| Plan Name | URGENT CARE OF JEROME LLC 401K PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | URGENT CARE OF JEROME LLC |
| Employer identification number (EIN): | 471026878 |
| 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 | 2019-01-01 | DEEANN JAMES | 2019-06-20 | DEE ANN JAMES | 2019-06-20 |
| 001 | 2018-01-01 | DEEANN JAMES | 2019-05-15 | ||
| 001 | 2017-01-01 | DEEANN JAMES | 2018-05-29 | DEE ANN JAMES | 2018-05-29 |
| 001 | 2016-01-01 | DEEANN JAMES | 2017-07-07 |