PARK CITY ORTHODONTICS, P.C. DEFINED BENEFIT PENSION PLAN 401k Plan overview

PARK CITY ORTHODONTICS, P.C. DEFINED BENEFIT PENSION PLAN Benefits

401k Sponsoring company profile

Company Name:	PARK CITY ORTHODONTICS, P.C.
Employer identification number (EIN):	201936979
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
003	2016-01-01	JEFFERY R. SUMSION, D.M.D., M.S.	2017-09-20	JEFFREY R. SUMSION, D.M.D., M.S.	2017-09-20
003	2015-01-01	JEFFERY R. SUMSION, D.M.D., M.S.	2017-09-25	JEFFREY R. SUMSION, D.M.D., M.S.	2017-09-25
003	2015-01-01	JEFFERY R. SUMSION, D.M.D., M.S.	2016-09-27	JEFFREY R. SUMSION, D.M.D., M.S.	2016-09-27
003	2014-01-01	JEFFERY R. SUMSION, D.M.D., M.S.	2015-06-25	JEFFREY R. SUMSION, D.M.D., M.S.	2015-06-25

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• PARK CITY INSURANCE GROUP, LLC 401(K) PLAN [EIN = 061575181]
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• PARK CITY GROUP, INC. 401(K) RETIREMENT SAVINGS PLAN [EIN = 371454128]
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• PARK CITY GROUP, INC. 401(K) RETIREMENT SAVINGS PLAN [EIN = 870476182]
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• PARK CITY DENTISTRY 401(K) PLAN [EIN = 263849197]
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• PARK CITY LUXE LLC 401K PLAN [EIN = 474380476]
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• PARK CITY GYNECOLOGY 401(K) PLAN [EIN = 201453382]

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