| Plan Name | FOREST HILL FAMILY PRACTICE & AESTHETICS, P.C. PROFIT SHARING PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | FOREST HILL FAMILY PRACTICE & AESTHETICS, P.C. |
| Employer identification number (EIN): | 621522860 |
| 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 |
|---|---|---|---|---|---|
| 002 | 2012-01-01 | SAMUEL SUMMERS | 2012-09-25 | SAMUEL SUMMERS | 2012-09-25 |
| 002 | 2011-01-01 | SAMUEL T SUMMERS | 2012-07-30 | SAMUEL T SUMMERS | 2012-07-30 |
| 002 | 2010-01-01 | SAMUEL T SUMMERS | 2011-07-27 | SAMUEL T SUMMERS | 2011-07-27 |