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| Plan Name | LAKE COUNTY GENERAL VASCULAR EMPLOYEE GROUP |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | LAKE COUNTY SURGEONS, P.C. |
| Employer identification number (EIN): | 364095319 |
| 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 |
|---|---|---|---|---|---|
| 501 | 2014-01-01 | PAUL STROHMAYER, MD | 2015-07-30 |