TRI STATE ORAL & MAXILLOFACIAL CBS BENEFIT PLAN 401k Plan overview

TRI STATE ORAL & MAXILLOFACIAL CBS BENEFIT PLAN Benefits

401k Sponsoring company profile

Company Name:	TRI-STATE ORAL AND MAXILLOFACIAL SURGERY, LLC
Employer identification number (EIN):	208401799
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2020-06-01	SHAWNA BURTON	2021-12-14
501	2020-01-01	KELLY WOLF	2020-12-23

Potentially related plans

• TRI STATE CAPITAL MEDICAL PLAN [EIN = 205888359]
• TRI STATE ELECTRIC INC 401K PROFIT SHARING PLAN AND TRUST [EIN = 770431821]
• TRI STATE DISTRIBUTION, INC. WELFARE BENEFITS PLAN [EIN = 621501548]
• TRI STATE UROLOGIC SERVICES WELFARE PLAN [EIN = 611257391]
• TRI STATE JOINT FUND [EIN = 060850110]
• TRI STATE UROLOGIC SERVICES P.S.C., INC. RETIREMENT SAVINGS PLAN [EIN = 611257391]
• TRI STATE PERIODONTICS PSC PROFIT SHARING PLAN [EIN = 611299997]
• TRI STATE G&T ASSOCIATION, INC. 125 PLAN [EIN = 840464189]
• TRI STATE TRUCK CENTER 401(K) PLAN [EIN = 042840481]
• TRI STATE SURVEYING 401(K) PROFIT SHARING PLAN [EIN = 880221625]
• TRI STATE HARDBANDING & INSPECTION RETIREMENT PLAN [EIN = 371373996]
• TRI STATE UROLOGIC SERVICES P.S.C., INC. DEFINED BENEFIT PLAN [EIN = 611257391]
• TRI STATE COMMUNITY HEALTH CENTER TAX SHELTERED SAVINGS PLAN [EIN = 521516829]
• TRI STATE CAPITAL DENTAL PLAN [EIN = 205888359]
• TRI STATE GRADUATE CENTER DEFINED CONTRIBUTION RETIREMENT PLAN [EIN = 421369563]
• TRI STATE UROLOGIC SERVICES DENTAL PLAN [EIN = 611257391]
• TRI STATE UROLOGIC SERVICES HEALTH PLAN [EIN = 611257391]
• TRI STATE ELECTRICAL & MECHANICAL LLC 401K PLAN [EIN = 233032733]
• TRI STATE FAMILY PRACTICE LLP 401K PLAN [EIN = 421462387]
• TRI STATE SPECIALISTS LLP 401K PLAN [EIN = 202552836]
• TRI STATE GATE 401(K) RETIREMENT PLAN [EIN = 205031721]
• TRI STATE LAND AND TIMBER, LLC 401(K) PLAN [EIN = 260539877]
• TRI STATE POOLS EMPLOYEE GROUP HEALTH PLAN [EIN = 621086012]
• TRI STATE SUPPLY CO. SAVINGS AND INVESTMENT PLAN [EIN = 251126187]
• TRI STATE SURGERY CENTER, LLC 401(K) P/S PLAN [EIN = 562317091]
• TRI STATE KNIFE GRINDING INC. 401(K) PLAN [EIN = 223805306]
• TRI STATE COMMODITIES, INC 401(K) PROFIT SHARING PLAN [EIN = 840632108]
• TRI STATE 401(K) PLAN [EIN = 640512013]
• TRI STATE BUILDERS 401 K PROFIT SHARING PLAN TRUST [EIN = 232309569]
• TRI STATE DENTAL SUPPLIES & EQUIPMENT 401(K) PROFIT SHARING PLAN [EIN = 223332059]
• TRI STATE ANESTHESIA ASSOCIATES, PLC DEFINED BENEFIT PLAN [EIN = 201340660]
• TRI STATE RETIREMENT PLAN EXCHANGE 401(K) PLAN (FINAL 5500 FOR ISS LTD) [EIN = 262739127]
• TRI STATE BOBCAT INC 401 K PROFIT SHARING PLAN TRUST [EIN = 411442732]
