MICHAEL R. DUBIN, MD & WILLIAM R. BASTA, MD, PC PROFIT SHARING PLAN 401k Plan overview

MICHAEL R. DUBIN, MD & WILLIAM R. BASTA, MD, PC PROFIT SHARING PLAN Benefits

401k Sponsoring company profile

Company Name:	MICHAEL R. DUBIN, MD & WILLIAM R. BASTA, MD AND MARTIN B. MOSKOWITZ,
Employer identification number (EIN):	112359604
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
003	2015-01-01	MARTIN MOSKOWITZ	2016-02-09	MARTIN MOSKOWITZ	2016-02-09
003	2014-01-01	MARTIN MOSKOWITZ	2015-06-16	MARTIN MOSKOWITZ	2015-06-16
003	2013-01-01	MARTIN MOSKOWITZ	2014-10-01	MARTIN MOSKOWITZ	2014-10-01
003	2012-01-01	MARTIN MOSKOWITZ	2014-10-01	MARTIN MOSKOWITZ	2014-10-01
003	2011-01-01	WILLIAM BASTA	2012-10-15	WILLIAM BASTA	2012-10-15
003	2010-01-01	WILIAM BASTA	2011-10-17	WILIAM BASTA	2011-10-17

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