| Plan Name | DAVID E. MATTIVI PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | DAVID E. MATTIVI |
| Employer identification number (EIN): | 382285670 |
| NAIC Classification: | 524210 |
| NAIC Description: | Insurance Agencies and Brokerages |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2011-01-01 | DAVID E MATTIVI | 2011-08-04 | DAVID E MATTIVI | 2011-08-04 |
| 001 | 2010-01-01 | DAVID MATTIVI | 2011-08-05 | DAVID MATTIVI | 2011-08-05 |