| Plan Name | TAX DEFERRED ANNUITY PLAN OF MID VALLEY RECOVERY SERVICES, INC. |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | MID VALLEY RECOVERY SERVICES INC. |
| Employer identification number (EIN): | 952648465 |
| NAIC Classification: | 621420 |
| NAIC Description: | Outpatient Mental Health and Substance Abuse Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2010-01-01 | JAMES O'CONNELL | 2011-06-28 | JAMES O'CONNELL | 2011-06-28 |