| Plan Name | ALEXANDER CARLI, M.D., F.A.C.S., INC. TIERED 401K PROFIT SHARING PLAN AND TRUST |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | ALEXANDER CARLI, M.D., F.A.C.S., IN |
| Employer identification number (EIN): | 330362751 |
| 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 | 2013-01-01 | ALEXANDER CARLI | 2013-06-24 | ||
| 001 | 2012-01-01 | ALEXANDER CARLI | 2013-02-11 | ||
| 001 | 2011-01-01 | ALEXANDER CARLI | 2012-11-28 | ||
| 001 | 2010-01-01 | ALEXANDER CARLI | 2011-02-08 |