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| Plan Name | KERSEY DENTAL GCF BENEFIT PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | DOUGLAS B. KERSEY, JR., D.M.D., L.L.C. |
| Employer identification number (EIN): | 205431223 |
| NAIC Classification: | 621210 |
| NAIC Description: | Offices of Dentists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-12-01 | MORGAN LAW | 2024-10-28 |
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