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| Plan Name | TIMOTHY PATCHETT MD INC EMPLOYEES' PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | TIMOTHY PATCHETT MD INC. |
| Employer identification number (EIN): | 680368453 |
| 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 | 2015-11-01 | SHARI PATCHETT | 2017-07-10 | SHARI PATCHETT | 2017-07-10 |
| 001 | 2014-11-01 | SHARI PATCHETT | 2016-08-01 | SHARI PATCHETT | 2016-08-01 |
| 001 | 2013-11-01 | SHARI PATCHETT | 2015-07-27 | SHARI PATCHETT | 2015-07-27 |
| 001 | 2012-11-01 | SHARI PATCHETT | 2014-07-03 | SHARI PATCHETT | 2014-07-03 |
| 001 | 2011-11-01 | SHARI PATCHETT | 2013-05-08 | ||
| 001 | 2010-11-01 | SHARI PATCHETT | 2012-02-29 |
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