| Plan Name | LOREN L. FAABORG, M.D., P.C. 401K PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | LOREN L. FAABORG, M.D., P.C. |
| Employer identification number (EIN): | 203556471 |
| 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 | 2012-01-01 | LOREN L. FAABORG | 2013-01-24 | LOREN L. FAABORG | 2013-01-24 |
| 001 | 2011-01-01 | LOREN L. FAABORG | 2012-03-05 | LOREN L. FAABORG | 2012-03-05 |
| 001 | 2010-01-01 | LOREN L. FAABORG | 2011-02-25 | LOREN L. FAABORG | 2011-02-25 |