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| Plan Name | JASON BLAKE TOLLETT SOLO 401 (K) PSP |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | JASON BLAKE TOLLETT |
| Employer identification number (EIN): | 261244122 |
| 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 | 2017-01-01 | JASON TOLLETT | 2021-01-29 | JASON TOLLETT | 2021-01-29 |
| 001 | 2016-01-01 | JASON TOLLETT | 2017-09-23 |
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