| Plan Name | ONE SOURCE MEDICAL GROUP RETIREMENT PLAN |
| Plan identification number | 002 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | ONE SOURCE MEDICAL GROUP |
| Employer identification number (EIN): | 260159522 |
| NAIC Classification: | 621112 |
| NAIC Description: | Offices of Physicians, Mental Health Specialists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 002 | 2017-01-01 | ROBERT MUELLER | 2017-11-14 | ROBERT MUELLER | 2017-11-14 |
| 002 | 2016-01-01 | DAVID LITTLER | 2017-07-24 | DAVID LITTLER | 2017-07-24 |
| 002 | 2015-01-01 | DAVID LITTLER | 2016-09-06 | DAVID LITTLER | 2016-09-06 |
| 002 | 2014-01-01 | DAVID LITTLER | 2015-10-06 | DAVID LITTLER | 2015-10-06 |
| 002 | 2013-01-01 | DAVID LITTLER | 2014-09-29 | DAVID LITTLER | 2014-09-29 |