| Plan Name | JAMES R. FORSHEY, D.M.D., P.A. CASH BALANCE PLAN |
| Plan identification number | 003 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
|
| Company Name: | JAMES R. FORSHEY, D.M.D., P.A. |
| Employer identification number (EIN): | 510255407 |
| NAIC Classification: | 621210 |
| NAIC Description: | Offices of Dentists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 003 | 2016-09-01 | ||||
| 003 | 2015-09-01 | ||||
| 003 | 2014-09-01 | JAMES R. FORSHEY | 2016-05-04 | ||
| 003 | 2013-09-01 | JAMES R. FORSHEY | 2015-05-20 | ||
| 003 | 2012-09-01 | JAMES R. FORSHEY | 2015-05-20 |