SCOTT R. CAPUSTIN, MD, PLLC 401(K) PLAN 401k Plan overview

SCOTT R. CAPUSTIN, MD, PLLC 401(K) PLAN Benefits

401k Sponsoring company profile

Company Name:	SCOTT R. CAPUSTIN, MD, PLLC
Employer identification number (EIN):	202539581
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	2018-01-01
001	2017-01-01
001	2016-01-01	SCOTT R. CAPUSTIN, MD	2017-04-24
001	2015-01-01	SCOTT R. CAPUSTIN, MD	2016-03-30
001	2014-01-01	SCOTT R. CAPUSTIN, MD	2015-05-26
001	2013-01-01	SCOTT R. CAPUSTIN, MD	2014-08-22
001	2012-01-01	SCOTT R. CAPUSTIN, MD	2013-05-29
001	2011-01-01	WILLIAM CLEMANS	2012-03-29
001	2010-01-01	WILLIAM CLEMANS	2011-06-13

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• SCOTT R. ROBERTS & ASSOCIATES CO., L.P.A. PENSION PLAN [EIN = 311628350]
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• SCOTT R. BURKHART, DDS, PC CASH BALANCE PENSION PLAN [EIN = 841010859]
• SCOTT R. WALKER, DMD, PC DEFINED BENEFIT PENSION PAN [EIN = 931297806]
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• SCOTT R. FRICK CPA, P.C. 401(K) PLAN [EIN = 351872552]
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• SCOTT R. ELARDO 401(K) PROFIT SHARING PLAN [EIN = 832677785]
• SCOTT R. GARDNER, DDS PC EQRP 401(K) PLAN [EIN = 820537509]

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