| Plan Name | TAX DEFERRED ANNUITY |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | LIVING ROOM, INC. |
| Employer identification number (EIN): | 311616463 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2012-01-01 | DOLPH WARD GOLDENBURG | 2013-07-18 | ||
| 001 | 2011-01-01 | DOLPH WARD GOLDENBURG | 2013-01-09 | ||
| 001 | 2010-01-01 | DOLPH WARD GOLDENBURG | 2013-01-09 |