401k Plan data: PARAMOUNT IMAGING 401(K) SAVINGS PLAN plan

PARAMOUNT IMAGING 401(K) SAVINGS PLAN 401k Plan overview

Plan Name	PARAMOUNT IMAGING 401(K) SAVINGS PLAN
Plan identification number	001

PARAMOUNT IMAGING 401(K) SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

PG DIAGNOSTIC ACQUISITIONS, INC. has sponsored the creation of one or more 401k plans.

Company Name: PG DIAGNOSTIC ACQUISITIONS, INC.

Employer identification number (EIN): 141858143

NAIC Classification: 561110
NAIC Description: Office Administrative Services

Additional information about PG DIAGNOSTIC ACQUISITIONS, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 2002-11-19

Company Identification Number: P02000123576

Legal Registered Office Address: 11746 URADCO PLACE

SAN ANTONIO

33576

More information about PG DIAGNOSTIC ACQUISITIONS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PARAMOUNT IMAGING 401(K) SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 LORI BRANDON 2023-07-31 LORI BRANDON 2023-07-31
001 2021-01-01 LORI BRANDON 2022-07-15 LORI BRANDON 2022-07-15
001 2020-01-01 LORI BRANDON 2021-07-27 LORI BRANDON 2021-07-27
001 2019-01-01 LORI BRANDON 2020-04-20 LORI BRANDON 2020-04-20
001 2018-01-01 LORI BRANDON 2019-07-10 LORI BRANDON 2019-07-10
001 2017-01-01
001 2016-01-01 LORI BRANDON 2017-09-25 LORI BRANDON 2017-09-25
001 2015-01-01 LORI BRANDON LORI BRANDON 2016-10-10
001 2014-01-01 LORI BRANDON LORI BRANDON 2015-09-01
001 2013-01-01 LORI BRANDON LORI BRANDON 2014-10-10

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	LORI BRANDON	2023-07-31	LORI BRANDON	2023-07-31
001	2021-01-01	LORI BRANDON	2022-07-15	LORI BRANDON	2022-07-15
001	2020-01-01	LORI BRANDON	2021-07-27	LORI BRANDON	2021-07-27
001	2019-01-01	LORI BRANDON	2020-04-20	LORI BRANDON	2020-04-20
001	2018-01-01	LORI BRANDON	2019-07-10	LORI BRANDON	2019-07-10
001	2017-01-01
001	2016-01-01	LORI BRANDON	2017-09-25	LORI BRANDON	2017-09-25
001	2015-01-01	LORI BRANDON		LORI BRANDON	2016-10-10
001	2014-01-01	LORI BRANDON		LORI BRANDON	2015-09-01
001	2013-01-01	LORI BRANDON		LORI BRANDON	2014-10-10

Plan Statistics for PARAMOUNT IMAGING 401(K) SAVINGS PLAN

401k plan membership statisitcs for PARAMOUNT IMAGING 401(K) SAVINGS PLAN

Measure Date Value
2015: PARAMOUNT IMAGING 401(K) SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 101
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 57
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 39
Total of all active and inactive participants 2015-01-01 96
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 96
Number of participants with account balances 2015-01-01 78
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: PARAMOUNT IMAGING 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 130
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 61
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 42
Total of all active and inactive participants 2014-01-01 103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 103
Number of participants with account balances 2014-01-01 82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PARAMOUNT IMAGING 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 144
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 67
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 61
Total of all active and inactive participants 2013-01-01 128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 128
Number of participants with account balances 2013-01-01 108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0

Measure	Date	Value
2015: PARAMOUNT IMAGING 401(K) SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	101
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	57
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	39
Total of all active and inactive participants	2015-01-01	96
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	96
Number of participants with account balances	2015-01-01	78
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: PARAMOUNT IMAGING 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	130
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	61
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	42
Total of all active and inactive participants	2014-01-01	103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	103
Number of participants with account balances	2014-01-01	82
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PARAMOUNT IMAGING 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	144
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	67
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	61
Total of all active and inactive participants	2013-01-01	128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	128
Number of participants with account balances	2013-01-01	108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0

