ORAL MAXILLOFACIAL SURGEONS MEDICAL BENEFITS TRUST 401k Plan overview

ORAL MAXILLOFACIAL SURGEONS MEDICAL BENEFITS TRUST Benefits

401k Sponsoring company profile

Company Name:	ORAL MAXILLOFACIAL SURGEONS INC
Employer identification number (EIN):	470528024
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
501	2009-06-01	GREGORY SMITH		GREGORY SMITH	2010-11-12

Plan Statistics for ORAL MAXILLOFACIAL SURGEONS MEDICAL BENEFITS TRUST

Measure	Date	Value
2009: ORAL MAXILLOFACIAL SURGEONS MEDICAL BENEFITS TRUST 2009 401k membership
Total participants, beginning-of-year	2009-06-01	63
Total number of active participants reported on line 7a of the Form 5500	2009-06-01	0
Number of retired or separated participants receiving benefits	2009-06-01	0
Total of all active and inactive participants	2009-06-01	0

Form 5500 Responses for ORAL MAXILLOFACIAL SURGEONS MEDICAL BENEFITS TRUST

Potentially related plans

• ORAL MAXILLOFACIAL SURGEONS LTD 401(K) PROFIT SHARING PLAN [EIN = 050511773]
• ORAL MAXILLOFACIAL SURGEONS 401 K PROFIT SHARING PLAN TRUST [EIN = 060947811]
• ORAL MAXILLOFACIAL SURGERY OF THE SOUTHERN TIER, P.C. PROFIT SHARING & INVESTMENT PLAN [EIN = 161089396]
• ORAL MAXILLOFACIAL ASSOC. OF MONTCLAIR [EIN = 223569060]
• ORAL MAXILLOFACIAL & ORTHOGNATHIC SURGERY OF QUEENS P.C. DEFINED BENEFIT PLAN [EIN = 810826343]
• ORAL MAXILLOFACIAL & ORTHOGNATHIC SURGERY OF QUEENS P.C. 401(K) PLAN [EIN = 810826343]
• ORAL MAXILLOFACIAL SURGERY AND DENTAL IMPLANT CENTER OMFS INC RETIREMENT TRUST [EIN = 821801282]

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