| Plan Name | DAVID W. POWELL, MD DERMATOLOGY, PA 401(K) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | DAVID W. POWELL, MD DERMATOLOGY, PA |
| Employer identification number (EIN): | 270371559 |
| 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 | 2016-01-01 | DAVID W. POWELL, MD | 2016-11-21 | ||
| 001 | 2015-01-01 | WENDY WILSON | 2016-05-26 | ||
| 001 | 2014-01-01 | WENDY WILSON | 2015-07-07 | ||
| 001 | 2013-01-01 | WENDY WILSON | 2016-05-31 |