| Plan Name | MEDAMERICA RETIREMENT PLAN FOR DEKALB PHYSICIANS |
| Plan identification number | 023 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
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| Company Name: | DEKALB EMERGENCY PHYSICIANS MEDICAL GROUP, LLP |
| Employer identification number (EIN): | 202859142 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 023 | 2012-01-01 | CHRIS RENNER | 2013-03-15 | CHRIS RENNER | 2013-03-15 |
| 023 | 2011-01-01 | CHRIS RENNER | 2012-10-12 | CHRIS RENNER | 2012-10-12 |
| 023 | 2010-01-01 | CHRIS RENNER | 2011-10-14 | CHRIS RENNER | 2011-10-14 |