| Plan Name | BLUE RIDGE ENT & FACIAL SURGERY CENTER, INC. 401K PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | BLUE RIDGE ENT & FACIAL SURGERY CENTER, INC. |
| Employer identification number (EIN): | 311572150 |
| 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 | 2014-01-01 | RICHARD B. COLLIE, D.O. | 2014-06-13 | ||
| 001 | 2013-01-01 | RICHARD B. COLLIE, D.O. | 2014-02-07 | ||
| 001 | 2012-01-01 | RICHARD B COLLIE, D.O. | 2013-04-01 | ||
| 001 | 2011-01-01 | RICHARD B. COLLIE, D.O. | 2012-01-27 | ||
| 001 | 2010-01-01 | RICHARD B. COLLIE, D.O. | 2011-03-01 |