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| Plan Name | FOREST FAMILY CARE RETIREMENT PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | FOREST FAMILY CARE |
| Employer identification number (EIN): | 270886119 |
| 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 | 2017-01-01 | CHRIS MOORE | 2017-04-27 | ||
| 001 | 2016-01-01 | CHRIS MOORE | 2017-04-26 | ||
| 001 | 2015-01-01 | CHRIS MOORE | 2016-06-29 | ||
| 001 | 2014-01-01 | CHRIS MOORE | 2015-08-19 | ||
| 001 | 2013-01-01 | CHRIS MOORE | 2014-10-31 | ||
| 001 | 2012-01-01 | HEATHER BLEVINS | 2013-07-25 | ||
| 001 | 2011-01-01 | HEATHER BLEVINS | 2012-07-11 |
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