| Plan Name | DALE R. ANDERSON, MD 401(K) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | DALE R. ANDERSON, MD |
| Employer identification number (EIN): | 460393178 |
| 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 | 2013-01-01 | DALE ANDERSON | 2013-07-17 | DALE ANDERSON, MD | 2013-07-17 |
| 001 | 2012-01-01 | DALE ANDERSON, MD | 2013-06-18 | DALE ANDERSON, MD | 2013-06-18 |
| 001 | 2011-01-01 | DALE ANDERSON, MD | 2012-09-17 | DALE ANDERSON, MD | 2012-09-17 |
| 001 | 2010-01-01 | DALE ANDERSON, MD | 2011-07-31 | DALE ANDERSON, MD | 2011-07-31 |