401k Plan data: CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN plan

CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN
Plan identification number	002

CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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.
Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
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

CRYSTAL CLINIC, INC. has sponsored the creation of one or more 401k plans.

Company Name: CRYSTAL CLINIC, INC.

Employer identification number (EIN): 341097127

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Additional information about CRYSTAL CLINIC, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 1972-01-21

Company Identification Number: 420079

Legal Registered Office Address: 3975 EMBASSY PARKWAY
-
AKRON
United States of America (USA)
44333

More information about CRYSTAL CLINIC, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2023-01-01
002 2022-01-01
002 2021-01-01
002 2020-01-01
002 2019-01-01 RONALD SUNTKEN 2020-07-06
002 2018-01-01 RONALD SUNTKEN 2019-06-21
002 2017-01-01 RONALD SUNTKEN 2018-08-01
002 2016-01-01 RONALD SUNTKEN 2017-07-18
002 2015-01-01 RONALD SUNTKEN 2016-09-13
002 2014-01-01 RONALD SUNTKEN 2015-06-29
002 2013-01-01 RONALD SUNTKEN 2014-07-03
002 2012-01-01 RONALD SUNTKEN 2013-09-30
002 2011-01-01 RONALD SUNTKEN
002 2010-01-01 RONALD SUNTKEN
002 2009-01-01 RONALD SUNTKEN
002 2009-01-01 RONALD SUNTKEN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
002	2023-01-01
002	2022-01-01
002	2021-01-01
002	2020-01-01
002	2019-01-01	RONALD SUNTKEN	2020-07-06
002	2018-01-01	RONALD SUNTKEN	2019-06-21
002	2017-01-01	RONALD SUNTKEN	2018-08-01
002	2016-01-01	RONALD SUNTKEN	2017-07-18
002	2015-01-01	RONALD SUNTKEN	2016-09-13
002	2014-01-01	RONALD SUNTKEN	2015-06-29
002	2013-01-01	RONALD SUNTKEN	2014-07-03
002	2012-01-01	RONALD SUNTKEN	2013-09-30
002	2011-01-01	RONALD SUNTKEN
002	2010-01-01	RONALD SUNTKEN
002	2009-01-01	RONALD SUNTKEN
002	2009-01-01	RONALD SUNTKEN

