TERRY L. WELLS M.D. PROFIT SHARING PLAN 401k Plan overview

TERRY L. WELLS M.D. PROFIT SHARING PLAN Benefits

401k Sponsoring company profile

Company Name:	TERRY L. WELLS M.D.
Employer identification number (EIN):	752542417
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	2015-01-01	TERRY L WELLS M.D.	2016-10-15	TERRY L. WELLS M.D.	2016-10-15
001	2014-01-01	TERRY L WELLS M.D.	2015-10-01	TERRY L. WELLS M.D.	2015-10-01
001	2013-01-01	TERRY L. WELLS M.D.	2014-09-23	TERRY L. WELLS M.D.	2014-09-23
001	2012-01-01	TERRY L. WELLS M.D.	2013-06-13	TERRY L. WELLS M.D.	2013-06-13
001	2011-01-01	TERRY L. WELLS M.D.	2012-06-20	TERRY L. WELLS M.D.	2012-06-20
001	2010-01-01	TERRY L. WELLS M.D.	2011-09-12	TERRY L. WELLS M.D.	2011-09-12

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• TERRY L. VANDALE, D.D.S., INC. 401K PROFIT SHARING PLAN [EIN = 731153501]
• TERRY L. BRINK, ATTORNEY AT LAW 401K PROFIT SHARING PLAN [EIN = 453952880]
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• TERRY L. WESTFIELD, M.D., P.A. PROFIT SHARING PLAN [EIN = 742357119]
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