| Plan Name | MICHAEL S. ROTH, O.D. PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | MICHAEL S. ROTH, O.D. |
| Employer identification number (EIN): | 161023998 |
| NAIC Classification: | 621320 |
| NAIC Description: | Offices of Optometrists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2010-01-01 | MICHAEL S. ROTH, O.D. | 2011-05-13 | MICHAEL S. ROTH, O.D. | 2011-05-13 |