MARK H. NELSON, M.D. 401(K) PROFIT SHARING PLAN 401k Plan overview

MARK H. NELSON, M.D. 401(K) PROFIT SHARING PLAN Benefits

401k Sponsoring company profile

Company Name:	MARK H. NELSON, M.D.
Employer identification number (EIN):	205932901
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	MARK NELSON	2019-07-30	MARK NELSON	2019-07-30
001	2017-01-01	MARK NELSON	2018-05-03	MARK NELSON	2018-05-03
001	2016-01-01	MARK NELSON	2017-06-09	MARK NELSON	2017-06-09
001	2015-01-01	MARK NELSON	2016-07-07	MARK NELSON	2016-07-07
001	2014-01-01	MARK NELSON	2015-07-01	MARK NELSON	2015-07-01
001	2013-01-01	MARK NELSON	2014-07-30
001	2012-01-01	MARK NELSON	2013-07-30
001	2011-01-01	REGINA AUER	2012-06-20	MARK NELSON	2012-06-20
001	2010-01-01	MARK NELSON	2011-05-19

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• MARK H. RANDALL, ATTORNEY PROFIT SHARING PLAN [EIN = 592225516]
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• MARK H. PAYE, D.D.S. PROFIT SHARING PLAN [EIN = 942275109]
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• MARK H. FREEDMAN, D.D.S. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN [EIN = 113155664]
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