| Plan Name | DOUGLAS R. COOMBS, M.D., INC. PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | DOUGLAS R. COOMBS, M.D., INC. |
| Employer identification number (EIN): | 841448378 |
| NAIC Classification: | 621399 |
| NAIC Description: | Offices of All Other Miscellaneous Health Practitioners |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2016-01-01 | DOUGLAS R. COOMBS | 2016-11-14 | DOUGLAS R. COOMBS | 2016-11-14 |
| 001 | 2014-01-01 | DOUGLAS R. COOMBS | 2015-06-26 | DOUGLAS R. COOMBS | 2015-06-26 |
| 001 | 2013-01-01 | DOUGLAS R. COOMBS | 2014-05-28 | DOUGLAS R. COOMBS | 2014-05-28 |
| 001 | 2012-01-01 | DOUGLAS R. COOMBS | 2013-08-14 | DOUGLAS R. COOMBS | 2013-08-14 |
| 001 | 2011-01-01 | DOUGLAS R. COOMBS | 2012-07-27 | DOUGLAS R. COOMBS | 2012-07-27 |
| 001 | 2010-01-01 | DOUGLAS R. COOMBS | 2011-08-02 | DOUGLAS R. COOMBS | 2011-08-02 |