• TRI STATE STEEL DRUM CORP. EMPLOYEES' PROFIT SHARING PLAN [EIN = 112481131]
• TRI STATE RENTALS INC 401 K PROFIT SHARING PLAN TRUST [EIN = 222553105]
• TRI STATE GOVERNMENT SERVICES, INC. PROFIT SHARING PLAN [EIN = 621557084]
• TRI STATE RETIREMENT PLAN EXCHANGE 401(K) PLAN [EIN = 341804661]
• TRI STATE FAMILY MEDICINE PSC 401(K) PROFIT SHARING PLAN [EIN = 204691731]
• TRI STATE ADVANCED PAIN MANAGEMENT PLLC PROFIT SHARING PLAN [EIN = 300158165]
• TRI STATE ORAL SURGERY LLC SAFE HARBOR 401K PLAN [EIN = 050626795]
• TRI STATE ACCOUNTING 401(K) PLAN [EIN = 311356373]
• TRI STATE ELECTRIC INC 401 K PROFIT SHARING PLAN TRUST [EIN = 770431821]
• TRI STATE ACQUISITION [EIN = 454306171]
• TRI STATE CLINIC PROFIT SHARING AND 401K PLAN [EIN = 541264735]
• TRI STATE MEDICAL SPECIALISTS, LLC CASH BALANCE PENSION PLAN [EIN = 271046801]
• TRI STATE RAIL FEDERAL CREDIT UNION RETIREMENT PLAN [EIN = 250971466]
• TRI STATE ALUMINUM & STAINLESS, INC 401(K) PROFIT SHARING PLAN [EIN = 223218275]
• TRI STATE PLASTICS INC 401K PLAN [EIN = 611271151]
• TRI STATE EAST TENNESSEE 401(K) PLAN [EIN = 453814021]
• TRI STATE ORTHOPAEDIC SALES LLC 401K PLAN [EIN = 010901963]
• TRI STATE REBAR COMPANY 401 (K) PROFIT SHARING PLAN [EIN = 251625873]
• TRI STATE SNACKS AND CONCESSIO 401 K PROFIT SHARING PLAN TRUST [EIN = 272553553]
• TRI STATE MAINTENANCE SERVICES,LLC 401(K) PLAN [EIN = 264187300]
• TRI STATE ANESTHESIA ASSOC., PLC PROFIT SHARING PLAN [EIN = 201340660]
• TRI STATE OFFICE FURNITURE INC. 401(K) PLAN [EIN = 272120859]
• TRI STATE PULMONARY ASSOCIATES, PSC PROFIT SHARING PLAN [EIN = 611069549]
• TRI STATE PAIN INSTITUTE LLC 401(K) PROFIT SHARIN [EIN = 261827801]
• TRI STATE, LTD 401(K) [EIN = 450351323]
• TRI STATES REBAR 401K PROFIT SHARING PLAN [EIN = 911255722]
• TRI STATE CONSTRUCTION, LLC 401(K) PLAN [EIN = 263798722]
• TRI STATE POOL & SPA LLC 401K PROFIT SHARING PLAN [EIN = 205424358]
• TRI STATE RETIREMENT PLAN EXCHANGE 401(K) PLAN [EIN = 474654789]
• TRI STATE RESTORATIONS, LLC 401(K) PLAN [EIN = 113823545]
• TRI STATE MEDICAL SPECIALISTS, LLC 401(K) PLAN [EIN = 271046801]
• TRI STATE REMODELING INVESTM 401 K PROFIT SHARING PLAN TRUST [EIN = 460849785]
• TRI STATE RETIREMENT PLAN EXCHANGE 401K PLAN [EIN = 264725702]
• TRI STATE TRANSPORTATION CASH OR DEFERRED PROFIT SHARING PLAN [EIN = 263871390]
• TRI STATE AUTO MALL 401(K) PLAN [EIN = 113262207]
• TRI STATE ORTHOPAEDICS LLC 401(K) PS PLAN [EIN = 820580917]
• TRI STATE MAGAZINE LLLC 401 K PROFIT SHARING PLAN TRUST [EIN = 113580604]
• TRI STATE BRICK & STONE NY INC. 401K PROFIT SHARING PLAN & TRUST [EIN = 133563182]
