DAVID S. KIM, M.D. RETIREMENT PLAN 401k Plan overview

DAVID S. KIM, M.D. RETIREMENT PLAN Benefits

401k Sponsoring company profile

Company Name:	DAVID SONG HO KIM, M.D., A SOLE PROPRIETOR
Employer identification number (EIN):	954786004
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
002	2019-01-01
002	2018-01-01
002	2017-01-01
002	2016-01-01
002	2015-01-01
002	2014-01-01
002	2013-01-01
002	2012-01-01	NAYANIE WEERAKOON	2013-10-14
002	2011-01-01	NAYANIE WEERAKOON	2012-10-12
002	2010-01-01	NAYANIE WEERAKOON	2011-10-10

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• DAVID S. AMID, DDS, INC.CASH BALANCE PLAN [EIN = 463041300]
• DAVID S. KIM, M.D., DEFINED BENEFIT PENSION PLAN [EIN = 300050583]
• DAVID S. HAN, MS, DMD, APC RETIREMENT TRUST [EIN = 470924624]
• DAVID S. BENSON, DMD, P.A. CASH BALANCE PLAN & TRUST [EIN = 650875247]
• DAVID S. JARDENIL, PC CASH BALANCE PLAN [EIN = 352054517]

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