| Plan Name | PETER A. BARDWICK, M.D. PROFIT SHARING PLAN & TRUST |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | PETER A. BARDWICK, M.D. |
| Employer identification number (EIN): | 954165052 |
| 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 | 2011-01-01 | WILLIAM WALLER | 2012-07-17 | ||
| 001 | 2010-01-01 | PETER A. BARDWICK, M.D. | 2011-06-27 | PETER A. BARDWICK, M.D. | 2011-06-27 |