| Plan Name | EMPLOYEE BENEFIT PLAN OF BLACK MOUNTAIN ORTHOPAEDIC ASSOCIATES, LLP. |
| Plan identification number | 004 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | BLACK MOUNTAIN ORTHOPAEDIC ASSOCIAT ES, LLP. |
| Employer identification number (EIN): | 900076158 |
| 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 |
|---|---|---|---|---|---|
| 004 | 2017-01-01 | TERESA DAY | 2017-08-31 | TERESA DAY | 2017-08-31 |
| 004 | 2016-01-01 | TERESA DAY | 2017-08-31 | TERESA DAY | 2017-08-31 |
| 004 | 2015-01-01 | TERESA DAY | 2016-10-15 | TERESA DAY | 2016-10-15 |
| 004 | 2014-01-01 | TERESA DAY | 2015-10-14 | ||
| 004 | 2013-01-01 | TERESA DAY | 2014-07-23 | TERESA DAY | 2014-07-23 |
| 004 | 2012-01-01 | MICHAEL S. RAVITCH, M.D. | 2013-05-24 | MICHAEL S. RAVITCH, M.D. | 2013-05-24 |
| 004 | 2011-01-01 | MICHAEL S. RAVITCH, M.D. | 2012-08-15 | MICHAEL S. RAVITCH, M.D. | 2012-08-15 |
| 004 | 2010-01-01 | MICHAEL S. RAVITCH, M.D. | 2011-10-17 | MICHAEL S. RAVITCH, M.D. | 2011-10-17 |