EAST BAY SHOULDER CLINIC AND SPORTS REHABILITATION, INC. PROFIT SHARING 401(K) PLAN 401k Plan overview

EAST BAY SHOULDER CLINIC AND SPORTS REHABILITATION, INC. PROFIT SHARING 401(K) PLAN Benefits

401k Sponsoring company profile

Company Name:	EAST BAY SHOULDER CLINIC AND SPORTS REHABILITATION, INC.
Employer identification number (EIN):	201821161
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
001	2022-01-01	KIRK L. JENSEN, M.D.	2022-07-06
001	2021-01-01	KIRK L. JENSEN, M.D.	2022-07-06
001	2020-01-01	KIRK L. JENSEN, M.D.	2021-10-15
001	2019-01-01	KIRK L. JENSEN, M.D.	2020-07-28
001	2018-01-01	KIRK L. JENSEN, M.D.	2019-08-18
001	2017-01-01	KIRK L. JENSEN, M.D.	2018-07-08
001	2016-01-01	KIRK L. JENSEN, M.D.	2017-07-06
001	2015-01-01	KIRK L. JENSEN, M.D.	2016-07-19
001	2014-01-01	KIRK L. JENSEN, M.D.	2015-05-15
001	2013-01-01	KIRK L. JENSEN, M.D.	2014-05-31
001	2012-01-01	KIRK L. JENSEN, M.D.	2013-06-03
001	2011-01-01	KIRK L. JENSEN, M.D.	2012-06-19
001	2010-01-01	KIRK L. JENSEN, M.D.	2011-05-23

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