MAPLE TREE GENERAL SURGERY RETIREMENT PLAN

[ EIN: 02-0725914 | Plan No. 001 ]

MAPLE TREE GENERAL SURGERY RETIREMENT PLAN is reported on Form 5500 as a 401(k) plan sponsored by MAPLE TREE GENERAL SURGERY, PLC. For the 2010 plan year, the plan had 2 participants and total assets of $70,568.

401(k) plans are subject to ERISA disclosure requirements and annual reporting obligations.

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Plan Sponsor: MAPLE TREE GENERAL SURGERY, PLC

Location: 215 STRATTON ROAD, RUTLAND, VT 05701

EIN: 020725914

Plan Number: 001

Plan Year: 2010

Plan Size: Small Plan

Plan Entity Type: Defined Contribution

Plan Type: 401(k)

Participants: 2

Total Assets: $70,568

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