DAVID J. BLACK, M.D., LLC MONEY PURCHASE PLAN 401k Plan overview

DAVID J. BLACK, M.D., LLC MONEY PURCHASE PLAN Benefits

401k Sponsoring company profile

Company Name:	DAVID J. BLACK, M.D., LLC
Employer identification number (EIN):	352090309
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	2021-01-01	DAVID BLACK	2022-10-17
001	2019-01-01	DAVID BLACK	2020-07-30
001	2018-01-01	DAVID BLACK	2019-10-15	DAVID BLACK	2019-10-15
001	2017-01-01	DAVID BLACK	2018-10-16	DAVID BLACK	2018-10-16
001	2016-01-01	DAVID BLACK	2017-10-16
001	2015-01-01	DAVID BLACK	2016-10-18
001	2014-01-01	DAVID BLACK	2015-10-16
001	2014-01-01	DAVID BLACK	2015-10-16
001	2013-01-01	DAVID BLACK	2014-10-15
001	2012-01-01	DAVID BLACK	2013-07-31	DAVID BLACK	2013-07-31
001	2011-01-01	DAVID BLACK	2012-07-31
001	2010-01-01	DAVID BLACK	2011-07-31

Plan Statistics for DAVID J. BLACK, M.D., LLC MONEY PURCHASE PLAN

Measure	Date	Value
2022: DAVID J. BLACK, M.D., LLC MONEY PURCHASE PLAN 2022 401k membership
Total number of particpants at beginning of year	2022-10-17	2
Total number of particpants at end of year	2022-10-17	1
Number of Participants With Account Balances	2022-10-17	1

Financial Data on DAVID J. BLACK, M.D., LLC MONEY PURCHASE PLAN

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