
|
2019
|
472479335
|
2020-05-28
|
LAURIS L JOHNSON DMD PLLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4072583262
|
| Plan sponsor’s
address |
7848 WINTER GARDEN VINELAND RD, STE 100, WINDERMERE, FL, 34786
|
Plan administrator’s name and address
| Administrator’s EIN |
472479335 |
| Plan administrator’s name |
LAURIS L JOHNSON DMD PLLC |
| Plan administrator’s
address |
7848 WINTER GARDEN VINELAND RD, STE 100, WINDERMERE, FL, 34786 |
| Administrator’s telephone number |
4072583262 |
Signature of
| Role |
Plan administrator |
| Date |
2020-05-28 |
| Name of individual signing |
LAWRENCE JOHNSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LAURIS L JOHNSON DMD PLLC 401(K) P/S PLAN
|
2018
|
472479335
|
2019-11-06
|
LAURIS L JOHNSON DMD PLLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2018-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
4072583262
|
| Plan sponsor’s
address |
7848 WINTER GARDEN VINELAND RD, STE 100, WINDERMERE, FL, 34786
|
Plan administrator’s name and address
| Administrator’s EIN |
472479335 |
| Plan administrator’s name |
LAURIS L JOHNSON DMD PLLC |
| Plan administrator’s
address |
7848 WINTER GARDEN VINELAND RD, STE 100, WINDERMERE, FL, 34786 |
| Administrator’s telephone number |
4072583262 |
Signature of
| Role |
Plan administrator |
| Date |
2019-11-06 |
| Name of individual signing |
LAWRENCE JOHNSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
