DAVID J. BLACK, M.D., LLC PROFIT SHARING PLAN 401k Plan overview

DAVID J. BLACK, M.D., LLC PROFIT SHARING PLAN Benefits

401k Sponsoring company profile

Company Name:	DAVID J. BLACK, M.D., LLC
Employer identification number (EIN):	352090309
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	2021-01-01	DAVID BLACK	2022-10-17
002	2019-01-01	DAVID BLACK	2020-07-30
002	2018-01-01	DAVID BLACK	2019-10-15	DAVID BLACK	2019-10-15
002	2017-01-01	DAVID BLACK	2018-10-16	DAVID BLACK	2018-10-16
002	2016-01-01	DAVID BLACK	2017-10-16
002	2015-01-01	DAVID BLACK	2016-10-18
002	2013-01-01	DAVID BLACK	2014-10-15
002	2012-01-01	DAVID BLACK	2013-07-31	DAVID BLACK	2013-07-31
002	2011-01-01	DAVID BLACK	2012-07-31
002	2010-01-01	DAVID BLACK	2011-07-31

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• DAVID J. THOMPSON MAILING CORPORATION EMPLOYEE HEALTH PLAN [EIN = 205790665]
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• DAVID J. WANG, D.D.S., P.C. DEFINED BENEFIT PENSION PLAN [EIN = 421479607]
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• DAVID J. HANLE DMD PROFIT SHARING PLAN [EIN = 593124448]
• DAVID J. ANDERSON PROFIT SHARING PLAN [EIN = 416152138]
• DAVID J. FURMAN, DDS, PA 401(K) PROFIT SHARING PLAN [EIN = 630796143]
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• DAVID J.SKIBA PROFIT SHARING PLAN [EIN = 042847755]
• DAVID J. GREENE AND COMPANY PROFIT SHARING PLAN [EIN = 135605991]
• DAVID J. MARTIN, D.D.S., A P.C. PROFIT SHARING 401(K) PLAN [EIN = 261935530]
• DAVID J. DOYAGA 401K PLAN [EIN = 113093988]
• DAVID J. APPLEBAUM CASH BALANCE PLAN [EIN = 650300000]
• DAVID J. BORCHERS, M.D., P.C. 401(K) PROFIT SHARING PLAN & TRUST [EIN = 841512804]
• DAVID J. WILCOX DMD 401(K) PLAN [EIN = 461608411]
• DAVID J. FISHER CPA 401(K) PLAN & TRUST [EIN = 680416775]
• DAVID J. DISNEY [EIN = 061403512]
• DAVID J. BORGMEYER DDS, PC MCF BENEFIT PLAN [EIN = 201767678]
• DAVID J. SHAW PROFIT SHARING PLAN [EIN = 576081660]
• DAVID J. GALVIN FLOORING INC. 401K PLAN [EIN = 043515777]
• DAVID J. KUCHAR DPM, LLC PROFIT SHARING PLAN [EIN = 223799384]
• DAVID J. WLOS SAVINGS AND RETIREMENT PLAN [EIN = 465598668]
• DAVID J. SILVERMAN, EA, LLC PROFIT SHARING PLAN [EIN = 870826885]
• DAVID J. SCHLACTUS, D.M.D., LLC 401(K) PLAN [EIN = 522221758]
• DAVID J. BLACKMAN, DDS, P.C. 401(K) PLAN [EIN = 474272584]
• DAVID J. WAXMAN RETIREMENT PLAN [EIN = 741880744]
• DAVID J. SHAW PROFIT SHARING PLAN [EIN = 922880023]
• DAVID J. CORKILL CINEMA WEST 401(K) PLAN [EIN = 680134721]
• DAVID J. FRANKS, P.C. 401(K) PLAN [EIN = 204475752]
• DAVID J. GLOVER, D.D.S., P.A. 401(K) PLAN [EIN = 854274613]
• DAVID J. GREINER LAW CORPORATION RETIREMENT TRUST [EIN = 873077130]
• DAVID J. KOSEK, DMD, PHD 401(K) PROFIT SHARING PLAN [EIN = 821586948]

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