JOSEPH D. JACKSON, DMD, LLC 401(K) PROFIT SHARING PLAN
|
2023
|
454049632
|
2024-10-14
|
JOSEPH D. JACKSON, DMD, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3097643242
|
Plan sponsor’s
address |
2900 41ST ST, MOLINE, IL, 61265
|
Signature of
Role |
Plan administrator |
Date |
2024-10-14 |
Name of individual signing |
JOSEPH D. JACKSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LJ DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2022
|
454049632
|
2023-09-29
|
LJ DENTISTRY, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3097643242
|
Plan sponsor’s
address |
2900 41ST STREET, MOLINE, IL, 61265
|
Signature of
Role |
Plan administrator |
Date |
2023-09-29 |
Name of individual signing |
JOSEPH JACKSON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LJ DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2021
|
454049632
|
2022-10-14
|
LJ DENTISTRY, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3097643242
|
Plan sponsor’s
address |
2900 41ST STREET, MOLINE, IL, 61265
|
Signature of
Role |
Plan administrator |
Date |
2022-10-14 |
Name of individual signing |
JOSEPH JACKSON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LJ DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2020
|
454049632
|
2021-10-06
|
LJ DENTISTRY, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3097643242
|
Plan sponsor’s
address |
2900 41ST STREET, MOLINE, IL, 61265
|
Signature of
Role |
Plan administrator |
Date |
2021-10-06 |
Name of individual signing |
JOSEPH JACKSON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LJ DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2019
|
454049632
|
2020-10-02
|
LJ DENTISTRY, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3097643242
|
Plan sponsor’s
address |
2900 41ST STREET, MOLINE, IL, 61265
|
Signature of
Role |
Plan administrator |
Date |
2020-10-02 |
Name of individual signing |
JOSEPH JACKSON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LJ DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2018
|
454049632
|
2019-10-01
|
LJ DENTISTRY, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3097643242
|
Plan sponsor’s
address |
2900 41ST STREET, MOLINE, IL, 61265
|
Signature of
Role |
Plan administrator |
Date |
2019-10-01 |
Name of individual signing |
JOSEPH JACKSON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LJ DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2017
|
454049632
|
2018-10-04
|
LJ DENTISTRY, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3097643242
|
Plan sponsor’s
address |
2900 41ST STREET, MOLINE, IL, 61265
|
Signature of
Role |
Plan administrator |
Date |
2018-10-04 |
Name of individual signing |
JOSEPH JACKSON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LJ DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2016
|
454049632
|
2017-08-26
|
LJ DENTISTRY, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3097643242
|
Plan sponsor’s
address |
2900 41ST STREET, MOLINE, IL, 61265
|
Signature of
Role |
Plan administrator |
Date |
2017-08-26 |
Name of individual signing |
JOSEPH JACKSON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LJ DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2015
|
454049632
|
2016-07-07
|
LJ DENTISTRY, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3097643242
|
Plan sponsor’s
address |
2900 41ST STREET, MOLINE, IL, 61265
|
Signature of
Role |
Plan administrator |
Date |
2016-07-07 |
Name of individual signing |
JOSEPH JACKSON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LJ DENTISTRY, LLC 401(K) PROFIT SHARING PLAN
|
2014
|
454049632
|
2015-07-07
|
LJ DENTISTRY, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
3097643242
|
Plan sponsor’s
address |
2900 41ST STREET, MOLINE, IL, 61265
|
Signature of
Role |
Plan administrator |
Date |
2015-07-07 |
Name of individual signing |
JOSEPH JACKSON, D.D.S. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|