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| Plan Name | STANLEY E. BLYSKAL DEFINED BENEFIT PLAN |
| Plan identification number | 003 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
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| Company Name: | STANLEY E. BLYSKAL, M.D. |
| Employer identification number (EIN): | 112429835 |
| 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 | 2014-01-01 | STANLEY BLYSKAL | 2015-07-30 | ||
| 003 | 2013-01-01 | STANLEY BLYSKAL | 2014-08-31 | ||
| 003 | 2012-01-01 | STANLEY BLYSKAL | 2013-07-09 | ||
| 003 | 2011-01-01 | STANLEY BLYSKAL | 2012-06-14 | ||
| 003 | 2010-01-01 | STANLEY BLYSKAL | 2011-10-03 |
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