WILLIAM J. BURTIS, M.D. 401(K) PROFIT SHARING PLAN 401k Plan overview

WILLIAM J. BURTIS, M.D. 401(K) PROFIT SHARING PLAN Benefits

401k Sponsoring company profile

Company Name:	WILLIAM J. BURTIS, M.D.
Employer identification number (EIN):	043518736
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	WILLIAM J. BURTIS, M.D.	2013-11-06
001	2012-01-01	WILLIAM J. BURTIS, M.D.	2013-03-07
001	2011-01-01	WILLIAM J. BURTIS, M.D.	2012-05-15
001	2010-01-01	WILLIAM J. BURTIS, M.D.	2011-04-12

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• WILLIAM J. SOMERSET, DO, PC QUALIFIED PLAN [EIN = 202557887]
• WILLIAM J. HIRSCH, JR. LLC 401K PLAN [EIN = 854209284]
• WILLIAM J. WHITE EDUCATIONAL AND BEHAVIORAL CONSULTING SERVICES, INC. EMPLOYEE GROUP MEDICAL PLAN [EIN = 020495095]
• WILLIAM J. CIRIELLO PLUMBING, CO. INC. 401K PLAN [EIN = 352001652]
• WILLIAM J. WHITE EDUCATIONAL & BEHAVIORAL CONSULTING SERVICES, INC 401(K) PLAN [EIN = 020495095]
• WILLIAM J. WALSH & SONS, INC. 401(K) PLAN [EIN = 043566846]

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