| Plan Name | JAMES J. MACKRELL, M.D., P.C. PROFIT SHARING TRUST |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | NORTHEASTERN SURGICAL SPECIALISTS, PC |
| Employer identification number (EIN): | 232043041 |
| 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 |
|---|---|---|---|---|---|
| 002 | 2011-01-01 | JOSEPH J. DELSERRA | 2011-12-12 | JOSEPH J. DELSERRA | 2011-12-12 |
| 002 | 2010-01-01 | JOSEPH J. DELSERRA | 2011-10-11 | JOSEPH J. DELSERRA | 2011-10-11 |