DAVID M. CHADBOURNE, M.D. 401(K) PLAN AND TRUST 401k Plan overview

DAVID M. CHADBOURNE, M.D. 401(K) PLAN AND TRUST Benefits

401k Sponsoring company profile

Company Name:	DAVID M. CHADBOURNE, M.D.
Employer identification number (EIN):	450484289
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	DAVID M. CHADBOURNE	2019-07-11
001	2018-01-01	DAVID M. CHADBOURNE	2019-07-11
001	2017-01-01	DAVID M. CHADBOURNE	2018-05-08
001	2016-01-01	DAVID M. CHADBOURNE	2017-07-12
001	2016-01-01	DAVID M. CHADBOURNE	2017-07-12
001	2015-01-01	DAVID M. CHADBOURNE	2016-07-14
001	2014-01-01	DAVID M. CHADBOURNE	2015-06-10
001	2013-01-01	DAVID M. CHADBOURNE	2014-06-18
001	2012-01-01	DAVID M. CHADBOURNE	2013-04-08
001	2011-01-01	DAVID M. CHADBOURNE	2012-06-19
001	2010-01-01	DAVID M. CHADBOURNE	2011-06-24

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• DAVID M. COOK, LLC PROFIT SHARING PLAN [EIN = 311683759]
• DAVID M. ROLSTEN, DDS, INC. PROFIT SHARING PLAN [EIN = 341556132]
• DAVID M. LARSON, M.D. PROFIT SHARING PLAN [EIN = 860554464]
• DAVID M. PINHEIRO INSURANCE AGENCY, INC. 401(K) PLAN & TRUST [EIN = 271094495]
• DAVID M. LEE, PC 401(K) PROFIT SHARING PLAN [EIN = 760305853]
• DAVID M. SHIPPER, DMD & HOWARD J. VOGEL, DDS, LLP CASH BALANCE PLAN [EIN = 134093981]
• DAVID M. LEE, PC CASH BALANCE PLAN [EIN = 760305853]
• DAVID M. PILLERS, P.C. 401(K) SAVINGS PLAN [EIN = 061721211]
• DAVID M. ORSO, LLC CASH BALANCE PLAN [EIN = 274526296]
• DAVID M. DONNELLY DDS A SOLE PROPRIETORSHIP PROFIT SHARING PLAN [EIN = 953855606]
• DAVID M. FREITAG 401(K) PLAN [EIN = 364364113]
• DAVID M. HIROSE & ASSOCIATES, LLC 401(K) PLAN [EIN = 454139208]
• DAVID M. PETERSON PC CASH BALANCE PLAN [EIN = 133978911]
• DAVID M. GRIFFITH DENTAL LLC 401(K) PROFIT SHARING PLAN [EIN = 461555144]
• DAVID M. KAO MD PC DEFINED BENEFIT PENSION PLAN AND TRUST [EIN = 262317510]
• DAVID M. AMRON, M.D., INC. PROFIT SHARING PLAN [EIN = 201247536]
• DAVID M. AMRON, M.D., INC. DEFINED BENEFIT PENSION PLAN [EIN = 201247536]
• DAVID M. SALVAY, M.D., INC. 401(K) P/S PLAN [EIN = 814782554]
• DAVID M. AMRON, M.D., INC. 401(K) PLAN [EIN = 201247536]
• DAVID M. PINHEIRO INSURANCE AGENCY, INC. CASH BALANCE PLAN & TRUST [EIN = 271094495]

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