| Plan Name | PRIMARY CARE 401(K) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | PRIMARY CARE OF WESTERN PA, P.C. |
| Employer identification number (EIN): | 270941022 |
| NAIC Classification: | 621340 |
| NAIC Description: | Offices of Physical, Occupational and Speech Therapists, and Audiologists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2018-01-01 | JANE KELLEY | 2018-09-26 | JANE KELLEY | 2018-09-26 |
| 001 | 2017-01-01 | JANE KELLEY | 2018-09-26 | JANE KELLEY | 2018-09-26 |
| 001 | 2016-01-01 | JANE KELLEY | 2017-07-18 | JANE KELLEY | 2017-07-18 |
| 001 | 2015-01-01 | JANE KELLEY | 2016-06-23 | JANE KELLEY | 2016-06-23 |
| 001 | 2014-01-01 | JANE KELLEY | 2015-07-14 | JANE KELLEY | 2015-07-14 |
| 001 | 2013-01-01 | JANE KELLEY | 2014-06-25 | JANE KELLEY | 2014-06-25 |