GLENN R. BLACK, M.D., INC., PROFIT SHARING PLAN 401k Plan overview

GLENN R. BLACK, M.D., INC., PROFIT SHARING PLAN Benefits

401k Sponsoring company profile

Company Name:	GLENN R. BLACK, M.D., INC
Employer identification number (EIN):	341397097
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	2014-06-01	GLENN BLACK	2015-12-09	GLENN BLACK	2015-12-09
002	2013-06-01	GLENN R. BLACK	2015-12-18
002	2012-06-01	GLENN R. BLACK	2015-12-18
002	2011-06-01	GLENN R. BLACK	2015-12-18

Potentially related plans

• GLENN R. FAUSZ, DDS, INC. PROFIT SHARING PLAN & TRUST [EIN = 341234509]
• GLENN R. DAVIS 401(K) PLAN [EIN = 221941618]
• GLENN R. EDWARDS, INC. 401(K) PROFIT SHARING PLAN [EIN = 430961868]
• GLENN R. BURNS, DDS 401K PROFIT SHARING PLAN [EIN = 310987777]
• GLENN R. HABER PROFIT SHARING PLAN [EIN = 222476451]
• GLENN R. FOREMAN, DDS, LTD. 401(K) PLAN [EIN = 860750875]
• GLENN R. BLACK, M.D., INC., PROFIT SHARING PLAN [EIN = 341397094]
• GLENN R. POULESON, DMD PROFIT SHARING PLAN [EIN = 363523218]
• GLENN R. DAVIS 401(K) PLAN [EIN = 149306600]
• GLENN R. SINGER, M.D., P.A. 401(K) PLAN [EIN = 650822283]
• GLENN R. DAVIS 401(K) PLAN [EIN = 149306600]
• GLENN R. GROSELAK DDS PC PROFIT SHARING PLAN [EIN = 364406653]
• GLENN R. FAUSZ, DDS, INC. CASH BALANCE PENSION PLAN [EIN = 341234509]
• GLENN R. ROSS, M.D. P.A. PROFIT-SHARING PLAN [EIN = 650485030]
• GLENN R. JAUCIAN, M.D., P.A. MONEY PURCHASE PENSION PLAN AND TRUST [EIN = 521400651]
• GLENN R. GOODRICH, DDS, INC. 401K PROFIT SHARING PLAN [EIN = 208197722]
• GLENN R. KOCH AND ASSOCIATES 401(K) PLAN [EIN = 471191392]
• GLENN R. CURTIS, DDS 401(K) PLAN [EIN = 320398161]

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