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| Plan Name | DAVID MATTHEW CARLSON INC 401 K PROFIT SHARING PLAN TRUST |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | DAVID MATTHEW CARLSON INC |
| Employer identification number (EIN): | 453982526 |
| 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 | 2016-01-01 | DAVID MATTHEW CARLSON | 2017-05-23 | ||
| 001 | 2015-01-01 | DAVID MATTHEW CARLSON | 2016-07-18 | ||
| 001 | 2014-01-01 | DAVID M. CARLSON | 2015-07-02 | ||
| 001 | 2013-01-01 | DAVID MATTHEW CARLSON | 2014-06-23 | ||
| 001 | 2012-01-01 | DAVID MATTHEW CARLSON INC | 2013-07-14 |