Financial Data on PARAMOUNT IMAGING 401(K) SAVINGS PLAN

Measure	Date	Value
2015 : PARAMOUNT IMAGING 401(K) SAVINGS PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$101,210
Total of all expenses incurred	2015-12-31	$508,177
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$489,816
Expenses. Certain deemed distributions of participant loans	2015-12-31	$10,515
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$113,987
Value of total assets at end of year	2015-12-31	$4,144,717
Value of total assets at beginning of year	2015-12-31	$4,551,684
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$7,846
Total interest from all sources	2015-12-31	$730
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$500,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$113,987
Participant contributions at end of year	2015-12-31	$13,369
Participant contributions at beginning of year	2015-12-31	$30,290
Other income not declared elsewhere	2015-12-31	$3,424
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-406,967
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$4,144,717
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$4,551,684
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$7,846
Value of interest in pooled separate accounts at end of year	2015-12-31	$4,060,599
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$4,387,712
Interest on participant loans	2015-12-31	$730
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$70,749
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$133,682
Net investment gain/loss from pooled separate accounts	2015-12-31	$-16,931
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$489,816
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	FRAZIER & DEETER, LLC
Accountancy firm EIN	2015-12-31	581433845
2014 : PARAMOUNT IMAGING 401(K) SAVINGS PLAN 2014 401k financial data
Total transfer of assets from this plan	2014-12-31	$1,286,543
Total income from all sources (including contributions)	2014-12-31	$505,247
Total of all expenses incurred	2014-12-31	$211,785
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$202,112
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$145,441
Value of total assets at end of year	2014-12-31	$4,551,684
Value of total assets at beginning of year	2014-12-31	$5,544,765
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$9,673
Total interest from all sources	2014-12-31	$3,152
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$6,000
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$115,061
Participant contributions at end of year	2014-12-31	$30,290
Participant contributions at beginning of year	2014-12-31	$36,701
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$30,380
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$293,462
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$4,551,684
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$5,544,765
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$3,673
Value of interest in pooled separate accounts at end of year	2014-12-31	$4,387,712
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$5,270,882
Interest on participant loans	2014-12-31	$1,504
Interest earned on other investments	2014-12-31	$1,648
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$133,682
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$237,182
Net investment gain/loss from pooled separate accounts	2014-12-31	$356,654
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$202,112
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	FRAZIER & DEETER, LLC
Accountancy firm EIN	2014-12-31	581433845
2013 : PARAMOUNT IMAGING 401(K) SAVINGS PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$1,311,626
Total of all expenses incurred	2013-12-31	$666,221
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$660,468
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$190,985
Value of total assets at end of year	2013-12-31	$5,544,765
Value of total assets at beginning of year	2013-12-31	$4,899,360
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$5,753
Total interest from all sources	2013-12-31	$3,125
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$5,060
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$167,390
Participant contributions at end of year	2013-12-31	$36,701
Participant contributions at beginning of year	2013-12-31	$13,699
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$23,595
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$645,405
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$5,544,765
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$4,899,360
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Investment advisory and management fees	2013-12-31	$693
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$4,558,280
Value of interest in pooled separate accounts at end of year	2013-12-31	$5,270,882
Interest on participant loans	2013-12-31	$913
Interest earned on other investments	2013-12-31	$2,212
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$327,381
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$327,381
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$237,182
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$418,891
Net investment gain/loss from pooled separate accounts	2013-12-31	$698,625
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$660,468
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	Yes
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	KINGERY & CROUSE, PA
Accountancy firm EIN	2013-12-31	593144594

Form 5500 Responses for PARAMOUNT IMAGING 401(K) SAVINGS PLAN

2015: PARAMOUNT IMAGING 401(K) SAVINGS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: PARAMOUNT IMAGING 401(K) SAVINGS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PARAMOUNT IMAGING 401(K) SAVINGS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

601289-000

Policy instance

Insurance contract or identification number	601289-000
Number of Individuals Covered	77
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $11,304
Total amount of fees paid to insurance company	USD $2,147
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $11,304
Insurance broker organization code?	3
Amount paid for insurance broker fees	2147
Insurance broker name	BATES & COMPANY, INC.

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

601289-000

Policy instance

Insurance contract or identification number	601289-000
Number of Individuals Covered	113
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $7,087
Total amount of fees paid to insurance company	USD $2,698
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,087
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	BATES & COMPANY, INC.

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

601289-000

Policy instance

Insurance contract or identification number	601289-000
Number of Individuals Covered	108
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $25,960
Total amount of fees paid to insurance company	USD $3,874
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $25,960
Insurance broker organization code?	3
Amount paid for insurance broker fees	3874
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	BATES & COMPANY, INC.

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Company Name:	PG DIAGNOSTIC ACQUISITIONS, INC.
Employer identification number (EIN):	141858143
NAIC Classification:	561110
NAIC Description:	Office Administrative Services

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	2002-11-19
Company Identification Number:	P02000123576
Legal Registered Office Address:	11746 URADCO PLACE SAN ANTONIO 33576