| Plan Name | FAMILY CARE OF FAIRVIEW, P.A. 401K PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | FAMILY CARE OF FAIRVIEW, P.A. |
| Employer identification number (EIN): | 562266848 |
| 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 | 2011-01-01 | DIANA F BRADLEY | 2012-06-11 | DIANA F BRADLEY | 2012-06-11 |
| 001 | 2010-01-01 | DIANA F BRADLEY | 2011-09-12 | DIANA F BRADLEY | 2011-09-12 |