John Leach D.M.D. LLC

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2021-01-01
Business code	621210
Sponsor’s telephone number	9072683109
Plan sponsor’s address	205 E. DIMOND BLVD., #200, ANCHORAGE, AK, 99515

Signature of

Role	Plan administrator
Date	2024-04-06
Name of individual signing	JOHN LEACH

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	9072683109
Plan sponsor’s address	205 E. DIMOND BLVD., #200, ANCHORAGE, AK, 99515

Signature of

Role	Plan administrator
Date	2024-04-08
Name of individual signing	JOHN LEACH

Three-digit plan number (PN)	002
Effective date of plan	2021-01-01
Business code	621210
Sponsor’s telephone number	9072683109
Plan sponsor’s address	205 E. DIMOND BLVD., #200, ANCHORAGE, AK, 99515

Signature of

Role	Plan administrator
Date	2023-02-28
Name of individual signing	JOHN LEACH

Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	9072683109
Plan sponsor’s address	205 E. DIMOND BLVD., #200, ANCHORAGE, AK, 99515

Signature of

Role	Plan administrator
Date	2023-02-28
Name of individual signing	JOHN LEACH

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2021-01-01
Business code	621210
Sponsor’s telephone number	9072683109
Plan sponsor’s address	205 E. DIMOND BLVD., #200, ANCHORAGE, AK, 99515

Signature of

Role	Plan administrator
Date	2022-05-06
Name of individual signing	JOHN LEACH
Role	Employer/plan sponsor
Date	2022-05-06
Name of individual signing	JOHN LEACH

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	9072683109
Plan sponsor’s address	205 E. DIMOND BLVD., #200, ANCHORAGE, AK, 99515

Signature of

Role	Plan administrator
Date	2022-05-06
Name of individual signing	JOHN LEACH
Role	Employer/plan sponsor
Date	2022-05-06
Name of individual signing	JOHN LEACH

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	9072683109
Plan sponsor’s address	205 E. DIMOND BLVD. #200, ANCHORAGE, AK, 99515

Signature of

Role	Plan administrator
Date	2021-03-29
Name of individual signing	JOHN LEACH
Role	Employer/plan sponsor
Date	2021-03-29
Name of individual signing	JOHN LEACH

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2019-01-01
Business code	621210
Sponsor’s telephone number	9072683109
Plan sponsor’s address	205 E. DIMOND BLVD. #200, ANCHORAGE, AK, 99515

Signature of

Role	Plan administrator
Date	2020-05-07
Name of individual signing	JOHN LEACH
Role	Employer/plan sponsor
Date	2020-05-07
Name of individual signing	JOHN LEACH