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| Company Name: | EDWARD J. LIS JR., DO |
| Employer identification number (EIN): | 202061830 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
The following addresses have been detected on the 401k submissions:
| USA Location Address | |||||
|---|---|---|---|---|---|
| |||||
| Date first seen: 2008-09-01 | |||||
| Date last seen: 2023-12-31 | |||||
| USA Location Address | ||||||
|---|---|---|---|---|---|---|
| ||||||
| Date first seen: 2007-01-01 | ||||||
| Date last seen: 2023-12-31 | ||||||
| Date | Description |
|---|---|
| 2023-06-25 | 202061830 Change of name detected from EDWARD J. LIS JR., DO, PLLC to EDWARD J. LIS JR., DO |
| 2023-06-25 | 202061830 Change of plan name detected from EDWARD J. LIS JR., DO, PLLC 401(K) PROFIT SHARING PLAN to EDWARD J. LIS JR., DO 401(K) PROFIT SHARING PLAN for plan ID 001 |
| Plan id# | Plan Name | Plan Start Date | Plan Effective Date |
|---|---|---|---|
| 001 | EDWARD J. LIS JR., DO 401(K) PROFIT SHARING PLAN | 2017-01-01 | 2005-01-01 |
| 002 | EDWARD J. LIS, JR., DO CASH BALANCE PLAN | 2022-01-01 | 2022-01-01 |
| Date | Type of contribution | Contribution |
|---|---|---|
| 2023-04-17 | Employer Contributions | $ 2,462 |
| 2023-04-17 | Employee Contributions | $ 2,462 |
| 2023-03-03 | Employer Contributions | $ 2,889 |
| 2023-03-03 | Employee Contributions | $ 2,889 |
| 2022-12-29 | Employer Contributions | $ 25,000 |
| 2022-12-29 | Employee Contributions | $ 25,000 |
| 2022-11-29 | Employer Contributions | $ 25,000 |
| 2022-11-29 | Employee Contributions | $ 25,000 |
| 2022-07-14 | Employer Contributions | $ 50,000 |
| 2022-07-14 | Employee Contributions | $ 50,000 |
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