PRIMARY CARE CENTER 401(K) PROFIT SHARING PLAN 401k Plan overview

PRIMARY CARE CENTER 401(K) PROFIT SHARING PLAN Benefits

401k Sponsoring company profile

Company Name:	PRIMARY CARE CENTER
Employer identification number (EIN):	341119234
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2012-01-01	JAMES D. DIETHELM, M.D.	2012-10-25	JAMES D. DIETHELM, M.D.	2012-10-25
001	2011-01-01	JAMES D. DIETHELM, M.D.	2012-05-04	JAMES D. DIETHELM, M.D.	2012-05-04
001	2010-01-01	JAMES D. DIETHELM, M.D.	2011-07-26	JAMES D. DIETHELM, M.D.	2011-07-26

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• PRIMARY CARE ASSOCIATES OF APPLETON LTD DENTAL PLAN [EIN = 391988565]
• PRIMARY CARE ASSOCIATES OF APPLETON, LTD. EMPLOYEES 401(K) SAVINGS PLAN [EIN = 391988565]
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• PRIMARY CARE PHYSICIAN NORTH, P.C. DEFINED BENEFIT PLAN [EIN = 833690137]
• PRIMARY CARE PHYSICIAN NORTH, P.C. 401(K) PROFIT SHARING PLAN [EIN = 833690137]
• PRIMARY CARE PARTNERS DENTAL BENEFIT PLAN [EIN = 841456669]
• PRIMARY CARE PARTNERS VISION BENEFIT PLAN [EIN = 841456669]
• PRIMARY CARE PARTNERS HEALTH FLEXIBLE SPENDING BENEFIT PLAN [EIN = 841456669]
• PRIMARY CARE PARTNERS MEDICAL BENEFIT PLAN [EIN = 841456669]
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