| Plan Name | JOHN F. DOMBROWSKI, MD, PC PROFIT SHARING PLAN |
| Plan identification number | 015 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | JOHN F. DOMBROWSKI, MD, PC |
| Employer identification number (EIN): | 541790946 |
| 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 |
|---|---|---|---|---|---|
| 015 | 2017-01-01 | ||||
| 015 | 2016-01-01 | ||||
| 015 | 2015-01-01 | ||||
| 015 | 2014-01-01 | JOHN F. DOMBROWSKI | 2015-06-15 | ||
| 015 | 2013-01-01 | JOHN F. DOMBROWSKI | 2015-05-18 | ||
| 015 | 2012-01-01 | JOHN F. DOMBROWSKI | 2015-05-18 |