| Plan Name | CHARLES E. MOISAN, JR. MD PC PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | CHARLES E. MOISAN, JR. MD PC |
| Employer identification number (EIN): | 141548678 |
| 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 | 2012-03-01 | CHARLES E. MOISAN, JR., MD | 2012-12-28 | CHARLES E. MOISAN, JR., MD | 2012-12-28 |
| 001 | 2011-03-01 | CHARLES E. MOISAN, JR., MD | 2012-07-13 | CHARLES E. MOISAN, JR., MD | 2012-07-13 |
| 001 | 2010-03-01 | CHARLES E. MOISAN, JR., MD | 2011-06-29 | CHARLES E. MOISAN, JR., MD | 2011-06-29 |