Jacob Haiavy, M.D., Inc.

Maryam Roham Individual Agent	2058 N MILLS AVE STE 148, CLAREMONT, CA 91711
Jacob Haiavy CEO	8680 MONROE CT STE 200, RANCHO CUCAMONGA, CA 91730-9104 (View Past Addresses)
Dawn Mutschler Chief Financial Officer	8680 MONROE CT STE 200, RANCHO CUCAMONGA, CA 91730-9104 (View Past Addresses)
Jacob Haiavy Director	8680 MONROE CT STE 200, RANCHO CUCAMONGA, CA 91730-9104 (View Past Addresses)
Maryam Roham Secretary	8680 MONROE CT STE 200, RANCHO CUCAMONGA, CA 91730-9104 (View Past Addresses)

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8680 MONROE CT STE 200, RANCHO CUCAMONGA, CA 91730-9104 View Map

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Form 5500

8680 Monroe Court STE 200, Rancho Cucamonga, Ca 91730 (909) 987-0899 EIN:02-0670088 Plan Admin:Jacob Haiavy

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2023	Plan NameJACOB HAIAVY, M.D. 401(K) PLAN Plan #001 Participants BOY/EOY33 / 37 Assets BOY/EOY$2,467,259 / $3,099,567	2023	JACOB HAIAVY, M.D. 401(K) PLAN - Plan #001	33 / 37	$2,467,259 / $3,099,567
2022	Plan NameJACOB HAIAVY, M.D. 401(K) PLAN Plan #001 Participants BOY/EOY42 / 36 Assets BOY/EOY$3,201,166 / $2,467,259	2022	JACOB HAIAVY, M.D. 401(K) PLAN - Plan #001	42 / 36	$3,201,166 / $2,467,259
2021	Plan NameJACOB HAIAVY, M.D. 401(K) PLAN Plan #001 Participants BOY/EOY43 / 46 Assets BOY/EOY$2,727,137 / $3,201,166	2021	JACOB HAIAVY, M.D. 401(K) PLAN - Plan #001	43 / 46	$2,727,137 / $3,201,166
2020	Plan NameJACOB HAIAVY, M.D. 401(K) PLAN Plan #001 Participants BOY/EOY39 / 41 Assets BOY/EOY$2,218,225 / $2,727,137	2020	JACOB HAIAVY, M.D. 401(K) PLAN - Plan #001	39 / 41	$2,218,225 / $2,727,137
2019	Plan NameJACOB HAIAVY, M.D. 401(K) PLAN Plan #001 Participants BOY/EOY33 / 35 Assets BOY/EOY$0 / $0	2019	JACOB HAIAVY, M.D. 401(K) PLAN - Plan #001	33 / 35	$0 / $0

Benefit & Retirement Plans based on Form 5500.

Address Match:8680 Monroe Ct Rancho Cucamonga, CA

Ahava Med Spa, Pc Registered in California	Rancho Cucamonga, CA	View Report
Surgical Arts of The Inland Empire Registered in California	Rancho Cucamonga, CA	View Report
Surgical Group of The Inland Empire, Inc. Registered in California	Claremont, CA Rancho Cucamonga, CA	View Report
Subrigo Corporation Registered in California	Las Vegas, NV Rancho Cucamonga, CA (1 more)	View Report
Serenity Medispa Registered in California	Rancho Cucamonga, CA	View Report
Surgery Center, Rancho Cucamonga Registered in California	Highland, CA Rancho Cucamonga, CA	View Report
Rancho Specialty Surgery Center, Inc. Registered in California	Palm Desert, CA Rancho Cucamonga, CA	View Report
Haven Surgery Center, Incorporated Registered in California	Rancho Cucamonga, CA	View Report
Inland Empire Surgical Group, LLC Registered in California	Rancho Cucamonga, CA	View Report

Person/City Match:Maryam Roham - Claremont, CA

Civic Center Group Partners, LLC Registered in California	Claremont, CA Rancho Cucamonga, CA	View Report
Jmbd, LLC Registered in California	Claremont, CA Ave Claremont, CA	View Report
Osher Management, LLC Registered in California	Anchorage, AK Claremont, CA	View Report
Rosh Haven Investments, LLC Registered in California	Claremont, CA	View Report

Person/City Match:Jacob Haiavy - Rancho Cucamonga, CA

Rancho Professional Center Owners' Association Registered in California	Rancho Cucamonga, CA		View Report

The following government agencies have contributed data:

California Secretary of State U.S. Department of Labor

Company Summary