| Plan Name | JAMES T. COURTNEY M.D. F.A.C.S. P.C. RET PLAN & TRUST |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | JAMES T. COURTNEY M.D. F.A.C.S. P.C . |
| Employer identification number (EIN): | 383335572 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2012-01-01 | JAMES T COURTNEY MD | 2012-07-24 | JAMES T COURTNEY MD | 2012-07-24 |
| 001 | 2011-01-01 | JAMES T COURTNEY MD | 2012-05-29 | JAMES T COURTNEY MD | 2012-05-29 |
| 001 | 2010-01-01 | JAMES T. COURTNEY M.D. | 2011-05-23 |