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| Plan Name | JOHN ANTALIS MD SOCA BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | JOHN ANTALIS MD |
| Employer identification number (EIN): | 311430733 |
| NAIC Classification: | 621491 |
| NAIC Description: | HMO Medical Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-01-01 | MATT APPENZELLER | 2024-07-30 | ||
| 501 | 2022-01-01 | MATT APPENZELLER | 2023-07-31 | ||
| 501 | 2021-01-01 | MATT APPENZELLER | 2022-08-01 |
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