| Plan Name | JAMES R. FORSTNER, M.D 401K PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | JAMES R. FORSTNER, MD |
| Employer identification number (EIN): | 561169169 |
| 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 | 2014-01-01 | LOU P. WARREN | 2015-09-30 | LOU P. WARREN | 2015-09-30 |
| 001 | 2013-01-01 | LOU P. WARREN | 2014-07-10 | LOU P. WARREN | 2014-07-10 |
| 001 | 2012-01-01 | LOU P. WARREN | 2013-07-26 | LOU P. WARREN | 2013-07-26 |
| 001 | 2011-01-01 | LOU P. WARREN | 2012-06-05 | LOU P. WARREN | 2012-06-05 |
| 001 | 2010-01-01 | LOU P. WARREN | 2011-06-15 | LOU P. WARREN | 2011-06-15 |