| Plan Name | R & S LIFE INSURANCE BENEFIT PLAN |
| Plan identification number | 511 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | FOUNTAIN HOLDING LLC |
| Employer identification number (EIN): | 300068277 |
| NAIC Classification: | 424210 |
| NAIC Description: | Drugs and Druggists' Sundries Merchant Wholesalers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 511 | 2012-02-01 | LAUREN JOHNSON | |||
| 511 | 2011-02-01 | MARK BROWN | MARK BROWN | 2012-10-15 | |
| 511 | 2009-02-01 | MARK BROWN | MARK BROWN | 2010-08-06 |