| Plan Name | 401(K) PROFIT SHARING PLAN & TRUST AGREEMENT OF KENNETH A. HERMENS, M.D., P.C. |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | KENNETH A. HERMENS, M.D. P.C. |
| Employer identification number (EIN): | 930940989 |
| 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 |
|---|---|---|---|---|---|
| 002 | 2011-12-01 | KENNETH HERMENS | 2013-08-05 | KENNETH HERMENS | 2013-08-05 |