ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN
|
2023
|
383901881
|
2024-10-29
|
ACADEMY DERMATOLOGY, PC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195901800
|
Plan sponsor’s
address |
3246 CENTENNIAL BLVD, #112, COLORADO SPRINGS, CO, 80907
|
Signature of
Role |
Plan administrator |
Date |
2024-10-29 |
Name of individual signing |
RONALD JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN
|
2023
|
383901881
|
2024-07-27
|
ACADEMY DERMATOLOGY, PC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195901800
|
Plan sponsor’s
address |
3246 CENTENNIAL BLVD, #112, COLORADO SPRINGS, CO, 80907
|
Signature of
Role |
Plan administrator |
Date |
2024-07-27 |
Name of individual signing |
RONALD JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN
|
2022
|
383901881
|
2023-06-21
|
ACADEMY DERMATOLOGY, PC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195901800
|
Plan sponsor’s
address |
3246 CENTENNIAL BLVD, #112, COLORADO SPRINGS, CO, 80907
|
Signature of
Role |
Plan administrator |
Date |
2023-06-21 |
Name of individual signing |
RONALD JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN
|
2021
|
383901881
|
2022-05-31
|
ACADEMY DERMATOLOGY, PC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195901800
|
Plan sponsor’s
address |
1665 BRIARGATE BLVD., STE. 200, COLORADO SPRINGS, CO, 809203400
|
Signature of
Role |
Plan administrator |
Date |
2022-05-31 |
Name of individual signing |
RONALD JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN
|
2020
|
383901881
|
2021-06-23
|
ACADEMY DERMATOLOGY, PC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195901800
|
Plan sponsor’s
address |
1665 BRIARGATE BLVD., STE. 200, COLORADO SPRINGS, CO, 809203400
|
Signature of
Role |
Plan administrator |
Date |
2021-06-23 |
Name of individual signing |
RONALD JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN
|
2019
|
383901881
|
2020-04-19
|
ACADEMY DERMATOLOGY, PC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195901800
|
Plan sponsor’s
address |
1665 BRIARGATE BLVD., STE. 200, COLORADO SPRINGS, CO, 809203400
|
Signature of
Role |
Plan administrator |
Date |
2020-04-19 |
Name of individual signing |
RONALD JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN
|
2018
|
383901881
|
2019-06-04
|
ACADEMY DERMATOLOGY, PC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195901800
|
Plan sponsor’s
address |
1665 BRIARGATE BLVD., STE. 200, COLORADO SPRINGS, CO, 809203400
|
Signature of
Role |
Plan administrator |
Date |
2019-06-04 |
Name of individual signing |
RONALD JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN
|
2017
|
383901881
|
2018-07-15
|
ACADEMY DERMATOLOGY, PC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195901800
|
Plan sponsor’s
address |
1665 BRIARGATE BLVD., STE. 200, COLORADO SPRINGS, CO, 809203400
|
Signature of
Role |
Plan administrator |
Date |
2018-07-15 |
Name of individual signing |
RONALD JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN
|
2016
|
383901881
|
2017-06-25
|
ACADEMY DERMATOLOGY, PC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195901800
|
Plan sponsor’s
address |
1665 BRIARGATE BLVD., STE. 200, COLORADO SPRINGS, CO, 809203400
|
Signature of
Role |
Plan administrator |
Date |
2017-06-25 |
Name of individual signing |
RONALD JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACADEMY DERMATOLOGY 401K PROFIT SHARING PLAN
|
2015
|
383901881
|
2016-09-30
|
ACADEMY DERMATOLOGY, PC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7195901800
|
Plan sponsor’s
address |
1665 BRIARGATE BLVD., STE. 200, COLORADO SPRINGS, CO, 809203400
|
Signature of
Role |
Plan administrator |
Date |
2016-09-30 |
Name of individual signing |
RONALD JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|