| Company Name: | UNION CENTRAL LIFE |
| Employer identification number (EIN): | 310462910 |
| National Association of Insurance Commissioner's ID: | 80837 |
| NAIC Classification: | 80837 |
| SAMUEL J. SMITH, MD, INC. | SAMUEL J. SMITH, M.D., INC. PROFIT SHARING PLAN | 2013-01-01 |