GARY A. SAMBERG D.O. PROFIT SHARING PLAN 401k Plan overview

GARY A. SAMBERG D.O. PROFIT SHARING PLAN Benefits

401k Sponsoring company profile

Company Name:	GARY A. SAMBERG, D.O.
Employer identification number (EIN):	232175562
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	2013-01-01	GARY SAMBERG	2013-10-01
001	2012-01-01	GARY SAMBERG	2013-10-01
001	2011-01-01	GARY SAMBERG	2012-07-25
001	2010-01-01	GARY SAMBERG	2011-07-26

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