| Plan Name | DAVID S. GREEN, M.D., P.C. PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | DAVID S. GREEN, M.D., P.C. |
| Employer identification number (EIN): | 042678066 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2018-06-01 | ||||
| 001 | 2017-06-01 | ||||
| 001 | 2016-06-01 | ||||
| 001 | 2015-06-01 | ELLEN E. KLINGAMAN | 2017-03-14 | ||
| 001 | 2014-06-01 | ||||
| 001 | 2013-06-01 | DAVID S. GREEN, M.D. | 2014-11-28 | ||
| 001 | 2012-06-01 | DAVID S. GREEN, M.D. | 2013-11-06 | ||
| 001 | 2011-06-01 | DAVID S. GREEN, M.D. | 2013-03-04 | DAVID S. GREEN, M.D. | 2013-03-04 |
| 001 | 2010-06-01 | DAVID S. GREEN, M.D. | 2012-02-09 | DAVID S. GREEN, M.D. | 2012-02-09 |