| Plan Name | RICHARD K. MATHIS MD, INC.401(K) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | RICHARD K. MATHIS MD, INC. |
| Employer identification number (EIN): | 953756812 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2014-07-01 | RICHARD K. MATHIS | 2015-10-06 |