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| Plan Name | JACKSON FAMILY PRACTICE, LLC 401(K) P/S PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | JACKSON FAMILY PRACTICE, LLC |
| Employer identification number (EIN): | 800314562 |
| 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 | 2023-01-01 | MIAH KIM | 2023-04-11 | ||
| 001 | 2022-01-01 | MIAH KIM | 2023-02-19 | ||
| 001 | 2022-01-01 | MIAH KIM | 2023-05-31 | ||
| 001 | 2021-01-01 | MIAH KIM | 2022-06-28 | ||
| 001 | 2020-01-01 | MIAH KIM | 2021-06-13 | ||
| 001 | 2019-01-01 | MIAH KIM | 2020-09-04 | ||
| 001 | 2018-01-01 | MIAH KIM | 2019-06-06 |
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