| Plan Name | FAMILY PRACTICE CLINIC OF BOILING SPRINGS PROFIT |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | FAMILY PRACTICE CLINIC OF BOILING SPRINGS |
| Employer identification number (EIN): | 570654704 |
| 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 | 2017-01-01 | ROGER D. SHEALY | 2018-04-25 | ROGER D. SHEALY | 2018-04-25 |
| 001 | 2016-01-01 | ROGER D. SHEALY | 2017-05-08 | ROGER D. SHEALY | 2017-05-08 |
| 001 | 2015-01-01 | ROGER D. SHEALY | 2016-09-27 | ROGER D. SHEALY | 2016-09-27 |
| 001 | 2014-01-01 | ROGER D. SHEALY | 2015-10-06 | ROGER D. SHEALY | 2015-10-06 |
| 001 | 2013-01-01 | ROGER D. SHEALY | 2014-07-24 | ROGER D. SHEALY | 2014-07-24 |
| 001 | 2012-01-01 | ROGER D. SHEALY | 2013-10-02 | ROGER D. SHEALY | 2013-10-02 |
| 001 | 2011-01-01 | ROGER D. SHEALY | 2012-09-21 | ROGER D. SHEALY | 2012-09-21 |
| 001 | 2010-01-01 | ROGER D. SHEALY | 2011-09-28 | ROGER D. SHEALY | 2011-09-28 |