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  5. MARK JOHNSON, M.D., P.A.

MARK JOHNSON, M.D., P.A.

Company Details

Entity Name: MARK JOHNSON, M.D., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Aug 1999 (25 years ago)
Document Number: P99000072770
FEI/EIN Number 650939394
Address: 811 RIDGEWOOD AVENUE, VENICE, FL, 34285
Mail Address: 811 RIDGEWOOD AVENUE, VENICE, FL, 34285
ZIP code: 34285
County: Sarasota
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MARK JOHNSON M.D., P.A. 401(K) PLAN & TRUST 2023 650939394 2024-04-03 MARK JOHNSON, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621320
Sponsor’s telephone number 9414800600
Plan sponsor’s address 811 RIDGEWOOD AVENUE, VENICE, FL, 34285

Signature of
Role Plan administrator
Date 2024-04-03
Name of individual signing KAREN L. JOHNSON
Valid signature Filed with authorized/valid electronic signature
MARK JOHNSON M.D., P.A. 401(K) PLAN & TRUST 2023 650939394 2024-07-08 MARK JOHNSON, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621320
Sponsor’s telephone number 9414800600
Plan sponsor’s address 1824 ISLAND WAY, OSPREY, FL, 34229

Signature of
Role Plan administrator
Date 2024-07-08
Name of individual signing KAREN L. JOHNSON
Valid signature Filed with authorized/valid electronic signature
MARK JOHNSON M.D., P.A. 401(K) PLAN & TRUST 2022 650939394 2023-09-18 MARK JOHNSON, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621320
Sponsor’s telephone number 9414800600
Plan sponsor’s address 811 RIDGEWOOD AVENUE, VENICE, FL, 34285

Signature of
Role Plan administrator
Date 2023-09-18
Name of individual signing KAREN L. JOHNSON
Valid signature Filed with authorized/valid electronic signature
MARK JOHNSON M.D., P.A. 401(K) PLAN & TRUST 2021 650939394 2022-09-21 MARK JOHNSON, M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621320
Sponsor’s telephone number 9414800600
Plan sponsor’s address 811 RIDGEWOOD AVENUE, VENICE, FL, 34285

Signature of
Role Plan administrator
Date 2022-09-21
Name of individual signing KAREN L. JOHNSON
Valid signature Filed with authorized/valid electronic signature
MARK JOHNSON M.D., P.A. 401(K) PLAN & TRUST 2020 650939394 2021-10-14 MARK JOHNSON, M.D., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621320
Sponsor’s telephone number 9414800600
Plan sponsor’s address 811 RIDGEWOOD AVENUE, VENICE, FL, 34285

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing KAREN L. JOHNSON
Valid signature Filed with authorized/valid electronic signature
MARK JOHNSON M.D., P.A. 401(K) PLAN & TRUST 2019 650939394 2020-09-13 MARK JOHNSON, M.D., P.A. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621320
Sponsor’s telephone number 9414800600
Plan sponsor’s address 811 RIDGEWOOD AVENUE, VENICE, FL, 34285

Signature of
Role Plan administrator
Date 2020-09-13
Name of individual signing KAREN L. JOHNSON
Valid signature Filed with authorized/valid electronic signature
MARK JOHNSON M.D., P.A. 401(K) PLAN & TRUST 2018 650939394 2019-04-29 MARK JOHNSON, M.D., P.A. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621320
Sponsor’s telephone number 9414800600
Plan sponsor’s address 811 RIDGEWOOD AVENUE, VENICE, FL, 34285

Signature of
Role Plan administrator
Date 2019-04-29
Name of individual signing KAREN L. JOHNSON
Valid signature Filed with authorized/valid electronic signature
MARK JOHNSON M.D., P.A. 401(K) PLAN & TRUST 2017 650939394 2018-09-29 MARK JOHNSON M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 9414800600
Plan sponsor’s address 811 RIDGEWOOD AVENUE, VENICE, FL, 34285

Signature of
Role Plan administrator
Date 2018-09-29
Name of individual signing KAREN L. JOHNSON
Valid signature Filed with authorized/valid electronic signature
MARK JOHNSON M.D., P.A. 401(K) PLAN & TRUST 2016 650939394 2017-06-19 MARK JOHNSON M.D., P.A. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 9414800600
Plan sponsor’s address 811 RIDGEWOOD AVENUE, VENICE, FL, 34285

Signature of
Role Plan administrator
Date 2017-06-19
Name of individual signing KAREN L. JOHNSON
Valid signature Filed with authorized/valid electronic signature
MARK JOHNSON M.D., P.A. 401(K) PLAN & TRUST 2015 650939394 2016-09-29 MARK JOHNSON M.D., P.A. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621399
Sponsor’s telephone number 9414800600
Plan sponsor’s address 811 RIDGEWOOD AVENUE, VENICE, FL, 34285

Signature of
Role Plan administrator
Date 2016-09-29
Name of individual signing KAREN L. JOHNSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
BOONE STEPHEN K Agent 1001 AVENIDA DEL CIRCO, VENICE, FL, 34285

President

Name Role Address
JOHNSON MARK M President 1824 ISLAND WAY, OSPREY, FL, 34229

Director

Name Role Address
JOHNSON MARK M Director 1824 ISLAND WAY, OSPREY, FL, 34229

Secretary

Name Role Address
JOHNSON KAREN Secretary 1824 ISLAND WAY, OSPREY, FL, 34229

Treasurer

Name Role Address
JOHNSON KAREN Treasurer 1824 ISLAND WAY, OSPREY, FL, 34229

Related by officers

JOHNSON KAREN

SOUTH CAROLINA'S STATEWIDE CLOSING SERVICES, LLC ABUNDANT PUPS, INC. JKJ GROUP INC. THE OCEAN GATE HOTEL, LLC BACKERS COLLEGIATE, INC. ROBINDALE HOTEL, LLC LADIES WITH CLASS MOTORCYCLE CLUB, INC. GRIT & GRACE, INC. PROTECT SECURITY, INC. BLUE SKY MINING COMPANY, L.L.C.

BOONE STEPHEN K

VENTEURS LLC DONATELLO GROUP OF VENICE, LLC BOBCAT PROFESSIONAL CENTER II, LLC SUMMERLAND GROUP OF VENICE, LLC VENICE CHALLENGER BASEBALL, INC. IRVINE LLC MW INTERNATIONAL, INC. GULF COAST CHICKEN COMPANY MILLSTONE CONSTRUCTION SERVICES, LTD., LLLP COUNTRY CUPBOARD COOKIN', INC.

Related by address

811 RIDGEWOOD AVENUE, VENICE, FL, 34285

BLUE SKY MINING COMPANY, L.L.C.

811 RIDGEWOOD AVENUE, VENICE, FL, 34285

BLUE SKY MINING COMPANY, L.L.C.

Date of last update: 01 Jan 2025

Sources: Florida Department of State

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