JOHN W. BLACKMAN, III DDS EMPLOYEES PROFIT SHARING PLAN AND TRUST 401k Plan overview

JOHN W. BLACKMAN, III DDS EMPLOYEES PROFIT SHARING PLAN AND TRUST Benefits

401k Sponsoring company profile

Company Name:	JOHN W. BLACKMAN, III DDS
Employer identification number (EIN):	561922962
NAIC Classification:	621210
NAIC Description:	Offices of Dentists

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2011-01-01	J W BLACKMAN III
001	2009-01-01	J W BLACKMAN III

Plan Statistics for JOHN W. BLACKMAN, III DDS EMPLOYEES PROFIT SHARING PLAN AND TRUST

Measure	Date	Value
2011: JOHN W. BLACKMAN, III DDS EMPLOYEES PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
Number of retired or separated participants receiving benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	0
Total participants	2011-01-01	0
Number of participants with account balances	2011-01-01	0
2009: JOHN W. BLACKMAN, III DDS EMPLOYEES PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	6
Number of retired or separated participants receiving benefits	2009-01-01	1
Total of all active and inactive participants	2009-01-01	7
Total participants	2009-01-01	7
Number of participants with account balances	2009-01-01	7

Financial Data on JOHN W. BLACKMAN, III DDS EMPLOYEES PROFIT SHARING PLAN AND TRUST

Form 5500 Responses for JOHN W. BLACKMAN, III DDS EMPLOYEES PROFIT SHARING PLAN AND TRUST

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• JOHN W. RUWWE, JR. 401(K) P/S PLAN [EIN = 273329791]
• JOHN W. CHAMBERLAIN INC 401(K) [EIN = 270368561]
• JOHN W. HEREFORD BOYS & GIRLS CLUBS OF HUNTINGTON 401(K) PLAN [EIN = 566679545]
• JOHN W. STONE OIL DISTRIBUTOR, L.L.C. EMPLOYEE ASSISTANCE PROGRAM [EIN = 721322067]
• JOHN W. BUSBY II, ATTORNEY AT LAW PC SALARY DEFERRAL PLAN [EIN = 943292018]
• JOHN W. WILLIAMS, INC. 401(K) PROFIT SHARING PLAN [EIN = 135486990]
• JOHN W. WILLIAMS, INC. CASH BALANCE PLAN [EIN = 135486990]

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