THE FORSYTH INSTITUTE MEDICAL INSURANCE PLAN

[ EIN: 04-2104230 | Plan No. 506 ]

Form 5500 filing classifies THE FORSYTH INSTITUTE MEDICAL INSURANCE PLAN as a Health & Welfare plan, sponsored by FORSYTH DENTAL INFIRMARY FOR CHILDREN. The plan is a Large Plan with 0 participants and total assets of $0 reported for the 2016 plan year.

Health & Welfare plans are subject to ERISA disclosure requirements and annual reporting obligations.

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Plan Sponsor: FORSYTH DENTAL INFIRMARY FOR CHILDREN

Location: 245 FIRST STREET, CAMBRIDGE, MA 02142

EIN: 042104230

Plan Number: 506

Plan Year: 2016

Plan Size: Large Plan

Plan Entity Type: Health & Welfare

Plan Type: Health & Welfare

Participants: 0

Total Assets: $0

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