| Plan Name | ELK GROVE LAB PHYSICIANS, P.C. CASH BALANCE PENSION PLAN |
| Plan identification number | 004 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
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| Company Name: | ELK GROVE LAB PHYSICIANS, P.C. |
| Employer identification number (EIN): | 363775529 |
| NAIC Classification: | 621510 |
| NAIC Description: | Medical and Diagnostic Laboratories |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 004 | 2010-01-01 | CARLOS SHIBATA, M.D. | 2011-07-12 | CARLOS SHIBATA, M.D. | 2011-07-12 |