| Plan Name | MEDICAL PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | UROLOGY OF VIRGINIA, PLLC |
| Employer identification number (EIN): | 274848565 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Additional information about UROLOGY OF VIRGINIA, PLLC
| Jurisdiction of Incorporation: | Virginia Secretary of State |
| Incorporation Date: | 2011-02-02 |
| Company Identification Number: | S352276 |
| Legal Registered Office Address: |
225 CLEARFIELD AVE VIRGINIA BEACH United States of America (USA) 23462 |
More information about UROLOGY OF VIRGINIA, PLLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2011-10-01 | MICHAEL D. FABRIZIO |
| 2011: MEDICAL PLAN 2011 form 5500 responses | ||
|---|---|---|
| 2011-10-01 | Type of plan entity | Single employer plan |
| 2011-10-01 | First time form 5500 has been submitted | Yes |
| 2011-10-01 | Submission has been amended | Yes |
| 2011-10-01 | This submission is the final filing | Yes |
| 2011-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-10-01 | Plan is a collectively bargained plan | No |
| 2011-10-01 | Plan funding arrangement – Insurance | Yes |
| 2011-10-01 | Plan benefit arrangement – Insurance | Yes |