| Plan Name | JOHN F. PSUTKA, M. D. PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | JOHN F. PSUTKA, M.D. |
| Employer identification number (EIN): | 751578387 |
| 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 | 2015-01-01 | JOHN F PSUTKA | 2016-06-18 | JOHN F PSUTKA | 2016-06-18 |