| Plan Name | LAKE COUNTY ANESTHESIA ASSOCIATES PLLC RETIREMENT SAVINGS PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | LAKE COUNTY ANESTHESIA ASSOCIATES PLLC |
| Employer identification number (EIN): | 200494012 |
| 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 | FAY STOCKMAN | 2013-09-04 | FAY STOCKMAN | 2013-09-04 |
| 001 | 2011-01-01 | FAY STOCKMAN | 2012-08-02 | FAY STOCKMAN | 2012-08-02 |
| 001 | 2010-01-01 | FAY STOCKMAN | 2011-09-08 | FAY STOCKMAN | 2011-09-08 |