DOUGLAS A. BLOSE, M.D., INC. EMPLOYEE WELFARE BENEFIT PLAN/DBO

[ EIN: 95-4335855 | Plan No. 501 ]

Form 5500 filing classifies DOUGLAS A. BLOSE, M.D., INC. EMPLOYEE WELFARE BENEFIT PLAN/DBO as a DFE/Master Trust plan, sponsored by DOUGLAS A. BLOSE, M.D., INC.. The plan is a Small Plan with 0 participants and total assets of $0 reported for the 2016 plan year.

DFE/Master Trust plans are subject to ERISA disclosure requirements and annual reporting obligations.

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Plan Sponsor: DOUGLAS A. BLOSE, M.D., INC.

Location: 11525 BROOKSHIRE AVENUE, SUITE 101, DOWNEY, CA 90241

EIN: 954335855

Plan Number: 501

Plan Year: 2016

Plan Size: Small Plan

Plan Entity Type: DFE/Master Trust

Plan Type: DFE/Master Trust

Participants: 0

Total Assets: $0

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