SURGERY CENTER AT THE FORUM MCF BENEFIT PLAN 401k Plan overview

SURGERY CENTER AT THE FORUM MCF BENEFIT PLAN Benefits

401k Sponsoring company profile

Company Name:	MID-MISSOURI SURGERY CENTER, LLC
Employer identification number (EIN):	464006663
NAIC Classification:	621498
NAIC Description:	All Other Outpatient Care Centers

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2020-06-01	BRENDAN COSSETTE	2021-12-28
501	2019-06-01	BRENDAN COSSETTE	2021-03-11
501	2018-12-01	BRENDAN COSSETTE	2020-03-13

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