| Plan Name | TAX DEFERRED ANNUITY PLAN OF JOSSELYN CENTER FOR MENTAL HEALTH |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | THE JOSSELYN CENTER, NFP |
| Employer identification number (EIN): | 362217996 |
| NAIC Classification: | 621420 |
| NAIC Description: | Outpatient Mental Health and Substance Abuse Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2011-01-01 | GARY D. SMITH | 2012-06-27 | GARY D. SMITH | 2012-06-27 |
| 002 | 2010-01-01 | GARY D. SMITH | 2011-06-09 | GARY D. SMITH | 2011-06-09 |