401k Plan data: EUGENE M. HEAVLIN, D.M.D. 401(K) PROFIT SHARING PLAN plan

EUGENE M. HEAVLIN, D.M.D. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	EUGENE M. HEAVLIN, D.M.D. 401(K) PROFIT SHARING PLAN
Plan identification number	001

EUGENE M. HEAVLIN, D.M.D. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.

401k Sponsoring company profile

EUGENE M. HEAVLIN, D.M.D., LLC has sponsored the creation of one or more 401k plans.

Company Name: EUGENE M. HEAVLIN, D.M.D., LLC

Employer identification number (EIN): 263842586

NAIC Classification: 621210
NAIC Description: Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EUGENE M. HEAVLIN, D.M.D. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 EUGENE HEAVLIN 2014-10-23 EUGENE HEAVLIN 2014-10-23
001 2013-01-01 EUGENE HEAVLIN 2014-02-24 EUGENE HEAVLIN 2014-02-24
001 2012-01-01 EUGENE HEAVLIN 2013-06-07 EUGENE HEAVLIN 2013-06-07
001 2011-01-01 EUGENE HEAVLIN 2012-07-17 EUGENE HEAVLIN 2012-07-17
001 2010-01-01 EUGENE HEAVLIN 2011-08-09 EUGENE HEAVLIN 2011-08-09

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	EUGENE HEAVLIN	2014-10-23	EUGENE HEAVLIN	2014-10-23
001	2013-01-01	EUGENE HEAVLIN	2014-02-24	EUGENE HEAVLIN	2014-02-24
001	2012-01-01	EUGENE HEAVLIN	2013-06-07	EUGENE HEAVLIN	2013-06-07
001	2011-01-01	EUGENE HEAVLIN	2012-07-17	EUGENE HEAVLIN	2012-07-17
001	2010-01-01	EUGENE HEAVLIN	2011-08-09	EUGENE HEAVLIN	2011-08-09

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Company Name:	EUGENE M. HEAVLIN, D.M.D., LLC
Employer identification number (EIN):	263842586
NAIC Classification:	621210
NAIC Description:	Offices of Dentists