Plan Statistics for CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2024: CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2024 401k membership
Total number of particpants at beginning of year 2024-05-21 57
Total number of particpants at end of year 2024-05-21 58
Number of Participants With Account Balances 2024-05-21 58
2022: CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total number of particpants at beginning of year 2022-10-06 62
Total number of particpants at end of year 2022-10-06 56
Number of Participants With Account Balances 2022-10-06 56
2011: CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 125
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 38
Number of retired or separated participants receiving benefits 2011-01-01 4
Number of other retired or separated participants entitled to future benefits 2011-01-01 17
Total of all active and inactive participants 2011-01-01 59
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 59
Number of participants with account balances 2011-01-01 59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2010: CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 264
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 89
Number of retired or separated participants receiving benefits 2010-01-01 6
Number of other retired or separated participants entitled to future benefits 2010-01-01 28
Total of all active and inactive participants 2010-01-01 123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 123
Number of participants with account balances 2010-01-01 123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 10
2009: CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 241
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 81
Number of retired or separated participants receiving benefits 2009-01-01 4
Number of other retired or separated participants entitled to future benefits 2009-01-01 21
Total of all active and inactive participants 2009-01-01 106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 106
Number of participants with account balances 2009-01-01 103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2024: CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2024 401k membership
Total number of particpants at beginning of year	2024-05-21	57
Total number of particpants at end of year	2024-05-21	58
Number of Participants With Account Balances	2024-05-21	58
2022: CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2022 401k membership
Total number of particpants at beginning of year	2022-10-06	62
Total number of particpants at end of year	2022-10-06	56
Number of Participants With Account Balances	2022-10-06	56
2011: CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	125
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	38
Number of retired or separated participants receiving benefits	2011-01-01	4
Number of other retired or separated participants entitled to future benefits	2011-01-01	17
Total of all active and inactive participants	2011-01-01	59
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	59
Number of participants with account balances	2011-01-01	59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2010: CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	264
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	89
Number of retired or separated participants receiving benefits	2010-01-01	6
Number of other retired or separated participants entitled to future benefits	2010-01-01	28
Total of all active and inactive participants	2010-01-01	123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	123
Number of participants with account balances	2010-01-01	123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	10
2009: CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	241
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	81
Number of retired or separated participants receiving benefits	2009-01-01	4
Number of other retired or separated participants entitled to future benefits	2009-01-01	21
Total of all active and inactive participants	2009-01-01	106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	106
Number of participants with account balances	2009-01-01	103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2024 : CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2024 401k financial data
Total expenses incurred by plan in this plan year	2024-05-21	6658717
Net assets as of the end of the plan year	2024-05-21	37073179
Total assets as of the beginning of the plan year	2024-05-21	36001585
Value of plan covered by a fidelity bond	2024-05-21	500000
Participant contributions to plan in this plan year	2024-05-21	963088
Value of participant loans at end of plan year	2024-05-21	89659
Other contributions to plan in this plan year	2024-05-21	57929
Other income to plan in this plan year	2024-05-21	5184751
Plan net income in this plan year	2024-05-21	1071594
Net assets as of the end of the plan year	2024-05-21	37073179
Net assets as of the beginning of the plan year	2024-05-21	36001585
Employer contributions to plan in this plan year	2024-05-21	1524543
Expensese paid to adminstrative service provicers from plan in this plan year	2024-05-21	49874
2022 : CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total expenses incurred by plan in this plan year	2022-10-06	9034420
Net assets as of the end of the plan year	2022-10-06	45587283
Total assets as of the beginning of the plan year	2022-10-06	46807478
Value of plan covered by a fidelity bond	2022-10-06	500000
Participant contributions to plan in this plan year	2022-10-06	917795
Value of participant loans at end of plan year	2022-10-06	119109
Other contributions to plan in this plan year	2022-10-06	73400
Other income to plan in this plan year	2022-10-06	5325919
Plan net income in this plan year	2022-10-06	-1220195
Net assets as of the end of the plan year	2022-10-06	45587283
Net assets as of the beginning of the plan year	2022-10-06	46807478
Employer contributions to plan in this plan year	2022-10-06	1497111
Expensese paid to adminstrative service provicers from plan in this plan year	2022-10-06	117814
2011 : CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total transfer of assets from this plan	2011-12-31	$469,470
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$1,591,471
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$2,138,803
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,986,200
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,689,234
Value of total assets at end of year	2011-12-31	$23,877,449
Value of total assets at beginning of year	2011-12-31	$24,894,251
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$152,603
Total interest from all sources	2011-12-31	$53
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$634,458
Participant contributions at beginning of year	2011-12-31	$127
Assets. Other investments not covered elsewhere at end of year	2011-12-31	$885,702
Assets. Other investments not covered elsewhere at beginning of year	2011-12-31	$771,632
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$3,611
Other income not declared elsewhere	2011-12-31	$117,681
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-547,332
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$23,877,449
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$24,894,251
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Investment advisory and management fees	2011-12-31	$128,265
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$21,100,338
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$22,717,412
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$833,022
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$342,629
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$342,629
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$53
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$115,650
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-215,497
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$1,054,776
Employer contributions (assets) at end of year	2011-12-31	$1,054,776
Employer contributions (assets) at beginning of year	2011-12-31	$1,062,451
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,870,550
Contract administrator fees	2011-12-31	$24,338
Did the plan have assets held for investment	2011-12-31	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	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	MAYER HOFFMAN MCCANN
Accountancy firm EIN	2011-12-31	431947695
2010 : CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets from this plan	2010-12-31	$101,349
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total income from all sources (including contributions)	2010-12-31	$4,620,270
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$3,267,638
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$3,141,490
Value of total corrective distributions	2010-12-31	$113
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,736,439
Value of total assets at end of year	2010-12-31	$24,894,251
Value of total assets at beginning of year	2010-12-31	$23,642,968
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$126,035
Total interest from all sources	2010-12-31	$143,331
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Assets. Real estate other than employer real property at beginning of year	2010-12-31	$303,230
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$673,988
Participant contributions at end of year	2010-12-31	$127
Participant contributions at beginning of year	2010-12-31	$701
Participant contributions at beginning of year	2010-12-31	$28,731
Assets. Other investments not covered elsewhere at end of year	2010-12-31	$771,632
Assets. Other investments not covered elsewhere at beginning of year	2010-12-31	$637,083
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2010-12-31	$115,650
Other income not declared elsewhere	2010-12-31	$134,548
Administrative expenses (other) incurred	2010-12-31	$150
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$1,352,632
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$24,894,251
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$23,642,968
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$108,992
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$22,717,412
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$20,273,483
Interest on participant loans	2010-12-31	$13
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$342,629
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$1,214,172
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$1,214,172
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$143,318
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$2,605,952
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$1,062,451
Employer contributions (assets) at end of year	2010-12-31	$1,062,451
Employer contributions (assets) at beginning of year	2010-12-31	$1,185,568
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$3,025,840
Contract administrator fees	2010-12-31	$16,893
Did the plan have assets held for investment	2010-12-31	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	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	MAYER HOFFMAN MCCANN
Accountancy firm EIN	2010-12-31	431947695
2009 : CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN

2011: CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: CRYSTAL CLINIC, INC. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number	14769120
Policy instance	1
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number	14769120
Policy instance	1

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Company Name:	CRYSTAL CLINIC, INC.
Employer identification number (EIN):	341097127
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	1972-01-21
Company Identification Number:	420079
Legal Registered Office Address:	3975 EMBASSY PARKWAY - AKRON United States of America (USA) 44333