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| Plan Name | MONEY PURCHASE KEOGH |
| Plan identification number | 004 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | HARVEY LISS, PSY.D. |
| Employer identification number (EIN): | 030323072 |
| NAIC Classification: | 621112 |
| NAIC Description: | Offices of Physicians, Mental Health Specialists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 004 | 2012-01-01 | HARVEY LISS | 2013-07-22 |
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