| Plan Name | MICHAEL D. RANDELL, M.D. 401K PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | MICHAEL D. RANDELL, M.D., P.C. |
| Employer identification number (EIN): | 522390003 |
| 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 | 2014-01-01 | MICHAEL D. RANDELL | 2015-09-07 | ||
| 001 | 2013-01-01 | ||||
| 001 | 2012-01-01 | DAVID KITCOFF | 2013-10-10 | ||
| 001 | 2011-01-01 | MICHAEL RANDELL | 2012-09-12 | ||
| 001 | 2010-01-01 | MICHAEL RANDELL | 2011-09-25 |