| Plan Name | PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | THOMAS J OVERBERG OD, INC |
| Employer identification number (EIN): | 341492607 |
| NAIC Classification: | 621320 |
| NAIC Description: | Offices of Optometrists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2012-01-01 | VICTORIA OVERBERG-SUCCESSOR TRUSTEE | 2013-09-13 | ||
| 001 | 2011-01-01 | VICTORIA OVERBERG-SUCCESSOR TRUSTEE | 2012-09-14 | ||
| 001 | 2010-01-01 | THOMAS J OVERBERG | 2011-09-15 |