RICHARD A. STATESIR, M.D., INC. PROFIT SHARING PLAN 401k Plan overview

RICHARD A. STATESIR, M.D., INC. PROFIT SHARING PLAN Benefits

401k Sponsoring company profile

Company Name:	RICHARD A. STATESIR, M.D., INC.
Employer identification number (EIN):	341587354
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	2019-01-01	DR. RICHARD A. STATESIR	2020-02-19
001	2018-01-01	DR. RICHARD A. STATESIR	2019-05-07
001	2017-01-01	DR. RICHARD A. STATESIR	2018-02-27
001	2016-01-01	DR. RICHARD A. STATESIR	2017-05-31
001	2015-01-01	DR. RICHARD A. STATESIR	2016-07-18
001	2014-01-01	DR. RICHARD A. STATESIR	2015-10-05
001	2013-01-01	DR. RICHARD A. STATESIR	2014-06-09
001	2012-01-01	DR. RICHARD A. STATESIR	2013-06-17
001	2011-01-01	DR. RICHARD A. STATESIR	2012-09-10
001	2010-01-01	DR. RICHARD A. STATESIR	2011-05-25

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• RICHARD A. WORKMAN, D.M.D. PROFIT SHARING PLAN [EIN = 020310216]
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• RICHARD A. OLIVA & SONS, INC. PROFIT SHARING PLAN [EIN = 541602930]
• RICHARD A. HARDT, DDS 401(K) PROFIT SHARING PLAN [EIN = 770257345]
• RICHARD A. FAGIN, D.D.S. 401(K) PROFIT SHARING PLAN [EIN = 872792994]
• RICHARD A. MCGAHAN, MD, PSC CASH BALANCE PLAN [EIN = 611189312]
• RICHARD A. GAGNE & ASSOCIATES RETIREMENT PLAN [EIN = 741890955]
• RICHARD A. WEINTRAUB PC PROFIT SHARING PLAN [EIN = 202306769]
• RICHARD A. GOLDMAN CASH BALANCE PLAN [EIN = 901672129]

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