BONE & JOINT SURGERY CENTER OF NOVI 401(K) RETIREMENT PLAN 401k Plan overview

BONE & JOINT SURGERY CENTER OF NOVI 401(K) RETIREMENT PLAN Benefits

401k Sponsoring company profile

Company Name:	PROVIDENCE VENTURES, LLC DBA BONE & JOINT
Employer identification number (EIN):	161704029
NAIC Classification:	621493
NAIC Description:	Freestanding Ambulatory Surgical and Emergency Centers

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	ANNE CLOUTIER	2014-08-27	ANNE CLOUTIER	2014-08-27
001	2011-01-01	ANNE CLOUTIER	2012-06-11	ANNE CLOUTIER	2012-06-11
001	2010-01-01	ANNE CLOUTIER	2011-07-15	ANNE CLOUTIER	2011-07-15

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• BONE & JOINT SPECIALISTS 401(K) PLAN [EIN = 880293830]
• BONE & JOINT CLINIC 401(K) RETIREMENT AND SAVINGS PLAN [EIN = 720681504]
• BONE & JOINT SPECIALISTS OF WINCHESTER, P.C. 401(K) PROFIT SHARING PLAN [EIN = 202316909]
• BONE & BONE, CPA'S PROFIT SHARING PLAN [EIN = 310923426]
• BONE & JOINT PHYSICIANS 401(K) PLAN AND TRUST [EIN = 363746106]
• BONE & JOINT MEDICAL CENTER, P.C. 401(K) PROFIT SHARING PLAN AND TRUST [EIN = 382841170]
• BONE & JOINT CLINIC, S.C. 401(K) PLAN [EIN = 391130341]
• BONE & JOINT CLINIC, S.C. LIFE PLAN [EIN = 391130341]
• BONE & JOINT CLINIC, S.C. WELFARE BENEFIT PLAN [EIN = 391130341]
• BONE & JOINT INSTITUTE OF SOUTH GEORGIA, PC 401(K) PLAN [EIN = 105971850]
• BONE & JOINT SURGEONS, INC OSMA BENEFIT PLAN [EIN = 342045293]
• BONE & JOINT SURGEONS, INC. PROFIT SHARING PLAN & TRUST [EIN = 351330872]

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