| Plan Name | GREEN MOUNTAIN OB/GYN 401(K) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | GREEN MOUNTAIN OB/GYN |
| Employer identification number (EIN): | 030340058 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2012-01-01 | LAWRENCE L. SULLIVAN | 2012-11-26 | LAWRENCE L. SULLIVAN | 2012-11-26 |
| 001 | 2011-01-01 | LAWRENCE L. SULLIVAN | 2012-03-09 | LAWRENCE L. SULLIVAN | 2012-03-09 |
| 001 | 2010-01-01 | LAWRENCE L. SULLIVAN | 2011-03-11 | LAWRENCE L. SULLIVAN | 2011-03-11 |