Massachusetts Eye Research and Surgery Institution, P.C.

Scott Michael Evans Registered Agent	1440 MAIN ST STE 201, WALTHAM, MA 02451
Scott Michael Evans CEO	29 FISKE AVE, UPTON, MA 01568
Peter Y Chang M.D. President	52 GRANT AVE, NEWTON, MA 02459
Stephen D Anesi M.D. Vice President	42 POPE HILL RD, MILTON, MA 02186
Peter Y Chang M.D. Director	52 GRANT AVE, NEWTON, MA 02459
Stephen D Anesi M.D. Director	42 POPE HILL RD, MILTON, MA 02186
Scott Michael Evans Secretary	29 FISKE AVE, UPTON, MA 01568
Scott Michael Evans TREASURER	29 FISKE AVE, UPTON, MA 01568

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Form 5500

1440 Main St., Suite 201, Waltham, Ma 02451 (781) 891-6377 EIN:20-1890892 Plan Admin:Scott Evans

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2021	Plan NameMASSACHUSETTS EYE RESEARCH & SURGERY INSTITUTION PC 401K PROFIT SHARING PLAN AND TRUST Plan #001 Participants BOY/EOY91 / 97 Assets BOY/EOY$4,478,702 / $4,176,931	2021	MASSACHUSETTS EYE RESEARCH & SURGERY INSTITUTION PC 401K PROFIT SHARING PLAN AND TRUST - Plan #001	91 / 97	$4,478,702 / $4,176,931
2020	Plan NameMASSACHUSETTS EYE RESEARCH & SURGERY INSTITUTION PC 401K PROFIT SHARING PLAN AND TRUST Plan #001 Participants BOY/EOY84 / 91 Assets BOY/EOY$3,625,267 / $4,478,702	2020	MASSACHUSETTS EYE RESEARCH & SURGERY INSTITUTION PC 401K PROFIT SHARING PLAN AND TRUST - Plan #001	84 / 91	$3,625,267 / $4,478,702
2019	Plan NameMASSACHUSETTS EYE RESEARCH & SURGERY INSTITUTION PC 401K PROFIT SHARING PLAN AND TRUST Plan #001 Participants BOY/EOY78 / 84 Assets BOY/EOY$2,737,357 / $3,625,267	2019	MASSACHUSETTS EYE RESEARCH & SURGERY INSTITUTION PC 401K PROFIT SHARING PLAN AND TRUST - Plan #001	78 / 84	$2,737,357 / $3,625,267

Benefit & Retirement Plans based on Form 5500.

Address Match:1440 Main St Waltham, MA

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The following government agencies have contributed data:

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