NORTH FORK SUGERY CENTER401(K) PLAN 401k Plan overview

NORTH FORK SUGERY CENTER401(K) PLAN Benefits

401k Sponsoring company profile

Company Name:	REXBURG SURGERY CENTER, LLC DBA NORTHFORK SURGERY
Employer identification number (EIN):	203619250
NAIC Classification:	621493
NAIC Description:	Freestanding Ambulatory Surgical and Emergency Centers

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2010-01-01	DWAYNE HANSEN	2011-10-17	DWAYNE HANSEN	2011-10-17

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