| Plan Name | CARLOS A VARGAS, MD, PA - 401K PLAN |
| Plan identification number | 111 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
|
| Company Name: | CARLOS A VARGAS, MD, PA |
| Employer identification number (EIN): | 650853863 |
| 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 |
|---|---|---|---|---|---|
| 111 | 2019-01-01 | DAVID SOUTHWELL | 2020-09-14 | ||
| 111 | 2018-01-01 | DAVID SOUTHWELL | 2019-07-18 |