DAVID S. BLACKETT, DDS, PS 401(K) PROFIT SHARING PLAN 401k Plan overview

DAVID S. BLACKETT, DDS, PS 401(K) PROFIT SHARING PLAN Benefits

401k Sponsoring company profile

Company Name:	DAVID S. BLACKETT, DDS, PS
Employer identification number (EIN):	651190490
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
001	2023-01-01	DAVID S BLACKETT	2024-05-08	DAVID BLACKETT	2024-05-08
001	2022-01-01	DAVID BLACKETT	2023-08-10	DAVID BLACKETT	2023-08-10
001	2021-01-01	DAVID BLACKETT	2022-09-28	DAVID BLACKETT	2022-09-28
001	2020-01-01	DAVID BLACKETT	2021-06-15	DAVID BLACKETT	2021-06-15
001	2019-01-01	DAVID BLACKETT	2020-10-05	DAVID BLACKETT	2020-10-05
001	2018-01-01	DAVID BLACKETT	2019-07-08	DAVID BLACKETT	2019-07-08
001	2017-01-01	DAVID BLACKETT	2018-07-30	DAVID BLACKETT	2018-07-30
001	2016-01-01	DAVID BLACKETT	2017-08-30	DAVID BLACKETT	2017-08-30
001	2015-01-01
001	2014-01-01
001	2013-01-01
001	2012-01-01	DIANE HEBERT	2013-07-23
001	2011-01-01	DIANE HEBERT	2012-06-05
001	2010-01-01	JAMES CONSOLATI	2011-09-13

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• DAVID S. HUANG, M.D. DEFINED BENEFIT PENSION PLAN AND TRUST [EIN = 412168547]
• DAVID S. RUDOLF, P.A. DEFINED BENEFIT PLAN [EIN = 561470213]
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• DAVID S.C. PAO, M.D., P.C. PROFIT SHARING PLAN [EIN = 232086360]
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• DAVID S. AMID, DDS, INC.CASH BALANCE PLAN [EIN = 463041300]
• DAVID S. KIM, M.D., DEFINED BENEFIT PENSION PLAN [EIN = 300050583]
• DAVID S. HAN, MS, DMD, APC RETIREMENT TRUST [EIN = 470924624]
• DAVID S. BENSON, DMD, P.A. CASH BALANCE PLAN & TRUST [EIN = 650875247]
• DAVID S. JARDENIL, PC CASH BALANCE PLAN [EIN = 352054517]

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