| Plan Name | THE CLEVELAND SHOULDER INSTITUTE SOCA BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | CLEVELAND SHOULDER INSTITUTE, LLC |
| Employer identification number (EIN): | 463367125 |
| NAIC Classification: | 621210 |
| NAIC Description: | Offices of Dentists |
Additional information about CLEVELAND SHOULDER INSTITUTE, LLC
| Jurisdiction of Incorporation: | Ohio Secretary of State Business Services Division |
| Incorporation Date: | 2013-06-21 |
| Company Identification Number: | 2209118 |
| Legal Registered Office Address: |
101 WEST PROSPECT AVENUE SUITE 1800 CLEVELAND United States of America (USA) 44115 |
More information about CLEVELAND SHOULDER INSTITUTE, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-05-01 | MATT APPENZELLER | 2019-01-02 | ||
| 501 | 2016-06-01 | MATT APPENZELLER | 2018-01-30 |