| Plan Name | ROBERT B. CLARK, MD PROFIT SHARING PLAN |
| Plan identification number | 003 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | ROBERT B. CLARK, MD |
| Employer identification number (EIN): | 870383320 |
| 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 |
|---|---|---|---|---|---|
| 003 | 2016-01-01 | ROBERT B. CLARK, MD | 2017-07-29 | ROBERT B. CLARK, MD | 2017-07-29 |
| 003 | 2015-01-01 | ROBERT B. CLARK, MD | 2016-07-19 | ROBERT B. CLARK, MD | 2016-07-19 |
| 003 | 2014-01-01 | ROBERT B CLARK MD | 2015-10-08 | ||
| 003 | 2013-01-01 | ROBERT B CLARK MD | 2014-09-22 | ||
| 003 | 2012-01-01 | ROBERT B CLARK | 2013-09-30 |