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| Plan Name | MONTROSE SURGICAL ASSOCIATES, A P.C. PROFIT SHARING PLAN |
| Plan identification number | 004 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | K. MICHAEL JAY, MD, PC |
| Employer identification number (EIN): | 841443156 |
| 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 | 2011-01-01 | KIERAN JAY | 2015-03-16 |
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