LAKE SHORE FAMILY MEDICINE, P.A. RETIREMENT PLAN & TRUST 401k Plan overview

LAKE SHORE FAMILY MEDICINE, P.A. RETIREMENT PLAN & TRUST Benefits

401k Sponsoring company profile

Company Name:	LAKE SHORE FAMILY MEDICINE, P.A.
Employer identification number (EIN):	010634641
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	2012-01-01	DAN JULIAN	2013-07-15
001	2011-01-01	DAN JULIAN	2012-06-28
001	2010-01-01	SANDI PARKS	2011-07-19

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• LAKE SHORE SAVINGS BANK 401(K) SAVINGS PLAN [EIN = 160516470]
• LAKE SHORE CRYOTRONICS, INC. RETIREMENT SAVINGS PLAN [EIN = 310914553]
• LAKE SHORE TRUCK AND TRAILER REPAIR, INC. 401(K) PROFIT SHARING PLAN [EIN = 264337766]
• LAKE SHORE BEHAVIORAL HEALTH, INC. PROFIT SHARING PLAN [EIN = 161004090]
• LAKE SHORE MEDICAL CONSULTANTS, S.C. RETIREMENT PLAN AND TRUST [EIN = 363681111]
• LAKE SHORE PARK LLC 401 K PROFIT SHARING PLAN TRUST [EIN = 112163026]
• LAKE SHORE SURGICAL ASSOCIATES, LTD. PS PLAN [EIN = 363767187]
• LAKE SHORE FORD-MERCURY, INC. 401(K) PLAN [EIN = 351682063]
• LAKE SHORE ELECTRIC CORPORATION 401(K) PLAN [EIN = 340648281]
• LAKE SHORE STUDIOS, INC. 401(K) RETIREMENT PLAN [EIN = 381883813]
• LAKE SHORE PLASTIC SURGERY 401(K) PLAN [EIN = 364291024]
• LAKE SHORE HOSPITAL, INC. EXECUTIVE MANAGEMENT PLAN [EIN = 160868654]
• LAKE SHORE INN 401K PLAN [EIN = 410841332]
• LAKE SHORE ELECTRIC CORPORATION DEFINED BENEFIT PLAN [EIN = 340648281]
• LAKE SHORE FOOT AND ANKLE, P.C. RETIREMENT PLAN [EIN = 364485069]
• LAKE SHORE 401(K) PROFIT SHARING PLAN [EIN = 390153770]
• LAKE SHORE RADIATOR, INC. 401(K)/PROFIT SHARING PLAN [EIN = 591513798]
• LAKE SHORE OBSTETRICS & GYNECOLOGY, L.L.C. 401K PROFIT SHARING PLAN AND TRUST [EIN = 364143972]
• LAKE SHORE PATHOLOGISTS SC PROFIT SHARING PLAN [EIN = 061720567]
• LAKE SHORE PULMONOLOGY, P.L.C. PROFIT SHARING TRUST [EIN = 202725928]
• LAKE SHORE PLASTIC SURGERY DEFINED BENEFIT PLAN [EIN = 364291024]
• LAKE SHORE COUNTRY CLUB 401(K) PLAN [EIN = 361356630]
• LAKE SHORE ANESTHESIA SAFE HARBOR 401K PLAN [EIN = 300334012]
• LAKE SHORE DENTAL CENTER PROFIT SHARING PLAN [EIN = 251798815]
• LAKE SHORE DERMATOLOGY PROFIT SHARING PLAN [EIN = 202984627]
• LAKE SHORE GASTROENTEROLOGY SC EMPLOYEES' PROFIT SHARING PLAN [EIN = 363029837]
• LAKE SHORE AUDIOLOGY PC 401K PLAN [EIN = 161556312]
• LAKE SHORE INTERNAL MEDICINE P.C., PROFIT SHARING 401 (K) PLAN [EIN = 364396539]
• LAKE SHORE OB-GYN OF DECATUR, S.C. 401(K) PLAN [EIN = 371476166]
• LAKE SHORE 401(K) PROFIT SHARING PLAN [EIN = 364712785]
• LAKE SHORE COUNTRY CLUB PENSION TRUST PLAN [EIN = 361356630]
• LAKE SHORE APPRAISAL 401K PLAN [EIN = 680541068]
• LAKE SHORE CARDIOLOGY GROUP LTD PROFIT SHARING PLAN & TRUST [EIN = 363398846]
• LAKE SHORE PAST SERVICE PENSION PLAN [EIN = 390943085]
• LAKE SHORE, INC. STEELWORKERS PENSION PLAN [EIN = 390943085]
• LAKE SHORE SYSTEMS, INC. 401K PLAN [EIN = 813537960]
• LAKE SHORE SYSTEMS, INC. HEALTH AND WELFARE PLAN [EIN = 813537960]
• LAKE SHORE BEHAVIORAL HEALTH, INC. [EIN = 161004090]
• LAKE SHORE PEDIATRICS 401(K) PLAN [EIN = 363291890]
• LAKE SHORE INDUSTRIAL SERVICES RETIREMENT SAVINGS PLAN [EIN = 251557617]
• LAKE SHORE 401(K) PROFIT SHARING PLAN [EIN = 205405047]
• LAKE SHORE SCHOOLS CHICAGO 401(K) PLAN [EIN = 363333009]
• LAKE SHORE ADULT AND GERIATRIC MEDICINE RETIREMENT TRUST [EIN = 364380509]
• LAKE SHORE LEARNING CENTER, INC. 401(K) PLAN [EIN = 202781707]
• LAKE SHORE CONDOMINIUM ASSOCIA 401(K) PROFIT SHARING PLAN & TRUST [EIN = 362705000]
• LAKE SHORE CLEANERS 401(K) PLAN [EIN = 391554635]
• LAKE SHORE FAMILY DENTAL 401(K) PLAN [EIN = 200828343]
• LAKE SHORE PAVING, INC. 401(K) SAVINGS PLAN [EIN = 161607252]
• LAKE SHORE DRUGS LLC 401K [EIN = 811504733]
• LAKE SHORE GLASS RETIREMENT PLAN [EIN = 833155798]
• LAKE SHORE GLASS RETIREMENT PLAN [EIN = 833515798]

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