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| Plan Name | J. DONALD BURGESS, M.D., P.A. MONEY PURCHASE PENSION PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | J. DONALD BURGESS, M.D., P.A. |
| Employer identification number (EIN): | 020351355 |
| 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 |
|---|---|---|---|---|---|
| 001 | 2013-01-01 | ||||
| 001 | 2010-01-01 | J. DONALD BURGESS | 2011-05-05 | J. DONALD BURGESS | 2011-05-05 |
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