| Plan Name | FORT WAYNE DERMATOLOGY CONSULTANTS, INC. CASH BALANCE PLAN |
| Plan identification number | 005 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
|
| Company Name: | FORT WAYNE DERMATOLOGY CONSULTANTS, INC. |
| Employer identification number (EIN): | 300149833 |
| 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 |
|---|---|---|---|---|---|
| 005 | 2017-01-01 | MICHAEL PALMER | 2017-08-24 | MICHAEL PALMER | 2017-08-24 |
| 005 | 2016-01-01 | MICHAEL PALMER | 2017-08-24 | MICHAEL PALMER | 2017-08-24 |
| 005 | 2015-01-01 | MICHAEL PALMER | 2016-05-17 | MICHAEL PALMER | 2016-05-17 |
| 005 | 2014-01-01 | MICHAEL PALMER | 2015-07-06 | MICHAEL PALMER | 2015-07-06 |
| 005 | 2013-01-01 | MICHAEL PALMER | 2014-07-18 | MICHAEL PALMER | 2014-07-18 |
| 005 | 2012-01-01 | MICHAEL PALMER | 2013-06-13 | MICHAEL PALMER | 2013-06-13 |
| 005 | 2011-01-01 | MICHAEL PALMER | 2012-04-23 | MICHAEL PALMER | 2012-04-23 |
| 005 | 2010-01-01 | MICHAEL PALMER | 2011-06-16 |