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| Plan Name | H. R. AMIRSHEYBANI, M.D. PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | H. R. AMIRSHEYBANI, M.D. |
| Employer identification number (EIN): | 470986521 |
| 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 | 2011-01-01 | HAMID AMIRSHEYBANI | 2012-03-19 | ||
| 001 | 2010-01-01 | RONALD OCONNELL | 2011-09-14 |
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