WILLIAM H. GROS, M.D., S.C. PROFIT SHARING PLAN & TRUST 401k Plan overview

WILLIAM H. GROS, M.D., S.C. PROFIT SHARING PLAN & TRUST Benefits

401k Sponsoring company profile

Company Name:	WILLIAM H. GROS, M.D., S.C.
Employer identification number (EIN):	363413585
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	2012-01-01	WILLIAM H. GROS	2013-04-29
002	2011-01-01	WILLIAM H. GROS	2012-09-05	WILLIAM H. GROS	2012-09-05
002	2010-01-01	WILLIAM H. GROS	2011-06-24	WILLIAM H. GROS	2011-06-24

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• WILLIAM H. HEATH, D.D.S., INC. 401(K) PLAN [EIN = 854105255]
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