MARK R. SHEBUSKI, M.D., PC RETIREMENT PLAN 401k Plan overview

MARK R. SHEBUSKI, M.D., PC RETIREMENT PLAN Benefits

401k Sponsoring company profile

Company Name:	MARK R. SHEBUSKI, M.D., PC
Employer identification number (EIN):	382426992
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	2014-01-01	MARILEE SHEBUSKI	2014-10-13
001	2013-01-01	MARILEE SHEBUSKI	2014-06-03
001	2012-01-01	MARILEE SHEBUSKI	2013-06-01
001	2011-01-01	MARILEE SHEBUSKI	2012-08-09
001	2010-01-01	MARILEE SHEBUSKI	2011-05-23

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• MARK R. RUSEK, D.C. 401(K) SAVINGS PLAN [EIN = 743126186]
• MARK R. ROGERS M.D., P.A. 401K PLAN [EIN = 760664070]
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