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| Plan Name | FIDELITY KEOGH PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Other Pension Benefit |
| Plan Features/Benefits |
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| Company Name: | DEMOSTHENES J. ASUNCION, M.D. |
| Employer identification number (EIN): | 371379478 |
| 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 | 2011-04-30 | DEMOSTHENES ASUNCION | 2012-07-31 |
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