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| Plan Name | DR. ALAN S. KOSSOW, PA PROFIT SHARING PLAN |
| Plan identification number | 003 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | DR. ALAN S. KOSSOW, PA |
| Employer identification number (EIN): | 592055865 |
| 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 |
|---|---|---|---|---|---|
| 003 | 2012-01-01 | TATIANA POMBO | 2013-02-27 | TATIANA POMBO | 2013-02-27 |
| 003 | 2011-01-01 | TATIANA POMBO | 2012-10-06 | TATIANA POMBO | 2012-10-06 |
| 003 | 2010-01-01 | TATIANA CHAVEZ | 2011-03-12 |
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