| Plan Name | LAKE COUNTRY PRIVATE MEDICAL, S.C RETIREMENT |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | LAKE COUNTRY PRIVATE MEDICAL, S.C |
| Employer identification number (EIN): | 352426840 |
| NAIC Classification: | 621498 |
| NAIC Description: | All Other Outpatient Care Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2014-01-01 | PATRICK FITZGERALD | 2015-08-20 | PATRICK FITZGERALD | 2015-08-20 |
| 001 | 2013-01-01 | PATRICK FITZGERALD | 2014-10-08 | PATRICK FITZGERALD | 2014-10-08 |
| 001 | 2012-02-01 | PATRICK FITZGERALD, MD | 2013-10-10 | PATRICK FITZGERALD, MD | 2013-10-10 |