SOUTH BAY DERMATOLOGY 401-K PROFIT SHARING PLAN 401k Plan overview

SOUTH BAY DERMATOLOGY 401-K PROFIT SHARING PLAN Benefits

401k Sponsoring company profile

Company Name:	SHIRLENE JAY M.D. DBA SOUTH BAY DERMATOLOGY
Employer identification number (EIN):	260481205
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	SHIRLENE JAY	2023-04-03
001	2021-01-01	SHIRLENE JAY	2022-03-21
001	2020-01-01	SHIRLENE JAY	2021-06-28
001	2019-01-01	SHIRLENE JAY	2020-09-24
001	2018-01-01	SHIRLENE JAY	2019-03-05
001	2017-01-01	SHIRLENE JAY	2018-03-13
001	2016-01-01	SHIRLENE JAY	2017-05-05	SHIRLENE JAY	2017-05-05
001	2015-01-01	SHIRLENE JAY	2016-04-02
001	2014-01-01	SHIRLENE JAY	2015-05-03
001	2013-01-01	SHIRLENE JAY	2014-06-03
001	2012-01-01	SHIRLENE JAY	2013-06-18
001	2011-01-01	SHIRLENE JAY	2012-08-07
001	2010-01-01	SHIRLENE JAY	2011-05-16

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