DOL Form 5500 · JSON-LD · Markdown
Sponsored by PRIVIA MEDICAL GROUP INDIANA, LLC · EIN 351911857 · IN
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| Sponsor | PRIVIA MEDICAL GROUP INDIANA, LLC |
|---|---|
| Sponsor EIN | 351911857 |
| Address | 303 S NAPPANEE ST, ELKHART, IN, 465142066 |
| Phone | 5742963216 |
| Business code (NAICS) | 621111 |
| Plan number | 002 |
| Plan effective | 1985-07-01 |
| Filed for year | 2024 |
| Funding | Insurance contracts, Trust |
Source: DOL EBSA Form 5500 disclosure. Public domain.