THOMAS R. JOHNSON, D.D.S., P.A. PROFIT SHARING PLAN
|
2015
|
200272388
|
2016-04-29
|
THOMAS R. JOHNSON, D.D.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8633244271
|
Plan sponsor’s
address |
3265 CYPRESS GARDENS ROAD, SUITE A, WINTER HAVEN, FL, 338842450
|
|
THOMAS R. JOHNSON, D.D.S., P.A. PROFIT SHARING PLAN
|
2014
|
200272388
|
2016-04-29
|
THOMAS R. JOHNSON, D.D.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8633260004
|
Plan sponsor’s
address |
P.O. BOX 10635, WINTER HAVEN, FL, 338850635
|
|
THOMAS R. JOHNSON, D.D.S., P.A. PROFIT SHARING PLAN
|
2013
|
200272388
|
2015-02-13
|
THOMAS R. JOHNSON, D.D.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8633244271
|
Plan sponsor’s
address |
3265 CYPRESS GARDENS ROAD, SUITE A, WINTER HAVEN, FL, 338842450
|
|
THOMAS R. JOHNSON, D.D.S., P.A. PROFIT SHARING PLAN
|
2012
|
200272388
|
2014-01-17
|
THOMAS R. JOHNSON, D.D.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8633244271
|
Plan sponsor’s
address |
3265 CYPRESS GARDENS ROAD, SUITE A, WINTER HAVEN, FL, 338842450
|
Signature of
Role |
Plan administrator |
Date |
2014-01-17 |
Name of individual signing |
TATIANA POMBO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-01-17 |
Name of individual signing |
TATIANA POMBO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS R. JOHNSON, D.D.S., P.A. PROFIT SHARING PLAN
|
2011
|
200272388
|
2013-01-10
|
THOMAS R. JOHNSON, D.D.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8633244271
|
Plan sponsor’s
address |
3265 CYPRESS GARDENS ROAD, SUITE A, WINTER HAVEN, FL, 338842450
|
Plan administrator’s name and address
Administrator’s EIN |
200272388 |
Plan administrator’s name |
THOMAS R. JOHNSON, D.D.S., P.A. |
Plan administrator’s
address |
3265 CYPRESS GARDENS ROAD, SUITE A, WINTER HAVEN, FL, 338842450 |
Administrator’s telephone number |
8633244271 |
Signature of
Role |
Plan administrator |
Date |
2013-01-10 |
Name of individual signing |
TATIANA POMBO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-01-10 |
Name of individual signing |
TATIANA POMBO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS R. JOHNSON, D.D.S., P.A. PROFIT SHARING PLAN
|
2010
|
200272388
|
2012-01-25
|
THOMAS R. JOHNSON, D.D.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8633244271
|
Plan sponsor’s
address |
3265 CYPRESS GARDENS ROAD, SUITE A, WINTER HAVEN, FL, 338842450
|
Plan administrator’s name and address
Administrator’s EIN |
200272388 |
Plan administrator’s name |
THOMAS R. JOHNSON, D.D.S., P.A. |
Plan administrator’s
address |
3265 CYPRESS GARDENS ROAD, SUITE A, WINTER HAVEN, FL, 338842450 |
Administrator’s telephone number |
8633244271 |
Signature of
Role |
Plan administrator |
Date |
2012-01-25 |
Name of individual signing |
TATIANA POMBO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-01-25 |
Name of individual signing |
TATIANA POMBO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THOMAS R. JOHNSON, D.D.S., P.A. PROFIT SHARING PLAN
|
2009
|
200272388
|
2010-12-28
|
THOMAS R. JOHNSON, D.D.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8633244271
|
Plan sponsor’s
address |
3265 CYPRESS GARDENS ROAD, SUITE A, WINTER HAVEN, FL, 338842450
|
Plan administrator’s name and address
Administrator’s EIN |
200272388 |
Plan administrator’s name |
THOMAS R. JOHNSON, D.D.S., P.A. |
Plan administrator’s
address |
3265 CYPRESS GARDENS ROAD, SUITE A, WINTER HAVEN, FL, 338842450 |
Administrator’s telephone number |
8633244271 |
Signature of
Role |
Plan administrator |
Date |
2010-12-28 |
Name of individual signing |
TATIANA CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|