| Plan Name | CLAYTON DERMATOLOGY, LLC 401(K) PROFIT SHARING PLAN |
| Plan identification number | 004 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
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| Company Name: | CLAYTON DERMATOLOGY, LLC |
| Employer identification number (EIN): | 431943913 |
| 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 |
|---|---|---|---|---|---|
| 004 | 2013-01-01 | LUCIANN HRUZA | 2014-10-15 | ||
| 004 | 2012-01-01 | LUCIANN HRUZA | 2013-06-25 | ||
| 004 | 2011-01-01 | LUCIANN HRUZA | 2013-01-11 | ||
| 004 | 2010-01-01 | LUCIANN HRUZA | 2011-08-09 |