• TRI STATE INFECTIOUS DISEASE CONSULTANTS, PSC PROFIT SHARING PLAN [EIN = 311507529]
• TRI STATE PATHOLOGY 401 K PROFIT SHARING PLAN TRUST [EIN = 455258171]
• TRI STATE TIRE 401(K) PLAN [EIN = 581035790]
• TRI STATE COATING & MACHINE, INC. 401K PLAN [EIN = 550686818]
• TRI STATE 401(K) PLAN [EIN = 203986527]
• TRI STATE COPY INC 401 K PROFIT SHARING PLAN TRUST [EIN = 223277500]
• TRI STATE HOSE & SUPPLY CO. 401(K) PLAN [EIN = 251320316]
• TRI STATE LAND & TIMBER, INC. 401K PLAN [EIN = 593740134]
• TRI STATE RETIREMENT PLAN EXCHANGE 401(K) PLAN [EIN = 221494634]
• TRI STATE RETIREMENT PLAN EXCHANGE 401(K) PLAN [EIN = 202142658]
• TRI STATE RETIREMENT PLAN EXCHANGE 401K PLAN [EIN = 453702522]
• TRI STATE ACQUISITION [EIN = 311584140]
• TRI STATE MARINE, INC. PROFIT SHARING PLAN [EIN = 205641733]
• TRI STATE COMMERCIAL BUILDERS INC. [EIN = 113393114]
• TRI STATE COMPANIES, INC. 401(K) PLAN [EIN = 420843247]
• TRI STATE SUPPLY, INC. 401(K) PLAN [EIN = 813208814]
• TRI STATE CAPITAL LIFE AND DISABILITY PLAN [EIN = 205888359]
• TRI STATE ON SITE FLEET SERVICE INC 401(K) PLAN [EIN = 811489774]
• TRI STATE UROLOGIC SERVICES VISION PLAN [EIN = 611257391]
• TRI STATE DISTRIBUTION, INC. WELFARE BENEFITS PLAN [EIN = 621501548]
• TRI STATE CONNECT INC. RETIREMENT PLAN [EIN = 815148906]
• TRI STATE SIGNS UNLIMITED INC. SOCA BENEFIT PLAN [EIN = 311681653]
• TRI STATE GOLD BUYING SERVICES RETIREMENT PLAN [EIN = 821334422]
• TRI STATE STAGING INC 401 K PROFIT SHARING PLAN TRUST [EIN = 223251391]
• TRI STATE FURNITURE INSTALLERS 401 K PROFIT SHARING PLAN TRUST [EIN = 465127409]
• TRI STATE SALON SERVICES 401(K) PLAN [EIN = 464111941]
• TRI STATE ENTERPRISES INC [EIN = 710486882]
• TRI STATE HEATING AND AIR 401(K) PLAN [EIN = 453912114]
• TRI STATE SEWER & DRAIN 401(K) PLAN [EIN = 270779199]
• TRI STATE RETIREMENT PLAN [EIN = 411901512]
• TRI STATE ARTHRITIS AND RHEUMATOLOGY 401(K) [EIN = 743039013]
• TRI STATE REPROGRAPHICS INC. 401K PROFIT SHARING PLAN & TRUST [EIN = 250943261]
• TRI STATE ACCOUNTING AND TAX SERVICES, INC 401(K) PSP [EIN = 311356373]
• TRI STATE MORTGAGE CO. 401(K) PLAN [EIN = 742463950]
• TRI STATE COMPANIES INC SECTION 125 [EIN = 420843247]
• TRI STATE CONVERGENT NETWORKS 401 (K) PROFIT SHARING PLAN & TRUST [EIN = 204948242]
• TRI STATE PROFIT SHARING PLAN 401 K PLAN [EIN = 341887942]
• TRI STATE CONCRETE PUMPING SER 401 K PROFIT SHARING PLAN TRUST [EIN = 222989333]
• TRI STATE FORD 401(K) PLAN [EIN = 822226917]
• TRI STATE GROUNDWATER SOLUTION 401 K PROFIT SHARING PLAN TRUST [EIN = 811992442]
• TRI STATE PRECAST 401(K) PLAN [EIN = 232942384]
