| Plan Name | GREAT LAKES PEDIATRIC GI CLINI 401(K) PROFIT SHARING PLAN & TRUST |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | GREAT LAKES PEDIATRIC GI CLINI |
| Employer identification number (EIN): | 880922621 |
| NAIC Classification: | 621491 |
| NAIC Description: | HMO Medical Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2023-01-01 | JAMAL KRIEM | 2023-08-06 |