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| Plan Name | CLEARWATER FAMILY PRACTICE 401K PROFIT SHARING PLAN |
| Plan identification number | 003 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | CLEARWATER FAMILY PRACTICE, INC. |
| Employer identification number (EIN): | 593091355 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Additional information about CLEARWATER FAMILY PRACTICE, INC.
| Jurisdiction of Incorporation: | Florida Department of State Division of Corporations |
| Incorporation Date: | 1991-10-31 |
| Company Identification Number: | S91044 |
| Legal Registered Office Address: |
1245 COURT ST STE 102 CLEARWATER 34616 |
More information about CLEARWATER FAMILY PRACTICE, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 003 | 2018-01-01 | ||||
| 003 | 2017-01-01 | ||||
| 003 | 2016-01-01 | CHRISTINA BERTSOS | 2017-09-25 | CHRISTINA BERTSOS | 2017-09-25 |
| 003 | 2015-01-01 | DR. CESAR LARA | 2016-09-07 | ||
| 003 | 2014-01-01 | ||||
| 003 | 2013-01-01 | CESAR LARA, M.D. | 2014-07-09 | ||
| 003 | 2012-01-01 | CESAR LARA, M.D. | 2013-09-25 | ||
| 003 | 2011-01-01 | CESAR LARA, M.D. | 2012-09-25 | ||
| 003 | 2010-01-01 | CESAR LARA, M.D. | 2011-07-28 |