• TRI STATE AREA FEDERAL CREDIT 401(K) PROFIT SHARING PLAN & TRUST [EIN = 141408445]
• TRI STATE LIQUID WASTE SOCA BENEFIT PLAN [EIN = 311457890]
• TRI STATE SERVICE STATION MAINTENANCE INC SOCA BENEFIT PLAN [EIN = 311408835]
• TRI STATE RESTORATIONS, LLC 401(K) PLAN [EIN = 113823543]
• TRI STATE UTILITY PRODUCTS, INC. GCF BENEFIT PLAN [EIN = 581110281]
• TRI STATE CPAS INC. 401(K) PLAN [EIN = 843555082]
• TRI STATE CONTENTS CLEANING LLC 401K PLAN [EIN = 464248449]
• TRI STATE POULTRY SUPPLY 401(K) PROFIT SHARING PLAN & TRUST [EIN = 631091634]
• TRI STATE CREMATIONS & FUNERAL SERVICES CORP. 401(K) PROFIT SHARING PLAN [EIN = 852019870]
• TRI STATE POULTRY SUPPLY CASH BALANCE PLAN & TRUST [EIN = 631091634]
• TRI STATE PATIENT LIFTS, INC. 401(K) PLAN [EIN = 205354810]
• TRI STATE TREATMENT LLC GCF BENEFIT PLAN [EIN = 453043892]
• TRI STATE FILTER AND HVAC SUPPLIES 401(K) PLAN [EIN = 900123507]
• TRI STATE ELECTRIC & UTILITY, INC. 401(K) PLAN [EIN = 364663995]
• TRI STATE SERVICES INC. 401(K) PLAN [EIN = 852440730]
• TRI STATE SUPPLY, INC. CBIN BENEFIT PLAN [EIN = 813208814]
• TRI STATE LUNG & SLEEP ASSOCIATES OSMA BENEFIT PLAN [EIN = 753020102]
• TRI STATE BOMANITE INC SOCA BENEFIT PLAN [EIN = 311632806]
• TRI STATE OPHTHAMOLOGY MEDOVA LIFESTYLE HEALTH PLAN [EIN = 611209879]
• TRI STATE SIGNS UNLIMITED SOCA BENEFIT PLAN [EIN = 311681653]
• TRI STATE OPHTHALMOLOGY ASSOCIATES CBS BENEFIT PLAN [EIN = 611209879]
• TRI STATE GROWER SOLUTIONS SOCA BENEFIT PLAN [EIN = 862604945]
• TRI STATE WATER RESTORATION 401(K) PLAN [EIN = 454096680]
• TRI STATE FORWARDING, INC. 401(K) PLAN [EIN = 834702442]
• TRI STATE EMS, LLC 401(K) PROFIT SHARING PLAN [EIN = 841825461]
• TRI STATE CPAS INC SOCA BENEFIT PLAN [EIN = 843555082]
• TRI STATE COMMUNITY HEALTHCARE CENTER 401(K) PLAN [EIN = 452996531]
• TRI STATE PET CARE, LLC 401(K) PLAN [EIN = 611638050]
• TRI STATE AWNINGS RETIREMENT SAVINGS PLAN [EIN = 451340744]
• TRI STATE WINDOWS WELFARE PLAN [EIN = 113827973]
• TRI STATE COATINGS REPAIR SOCA BENEFIT PLAN [EIN = 753263872]
• TRI STATE WILDLIFE MANAGEMENT CBS BENEFIT PLAN [EIN = 471718067]
• TRI STATE SPECIALISTS LLC 401(K) PROFIT SHARING PLAN & TRUST [EIN = 834371298]
• TRI STATE GOVERNMENT SERVICES, INC. PROFIT SHARING PLAN [EIN = 661557084]
• TRI STATE MECHANICAL/SFTS 401(K) PLAN [EIN = 205208778]
• TRI STATE TRUCK & EQUIPMENT REPAIR 401K [EIN = 882696247]
• TRI STATE PKG CORP [EIN = 811215305]
• TRI STATE FOLIAGE, INC. 401(K) PLAN [EIN = 311134189]
• TRI STATE REPROGRAPHICS INC 401K [EIN = 250943261]

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