JOHN F. BELITZ D.D.S. P.C. PROFIT SHARING PLAN 401k Plan overview

JOHN F. BELITZ D.D.S. P.C. PROFIT SHARING PLAN Benefits

401k Sponsoring company profile

Company Name:	BELITZ & BELITZ, DDS, P.C. F/K/A JUDITH A. BELITZ, D.D.S.
Employer identification number (EIN):	470583740
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2009-11-01
002	2008-11-01

Plan Statistics for JOHN F. BELITZ D.D.S. P.C. PROFIT SHARING PLAN

Measure	Date	Value
2009: JOHN F. BELITZ D.D.S. P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-11-01	3
Total number of active participants reported on line 7a of the Form 5500	2009-11-01	3
Total of all active and inactive participants	2009-11-01	3
Total participants	2009-11-01	3
Number of participants with account balances	2009-11-01	3
2008: JOHN F. BELITZ D.D.S. P.C. PROFIT SHARING PLAN 2008 401k membership
Total participants, beginning-of-year	2008-11-01	3
Total number of active participants reported on line 7a of the Form 5500	2008-11-01	3
Total of all active and inactive participants	2008-11-01	3
Total participants	2008-11-01	3
Number of participants with account balances	2008-11-01	3

Financial Data on JOHN F. BELITZ D.D.S. P.C. PROFIT SHARING PLAN

Form 5500 Responses for JOHN F. BELITZ D.D.S. P.C. PROFIT SHARING PLAN

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