DOUGLAS A. BLOSE, M.D., INC. PROFIT SHARING PLAN 401k Plan overview

DOUGLAS A. BLOSE, M.D., INC. PROFIT SHARING PLAN Benefits

401k Sponsoring company profile

Company Name:	DOUGLAS A. BLOSE, M.D., INC.
Employer identification number (EIN):	954335855
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2020-01-01	NOELLE DALEY	2020-09-09
001	2018-01-01	NOELLE DALEY	2019-03-24
001	2017-01-01	NOELLE DALEY	2018-09-27
001	2016-01-01	NOELLE DALEY	2017-10-10
001	2015-01-01	NOELLE DALEY	2016-10-05
001	2014-01-01	NOELLE DALEY	2015-10-10
001	2013-01-01	NOELLE DALEY	2014-10-10
001	2012-01-01	NOELLE DALEY	2013-10-14
001	2011-01-01	NOELLE DALEY	2012-05-20
001	2010-01-01	NOELLE DALEY	2011-10-17

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