| Plan Name | MONEY PURCHASE & HEALTH/DISABILITY PLAN OF JAMIE B. LEWIS, MD, INC. |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | JAMIE B. LEWIS, MD, AMC |
| Employer identification number (EIN): | 953521094 |
| 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 | 2011-04-01 | JAMIE B. LEWIS, MD | 2012-12-21 | ||
| 002 | 2010-04-01 | JAMIE B. LEWIS, MD | 2011-12-19 |