JOHN P LUNDGREN DDS PA 401(K) PROFIT SHARING PLAN AND TRUST
|
2022
|
204868609
|
2023-06-08
|
JOHN P LUNDGREN D.D.S., P.A.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9045175090
|
Plan sponsor’s
address |
7740 POINT MEADOWS DRIVE, SUITE 3B, JACKSONVILLE, FL, 32256
|
Signature of
Role |
Plan administrator |
Date |
2023-06-08 |
Name of individual signing |
KAYLA MORLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN P LUNDGREN DDS PA 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
204868609
|
2022-05-31
|
JOHN P LUNDGREN D.D.S., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9045175090
|
Plan sponsor’s
address |
7740 POINT MEADOWS DRIVE, SUITE 3B, JACKSONVILLE, FL, 32256
|
Signature of
Role |
Plan administrator |
Date |
2022-05-31 |
Name of individual signing |
KAYLA MORLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN P LUNDGREN DDS PA 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
204868609
|
2021-09-28
|
JOHN P LUNDGREN D.D.S., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9045175090
|
Plan sponsor’s
address |
7740 POINT MEADOWS DRIVE, SUITE 3B, JACKSONVILLE, FL, 32256
|
Signature of
Role |
Plan administrator |
Date |
2021-09-28 |
Name of individual signing |
JOHN LUNDGREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN P LUNDGREN DDS PA 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
204868609
|
2020-08-28
|
JOHN P LUNDGREN D.D.S., P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9045175090
|
Plan sponsor’s
address |
7740 POINT MEADOWS DRIVE, SUITE 3B, JACKSONVILLE, FL, 32256
|
Signature of
Role |
Plan administrator |
Date |
2020-08-28 |
Name of individual signing |
JOHN LUNDGREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN P LUNDGREN DDS PA 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
204868609
|
2019-07-07
|
JOHN P LUNDGREN D.D.S., P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9045175090
|
Plan sponsor’s
address |
7740 POINT MEADOWS DRIVE, SUITE 3B, JACKSONVILLE, FL, 32256
|
Signature of
Role |
Plan administrator |
Date |
2019-07-07 |
Name of individual signing |
JOHN LUNDGREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN P LUNDGREN DDS PA 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
204868609
|
2018-08-24
|
JOHN P LUNDGREN D.D.S., P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9045175090
|
Plan sponsor’s
address |
7740 POINT MEADOWS DRIVE, SUITE 3B, JACKSONVILLE, FL, 32256
|
Signature of
Role |
Plan administrator |
Date |
2018-08-24 |
Name of individual signing |
JOHN LUNDGREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN P LUNDGREN DDS PA 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
204868609
|
2016-07-22
|
JOHN P LUNDGREN D.D.S., P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
9045175090
|
Plan sponsor’s
address |
267 CLEARWATER DR, PONTE VEDRA BEACH, FL, 32082
|
Signature of
Role |
Plan administrator |
Date |
2016-07-22 |
Name of individual signing |
JOHN LUNDGREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|