Plan Name | PROVIDENCE FAMILY MEDICAL 401(K) PLAN |
Plan identification number | 001 |
401k Plan Type | Defined Contribution Pension |
Plan Features/Benefits |
|
Company Name: | PROVIDENCE FAMILY MEDICAL |
Employer identification number (EIN): | 475288015 |
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 | 2022-01-01 | ADEDAPO OKUSANYA | 2023-07-07 | ||
001 | 2021-01-01 | ADEDAPO OKUSANYA | 2022-09-29 | ||
001 | 2020-01-01 | ADEDAPO OKUSANYA | 2021-10-11 |