JACKSON & JOYCE FAMILY DENTISTRY RETIREMENT PLAN & TRUST
|
2023
|
205147925
|
2024-07-17
|
SCOTT A. JACKSON, D.M.D. P.A.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3527328544
|
Plan sponsor’s
address |
1910 S.E. 18TH AVENUE, OCALA, FL, 34471
|
|
JACKSON & JOYCE FAMILY DENTISTRY RETIREMENT PLAN & TRUST
|
2022
|
205147925
|
2023-04-04
|
SCOTT A. JACKSON, D.M.D. P.A.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3527328544
|
Plan sponsor’s
address |
1910 S.E. 18TH AVENUE, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2023-04-04 |
Name of individual signing |
SCOTT A. JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-04-04 |
Name of individual signing |
SCOTT A. JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON & JOYCE FAMILY DENTISTRY RETIREMENT PLAN & TRUST
|
2021
|
205147925
|
2022-03-14
|
SCOTT A. JACKSON, D.M.D. P.A.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3527328544
|
Plan sponsor’s
address |
1910 S.E. 18TH AVENUE, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2022-03-14 |
Name of individual signing |
SCOTT A. JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-03-14 |
Name of individual signing |
SCOTT A. JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON & JOYCE FAMILY DENTISTRY RETIREMENT PLAN & TRUST
|
2020
|
205147925
|
2021-04-07
|
SCOTT A. JACKSON, D.M.D. P.A.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3527328544
|
Plan sponsor’s
address |
1910 S.E. 18TH AVENUE, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2021-04-07 |
Name of individual signing |
SCOTT A. JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-04-07 |
Name of individual signing |
SCOTT A. JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON & JOYCE FAMILY DENTISTRY RETIREMENT PLAN & TRUST
|
2019
|
205147925
|
2020-06-02
|
SCOTT A. JACKSON, D.M.D. P.A.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3527328544
|
Plan sponsor’s
address |
1910 S.E. 18TH AVENUE, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2020-06-02 |
Name of individual signing |
SCOTT A. JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-02 |
Name of individual signing |
SCOTT A. JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON & JOYCE FAMILY DENTISTRY RETIREMENT PLAN
|
2018
|
205147925
|
2019-05-08
|
SCOTT A. JACKSON, D.M.D. P.A.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3527328544
|
Plan sponsor’s
address |
1910 S.E. 18TH AVENUE, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2019-05-08 |
Name of individual signing |
SCOTT A. JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-08 |
Name of individual signing |
SCOTT A. JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON & JOYCE FAMILY DENTISTRY RETIREMENT PLAN & TRUST
|
2017
|
205147925
|
2018-09-11
|
SCOTT A. JACKSON, D.M.D., P.A.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3527328544
|
Plan sponsor’s
address |
1910 S.E. 18TH AVENUE, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2018-09-11 |
Name of individual signing |
SCOTT A. JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-11 |
Name of individual signing |
SCOTT A. JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACKSON & JOYCE FAMILY DENTISTRY RETIREMENT PLAN & TRUST
|
2016
|
205147925
|
2017-07-18
|
SCOTT A. JACKSON, D.M.D., P.A.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3527328544
|
Plan sponsor’s
address |
1910 S.E. 18TH AVENUE, OCALA, FL, 34471
|
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
SCOTT A. JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|