| Plan Name | FAMILY PRACTICE ST. CLOUD RETIREMENT PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | FAMILY PRACTICE ST. CLOUD, P.A. |
| Employer identification number (EIN): | 592974863 |
| 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 | RAGHU KULKARNI | 2018-10-18 | RAGHU KULKARNI | 2018-10-02 |
| 001 | 2016-01-01 | CHARLES POWERS | 2017-07-21 | CHARLES POWERS | 2017-07-21 |
| 001 | 2015-01-01 | CHARLES POWERS | 2016-07-12 | CHARLES POWERS | 2016-07-12 |
| 001 | 2014-01-01 | CHARLES POWERS | 2015-10-09 | CHARLES POWERS | 2015-10-09 |
| 001 | 2013-01-01 | CHARLES POWERS | 2014-05-28 | CHARLES POWERS | 2014-05-28 |
| 001 | 2012-01-01 | DAVID THORNE | 2013-06-12 | DAVID THORNE | 2013-06-12 |
| 001 | 2011-01-01 | DAVID THORNE | 2012-07-17 | DAVID THORNE | 2012-07-17 |
| 001 | 2010-01-01 | PAUL THORNE | 2011-06-16 | CHARLES POWERS | 2011-06-16 |