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| Plan Name | PATRICIA VALDIVIA, D.D.S., P.C. PROFIT-SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | PATRICIA VALDIVIA D.D.S., P.C. |
| Employer identification number (EIN): | 200497682 |
| 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 | 2012-01-01 | PATRICIA VALDIVIA | 2013-04-16 | PATRICIA VALDIVIA | 2013-04-16 |
| 001 | 2011-01-01 | PATRICIA VALDIVIA | 2012-05-31 | ||
| 001 | 2010-01-01 | PATRICIA VALDIVIA | 2011-05-05 |
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