| Plan Name | PRIMARY CARE OF SOUTHERN NEVADA, INC. 401(K) PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | VAN WAGNER HEALTHCARE MANAGEMENT, LLC |
| Employer identification number (EIN): | 262700342 |
| 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 | 2013-01-01 | KELLY VAN WAGNER | 2013-08-28 | ||
| 001 | 2012-01-01 | KELLY VAN WAGNER | 2013-08-09 | ||
| 001 | 2011-01-01 | KELLY VAN WAGNER | 2013-08-08 | ||
| 001 | 2010-01-01 | KELLY VAN WAGNER | 2011-05-13 |