DR. DANIEL M. GOLDMAN DEFINED BENEFIT PENSION PLAN 401k Plan overview

DR. DANIEL M. GOLDMAN DEFINED BENEFIT PENSION PLAN Benefits

401k Sponsoring company profile

Company Name:	DR. DANIEL M. GOLDMAN
Employer identification number (EIN):	222738127
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
002	2012-12-31	JULIE RYAN	2014-10-15	JULIE RYAN	2014-10-15
002	2011-12-31	RICH OBERST	2013-07-05	RICH OBERST	2013-07-05
002	2010-12-31	RICH OBERST	2012-06-26	RICH OBERST	2012-06-26
002	2008-12-31

Form 5500 Responses for DR. DANIEL M. GOLDMAN DEFINED BENEFIT PENSION PLAN

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• DR. DANIEL R. CULLUM, P.A. CASH BALANCE PLAN [EIN = 820480104]
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