| Plan Name | THOMAS L. DAVIES, M.D., P.A., PROFIT SHARING PLAN & TRUST |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | THOMAS L. DAVIES, M.D., P.A. |
| Employer identification number (EIN): | 742210772 |
| 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 | 2010-11-01 | RHONDA BAUDIER | 2012-04-27 |