| Plan Name | MICHAEL S. STUBBLEFIELD, M.D., P.C. RETIREMENT PLAN AND TRUST |
| Plan identification number | 003 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
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| Company Name: | MICHAEL S. STUBBLEFIELD, M.D., P.C. RETIREMENT PLAN AND TRUST |
| Employer identification number (EIN): | 942861416 |
| 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 |
|---|---|---|---|---|---|
| 003 | 2018-09-01 | ||||
| 003 | 2017-09-01 | ||||
| 003 | 2016-09-01 | ||||
| 003 | 2015-09-01 | ||||
| 003 | 2014-09-01 | ||||
| 003 | 2013-09-01 | ||||
| 003 | 2012-09-01 | MICHAEL S. STUBBLEFIELD | 2013-10-02 | MICHAEL S. STUBBLEFIELD | 2013-10-02 |
| 003 | 2011-09-01 | JERI STUBBLEFIELD | 2013-01-03 | JERI STUBBLEFIELD | 2013-01-03 |
| 003 | 2010-09-01 | MICHAEL S STUBBLEFIELD MD | 2012-04-02 | MICHAEL S STUBBLEFIELD MD | 2012-04-02 |