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| Plan Name | FORT WAYNE ENDOSCOPY, LLC 401(K) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | FORT WAYNE ENDOSCOPY, LLC |
| Employer identification number (EIN): | 431957176 |
| NAIC Classification: | 621493 |
| NAIC Description: | Freestanding Ambulatory Surgical and Emergency Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2012-01-01 | DRENDA DICK | 2013-07-22 | DRENDA DICK | 2013-07-22 |
| 001 | 2011-01-01 | DRENDA DICK | 2012-06-04 | ||
| 001 | 2010-01-01 | REBECCA TRIMBUR | 2011-07-18 | REBECCA TRIMBUR | 2011-07-18 |