DAVID M. DONNELLY DDS A SOLE PROPRIETORSHIP PROFIT SHARING PLAN 401k Plan overview

DAVID M. DONNELLY DDS A SOLE PROPRIETORSHIP PROFIT SHARING PLAN Benefits

401k Sponsoring company profile

Company Name:	DAVID DONNELLY DDS A SOLE PROPRIETORSHIP
Employer identification number (EIN):	953855606
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	2015-01-01

Plan Statistics for DAVID M. DONNELLY DDS A SOLE PROPRIETORSHIP PROFIT SHARING PLAN

Measure	Date	Value
2015: DAVID M. DONNELLY DDS A SOLE PROPRIETORSHIP PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	3
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	3
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	3

Financial Data on DAVID M. DONNELLY DDS A SOLE PROPRIETORSHIP PROFIT SHARING PLAN

Form 5500 Responses for DAVID M. DONNELLY DDS A SOLE PROPRIETORSHIP PROFIT SHARING PLAN

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• DAVID M. KAMINSKY, PA 401K PLAN [EIN = 522336961]
• 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. 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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