| Plan Name | MAGNOLIA STATE FAMILY MEDICINE 401(K) PROFIT SHARING PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | MAGNOLIA STATE FAMILY MEDICINE |
| Employer identification number (EIN): | 260542139 |
| 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 | VICKY WALDEN | 2013-10-14 | VICKY WALDEN | 2013-10-14 |
| 001 | 2011-01-01 | CHRISTOPHER CUMMINS | 2012-09-27 | CHRISTOPHER CUMMINS | 2012-09-27 |