| Plan Name | EMPLOYEE BENEFIT PLAN OF FAMILY SERVICES OF THE MOHAWK VALLEY, INC. |
| Plan identification number | 003 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | FAMILY SERVICES OF THE MOHAWK VALLEY, INC. |
| Employer identification number (EIN): | 150610673 |
| NAIC Classification: | 621112 |
| NAIC Description: | Offices of Physicians, Mental Health Specialists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 003 | 2011-01-01 | DOMINIC POULIOT | 2014-10-02 | DOMINIC POULIOT | 2014-10-02 |
| 003 | 2010-01-01 | HERBERT FREEMAN | 2011-06-29 |