KEITH D. JORGENSEN, M.D., P.A. PENSION PLAN

[ EIN: 02-0404462 | Plan No. 003 ]

Form 5500 filing classifies KEITH D. JORGENSEN, M.D., P.A. PENSION PLAN as a Defined Benefit plan, sponsored by KEITH D. JORGENSEN, M.D., P.A.. The plan is a Small Plan with 7 participants and total assets of $1,500,262 reported for the 2022 plan year.

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Plan Sponsor: KEITH D. JORGENSEN, M.D., P.A.

Location: 44 BRICH ST, SUITE 304, DERRY, NH 03038

EIN: 020404462

Plan Number: 003

Plan Year: 2022

Plan Size: Small Plan

Plan Entity Type: Defined Benefit

Plan Type: Defined Benefit

Participants: 7

Total Assets: $1,500,262

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