ORTHO CLUB RETIREMENT PLAN & TRUST
|
2023
|
870757435
|
2024-05-07
|
JOHNSON ORTHODONTICS, P.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7194329807
|
Plan sponsor’s
address |
5850 TUTT CENTER POINT, SUITE 100, COLORADO SPRINGS, CO, 80922
|
Signature of
Role |
Plan administrator |
Date |
2024-05-07 |
Name of individual signing |
WARREN JOHNSON, DDS MS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHO CLUB RETIREMENT PLAN & TRUST
|
2022
|
870757435
|
2023-10-10
|
JOHNSON ORTHODONTICS, P.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7194329807
|
Plan sponsor’s
address |
5850 TUTT CENTER POINT, SUITE 100, COLORADO SPRINGS, CO, 80922
|
Signature of
Role |
Plan administrator |
Date |
2023-10-10 |
Name of individual signing |
WARREN JOHNSON, DDS MS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHO CLUB DEFINED BENEFIT CASH BALANCE PLAN & TRUST
|
2022
|
870757435
|
2023-10-10
|
JOHNSON ORTHODONTICS, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2018-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195963081
|
Plan sponsor’s
address |
5850 TUTT CENTER POINT, SUITE 100, COLORADO SPRINGS, CO, 80922
|
Signature of
Role |
Plan administrator |
Date |
2023-10-10 |
Name of individual signing |
WARREN JOHNSON, DDS MS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHO CLUB DEFINED BENEFIT CASH BALANCE PLAN & TRUST
|
2021
|
870757435
|
2022-10-15
|
JOHNSON ORTHODONTICS, P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2018-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195963081
|
Plan sponsor’s
address |
5850 TUTT CENTER POINT, SUITE 100, COLORADO SPRINGS, CO, 80922
|
Signature of
Role |
Plan administrator |
Date |
2022-10-15 |
Name of individual signing |
WARREN JOHNSON, DDS MS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHO CLUB RETIREMENT PLAN & TRUST
|
2021
|
870757435
|
2022-08-24
|
JOHNSON ORTHODONTICS, P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7194329807
|
Plan sponsor’s
address |
5850 TUTT CENTER POINT, SUITE 100, COLORADO SPRINGS, CO, 80922
|
Signature of
Role |
Plan administrator |
Date |
2022-08-24 |
Name of individual signing |
WARREN JOHNSON, DDS MS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHO CLUB RETIREMENT PLAN & TRUST
|
2020
|
870757435
|
2021-10-13
|
JOHNSON ORTHODONTICS, P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195963081
|
Plan sponsor’s
address |
5850 TUTT CENTER POINT, SUITE 100, COLORADO SPRINGS, CO, 80922
|
Signature of
Role |
Plan administrator |
Date |
2021-10-13 |
Name of individual signing |
WARREN JOHNSON, DDS MS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHO CLUB DEFINED BENEFIT CASH BALANCE PLAN & TRUST
|
2020
|
870757435
|
2021-10-13
|
JOHNSON ORTHODONTICS, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2018-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195963081
|
Plan sponsor’s
address |
5850 TUTT CENTER POINT, SUITE 100, COLORADO SPRINGS, CO, 80922
|
Signature of
Role |
Plan administrator |
Date |
2021-10-13 |
Name of individual signing |
WARREN JOHNSON, DDS MS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHO CLUB RETIREMENT PLAN & TRUST
|
2019
|
870757435
|
2020-10-08
|
JOHNSON ORTHODONTICS, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-10-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195963081
|
Plan sponsor’s
address |
5850 TUTT CENTER POINT, SUITE 100, COLORADO SPRINGS, CO, 80922
|
Signature of
Role |
Plan administrator |
Date |
2020-10-08 |
Name of individual signing |
WARREN JOHNSON, DDS MS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHO CLUB DEFINED BENEFIT CASH BALANCE PLAN & TRUST
|
2019
|
870757435
|
2020-10-08
|
JOHNSON ORTHODONTICS, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2018-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195963081
|
Plan sponsor’s
address |
5850 TUTT CENTER POINT, SUITE 100, COLORADO SPRINGS, CO, 80922
|
Signature of
Role |
Plan administrator |
Date |
2020-10-08 |
Name of individual signing |
WARREN JOHNSON, DDS MS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ORTHO CLUB DEFINED BENEFIT BENEFIT CASH BALANCE PLAN & TRUST
|
2018
|
870757435
|
2019-10-10
|
JOHNSON ORTHODONTICS, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2018-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
7195963081
|
Plan sponsor’s
address |
5850 TUTT CENTER POINT, SUITE 100, COLORADO SPRINGS, CO, 80922
|
Signature of
Role |
Plan administrator |
Date |
2019-10-10 |
Name of individual signing |
WARREN JOHNSON, DDS MS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|