Karl B. Hiatt, M.D., P.C.

Diana Hiatt Registered Agent	3418 E ENCANTO ST, MESA, AZ 85213
Karl Hiatt President/CEO	3418 E ENCANTO, MESA, AZ 85213 3418 E ENCANTO ST, MESA, AZ 85213
Karl Hiatt Director	3418 E ENCANTO, MESA, AZ 85213
Diana Hiatt Secretary	3418 E ENCANTO, MESA, AZ 85213 3418 E ENCANTO ST, MESA, AZ 85213
Karl Hiatt Shareholder	NOT REQUIRED, NOT REQUIRED XXXXX

4540 E BASELINE RD # 117, MESA, AZ 85206 View Map

Form 5500

3418 E Encanto St, Mesa, Az 85213 (480) 518-1840 EIN:86-0692895 Plan Admin:Karl B Hiatt

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2020	Plan NameKARL B HIATT, M.D., P.C. PROFIT SHARING PLAN Plan #001 Participants BOY/EOY9 / 0 Assets BOY/EOY$803,276 / $0	2020	KARL B HIATT, M.D., P.C. PROFIT SHARING PLAN - Plan #001	9 / 0	$803,276 / $0
2019	Plan NameKARL B HIATT, M.D., P.C. PROFIT SHARING PLAN Plan #001 Participants BOY/EOY9 / 9 Assets BOY/EOY$751,738 / $803,276	2019	KARL B HIATT, M.D., P.C. PROFIT SHARING PLAN - Plan #001	9 / 9	$751,738 / $803,276

Benefit & Retirement Plans based on Form 5500.

Address Match:4540 E Baseline Rd Mesa, AZ

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Person/City Match:Diana Hiatt - Mesa, AZ

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Person/City Match:Karl Hiatt - Mesa, AZ

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The following government agencies have contributed data:

Arizona Corporation Commission U.S. Department of Labor

Company Summary