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| Plan Name | MARK ESHRAGHI, DMD, LLC 401(K) PLAN |
| Plan identification number | 333 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | KAREN L ESHRAGHI, MD LAKE OF THE OZARKS, LLC |
| Employer identification number (EIN): | 030375264 |
| NAIC Classification: | 621210 |
| NAIC Description: | Offices of Dentists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 333 | 2012-01-01 | MARK ESHRAGHI | 2013-10-10 | ||
| 333 | 2011-01-01 | MARK ESHRAGHI | 2012-06-10 |
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