GOLDEN STATE MEDICAL SUPPLY WELFARE BENEFITS PLAN

[ EIN: 95-4226167 | Plan No. 501 ]

Form 5500 filing classifies GOLDEN STATE MEDICAL SUPPLY WELFARE BENEFITS PLAN as a Health & Welfare plan, sponsored by GOLDEN STATE MEDICAL SUPPLY, INC.. The plan is a Large Plan with 0 participants and total assets of $0 reported for the 2023 plan year.

Health & Welfare plans are subject to ERISA disclosure requirements and annual reporting obligations.

---

Plan Sponsor: GOLDEN STATE MEDICAL SUPPLY, INC.

Location: 5187 CAMINO RUIZ, CAMARILLO, CA 93012

EIN: 954226167

Plan Number: 501

Plan Year: 2023

Plan Size: Large Plan

Plan Entity Type: Health & Welfare

Plan Type: Health & Welfare

Participants: 0

Total Assets: $0

---