| Plan Name | KENNETH L PETTIT, DO LLC 401(K) PLAN |
| Plan identification number | 003 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | KENNETH L PETTIT, DO LLC |
| Employer identification number (EIN): | 860956852 |
| NAIC Classification: | 621498 |
| NAIC Description: | All Other Outpatient Care Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 003 | 2013-01-01 | VANESSA PETTIT | 2013-11-06 |