| Plan Name | ST. CHARLES COUNTY DERMATOLOGY EMPLOYEES RETIREMENT PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | FKA, INC. D/B/A ST. CHARLES COUNTY DERMATOLOGY |
| Employer identification number (EIN): | 204974082 |
| 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 |
|---|---|---|---|---|---|
| 001 | 2019-01-01 | ||||
| 001 | 2018-01-01 | ||||
| 001 | 2017-01-01 | ||||
| 001 | 2016-01-01 | ||||
| 001 | 2015-01-01 | ||||
| 001 | 2014-01-01 | ||||
| 001 | 2013-01-01 | ||||
| 001 | 2012-01-01 | FRANK KIM ANDERSON, M.D. | 2013-06-11 | FRANK KIM ANDERSON, M.D. | 2013-06-11 |
| 001 | 2011-01-01 | FRANK KIM ANDERSON, M.D. | 2012-07-23 | FRANK KIM ANDERSON, M.D. | 2012-07-23 |
| 001 | 2010-01-01 | DR. FRANK ANDERSON | 2011-06-22 | DR. FRANK ANDERSON | 2011-06-22 |